Hyperhomocysteinemia: Diagnostic Tests

Obligatory medical device diagnostics.

  • Transcranial Doppler sonography (ultrasound examination through the intact skull for orientational monitoring of cerebral (“concerning the brain”) blood flow; brain ultrasound) – Doppler sonographic evidence of stenosis, plaques, or intima-media thickening (IMT) of the carotids (carotid arteries) signifies increased risk of myocardial infarction (heart attack)/apoplexy (stroke)
  • Stress ECG (electrocardiogram during stress, that is, under physical activity/stress ergometry).

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification.

  • Cardio-computed tomography (cardio-CT) – early detection of coronary vascular calcification.
  • Cardiac catheterization – for suspected coronary artery disease (CAD; coronary artery disease)/acute coronary syndrome (AKS resp. ACS, acute coronary syndrome; spectrum of cardiovascular disease ranging from unstable angina (iAP; UA; “chest tightness”; sudden onset of pain in the heart region with inconstant symptoms) to the two main forms of myocardial infarction (heart attack), non-ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI)).