Understand how each clinical test operates, when it is recommended, and how to prepare for your appointment.
A comprehensive clinical evaluation by Dr. Ashish Kumar Golwara. It includes reviewing clinical history, analyzing symptoms (chest pain, shortness of breath, palpitations), checking blood pressure, and performing a detailed cardiovascular stethoscope exam.
Bring all your current medications, medical prescriptions, and past test files (like older ECGs or laboratory reports). Wear comfortable clothing for standard check-ups.
A simple, painless, and rapid test that records the electrical activity of your heart. Electrodes are placed on your chest, arms, and legs to create a visual graph of your heart's rhythm. It detects arrhythmia, heart muscle damage, and signs of poor blood flow (ischemia).
Avoid applying heavy body lotions or oils on the chest before the test, as they can interfere with electrode placement.
An ultrasound scan of the heart that creates moving visual images of your heart chambers, valves, and blood flow using high-frequency sound waves. Dr. Golwara performs both **Adult Echocardiography** and specialized **Pediatric Echocardiography** (for infants and children) to diagnose congenital abnormalities.
No fasting or special preparation is required. Wear a loose front-opening shirt or gown to allow easy probe movement on the chest area.
Also known as an Exercise Stress Test. It records your ECG, blood pressure, and heart rate continuously while you walk or run on a motorized treadmill under a standardized protocol. This test checks how well your heart responds to physical strain and detects blockages in the coronary arteries that might not show at rest.
Do not eat a heavy meal for 2–3 hours before the test. Wear comfortable walking shoes and sports clothing. Ask Dr. Golwara if you need to stop taking specific beta-blockers or medications before the test.
An advanced cardiac test that combines a standard Echocardiography with exercise stress (treadmill) or drug-induced stress (dobutamine infusion). Images of the heart walls are taken before and immediately after stress to detect wall motion abnormalities, which indicate poor coronary perfusion.
Fast for at least 3–4 hours prior to the test. Avoid all caffeinated beverages (coffee, tea, soft drinks) for 24 hours, as caffeine can alter test responses.
A continuous 24-hour or 48-hour recording of your heart's electrical signals. You wear a compact, battery-operated recorder connected to chest patches while you go about your normal daily activities. It captures transient rhythm problems that standard ECGs fail to record due to their brief duration.
Bathe before coming to the clinic, as you cannot wet or remove the Holter device once it is attached. You will be asked to keep a written diary of symptoms (chest pain, dizziness) and their times during the test.
