Preparing for your appointmentBy Mayo Clinic staff
If you think you may have heart disease, or are worried about your heart disease risk because of a strong family history, make an appointment with your family doctor. If heart disease is found early, your treatment may be easier and more effective. Eventually, however, you may be referred to a heart specialist (cardiologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet. For a cholesterol test, for example, you may need to fast for a period of time beforehand.
- Write down any symptoms you're experiencing, including any that may seem unrelated to coronary artery disease.
- Write down key personal information, including a family history of heart disease, stroke, high blood pressure or diabetes, and any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For heart disease, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What kinds of tests will I need?
- What's the best treatment?
- What foods should I eat or avoid?
- What's an appropriate level of physical activity?
- Are there any other restrictions I should follow?
- How often should I be screened for heart disease? For example, how often do I need a cholesterol test?
- I have other health conditions. How can I best manage them together?
- Should I see a specialist?
- Should my children be screened for this condition?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- What is your typical daily diet?
- Do you drink alcohol? How much?
- Do you smoke?
- Are you physically active? If yes, how often do you exercise?
- Have you been diagnosed with any other medical conditions?
- Do you have a family history of heart disease?
- Are you currently taking any medications, vitamins or supplements?
- Enlarged heart. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4517. Accessed Dec. 9, 2010.
- Cardiomyopathies. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec07/ch084666/ch084666a.html. Accessed Dec. 9, 2010.
- What is cardiomyopathy? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/cm/cm_all.html. Accessed Dec. 9, 2010.
- Cardiomegaly on chest X-ray. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-05610-6..00065-2--s0020&isbn=978-0-323-05610-6&sid=1093880434&type=bookPage§ionEid=4-u1.0-B978-0-323-05610-6..00065-2--s0020&uniqId=229713866-3#4-u1.0-B978-0-323-05610-6..00065-2--s0020. Accessed Dec. 9, 2010.
- Grogan M (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 3, 2011.