Cardiovascular Risk Assessment
Either you or your physician can request a consultation with a doctor at NYU Langone’s Center for the Prevention of Cardiovascular Disease by calling us at 212-263-0855. We offer a range of tests that can diagnose heart disease and assess your risk factors for the condition.
We also offer personalized risk assessments for people at higher risk of heart disease due to psoriasis and rheumatic conditions, including psoriatic arthritis, rheumatoid arthritis, and systemic lupus erythematosus, through our Cardio-Rheumatology Program.
The tests we offer include the following.
24-Hour Blood Pressure Monitoring
In some people, an elevated blood pressure reading taken during an office visit may not truly indicate hypertension—it could just be an occasional occurrence. These people are given a portable device to record their blood pressure over a 24-hour period. This helps us more accurately determine whether a person usually has high blood pressure and requires treatment.
Advanced Lipid Profile
An advanced lipid profile test gives more information than a standard lipid profile—the cholesterol test your doctor usually gives you—to get a more accurate picture of your risk for cardiovascular disease.
With an advanced lipid profile test, we can measure the individual levels of particles that make up LDL (bad) and HDL (good) cholesterol, which can be a better predictor of your risk for heart disease. This test may be particularly beneficial in people already on statins and for those with diabetes or prediabetes.
The ankle-brachial index test measures the blood pressure in the arm and then compares it with the blood pressure in different segments of the legs to screen for peripheral artery disease, a condition that causes decreased blood pressure in the legs and may indicate atherosclerosis in the arteries of the aorta or lower extremities, or both. The test is useful for determining decreased blood flow, even at early stages, which can change the course of treatment.
Carotid IMT Evaluation
In a carotid intimal-medial thickness evaluation (IMT), an ultrasound is used to measure the thickness of the two innermost layers of the wall of the carotid artery in your neck. Although this is not the same as examining your coronary artery, studies of thousands of people worldwide have shown that the thickening of the carotid artery or the actual presence of plaque can indicate the risk of atherosclerosis, heart attack, and stroke.
Coronary Calcium Scoring
In a coronary calcium scoring test, CT scans are taken of the heart to detect the amount of plaque on your coronary artery walls, which can block blood flow to your heart and be an indicator of cardiovascular disease.
Endothelial Health Testing
The cells that line the coronary arteries are called endothelial cells. For optimal cardiovascular health, these cells should be in a calm, non-irritated state. New technologies have allowed us to use a specialized, noninvasive probe known as the EndoPAT™, which can indicate the level of irritation for endothelial cells.
Studies show that EndoPAT™ testing can help detect whether any of the cardiovascular risks a person may have—such as high cholesterol, high blood pressure, diabetes, or smoking—have already begun to affect the arteries.
High levels of a protein known as high-sensitivity C-reactive protein (CRP), which is measured through a blood test, may signal inflammation in your arteries. This inflammation may contribute to or be an indicator of atherosclerosis, or hardening of the arteries, and increase your odds of having a heart attack or stroke.
Having an elevated high-sensitivity CRP has been shown to predict the risk of heart disease, even in people with relatively normal cholesterol, and is also linked to a significant increase in risk for heart attack or stroke in people with metabolic syndrome.