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Contains 65 testsHbA1c (Hemoglobin A1c)
An HbA1c (Hemoglobin A1c) test precisely measures the percentage of sugar-coated or glycated hemoglobin in your blood. The test results represent the proportion of hemoglobin in your blood that has been glycated.
Hemoglobin, a vital protein found in red blood cells, is responsible for transporting oxygen throughout the body. Hemoglobin A is the most abundant form of hemoglobin, and when blood sugar levels increase, a higher proportion of hemoglobin A becomes glycated. As red blood cells have a lifespan of approximately 120 days, the sugar molecules remain attached to the hemoglobin for the duration of the cell's life. Consequently, the HbA1c test offers insight into your average blood sugar levels over the past 8 to 12 weeks.
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Complete Hemogram (CBC & ESR)
A Complete Hemogram (CBC & ESR) test combines a complete blood count (CBC) test and an erythrocyte sedimentation rate (ESR) test. The CBC test evaluates all of your blood cells (red, white, and platelets) that reflect your general health. The ESR test, on the other hand, determines the presence of any inflammation or infection in your body.
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CBC (Complete Blood Count)
- Hb (Hemoglobin)
- Platelet Count
- Total Leukocyte Count
- Hematocrit
- Mean Corpuscular Volume
- Mean Corpuscular Hemoglobin
- Mean Corpuscular Hemoglobin Concentration
- Mean Platelet Volume
- PDW
- RDW CV
- Absolute Leucocyte Count
- Differential Leukocyte Count
- Red Blood Cell Count
The CBC (Complete Blood Count) test evaluates red blood cells (RBCs), white blood cells (WBCs}, and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot–so determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.
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ESR (Erythrocyte Sedimentation Rate)
An ESR test measures the rate at which red blood cells (erythrocytes) settle (sediment) in one hour at the bottom of a tube that contains a blood sample.
When there is inflammation in the body, certain proteins, mainly fibrinogen, increase in the blood. This increased amount of fibrinogen causes the red blood cells to form a stack (rouleaux formation) that settles quickly due to its high density, leading to an increase in the ESR.
An ESR test is a non-specific measure of inflammation and can be affected by conditions other than inflammation. This test cannot identify the exact location of the inflammation in your body or what is causing it. Hence, an ESR test is usually performed along with a few other tests to identify or treat possible health concerns.
RBS (Random Blood Sugar)
An RBS (Random Blood Sugar) test is done to measure the levels of glucose at any time of the day. This test provides a speedy diagnosis of diabetes. It is also helpful in identifying diabetic patients who require a supplementary dose of insulin in case of an emergency.
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Urine R/M (Urine Routine & Microscopy)
The Urine R/M (Urine Routine & Microscopy) test involves gross, chemical, and microscopic evaluation of the urine sample.
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Gross examination: It involves visually inspecting the urine sample for color and appearance. Typically, the urine color ranges from colorless or pale yellow to deep amber, depending on the urine’s concentration. Things such as medications, supplements, and some foods such as beetroot can affect the color of your urine. However, unusual urine color can also be a sign of disease.
In appearance, the urine sample may be clear or cloudy. A clear appearance is indicative of healthy urine. However, the presence of red blood cells, white blood cells, bacteria, etc., may result in cloudy urine, indicating conditions such as dehydration, UTIs, kidney stones, etc. Some other factors, such as sperm and skin cells, may also result in a cloudy appearance but are harmless.
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Chemical examination: It examines the chemical nature of the urine sample using special test strips called dipsticks. These test strips are dipped into the urine sample and change color when they come in contact with specific substances. The degree of color change estimates the amount of the substance present. Some common things detected include protein, urine pH, ketones, glucose, specific gravity, blood, bilirubin, nitrites, and urobilinogen.
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Microscopic examination: This involves the analysis of the urine sample under the microscope for pus cells, red blood cells, casts, crystals, bacteria, yeast. and other constituents.
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Nitrite
The Nitrite test measures the presence of nitrites in the urine sample. Nitrites are chemicals formed by the conversion of nitrates by certain bacteria. Under normal conditions, urine does not contain nitrites. However, when bacteria that cause urinary tract infections (UTIs) are present, they convert nitrates (which are normally found in the urine) into nitrites. Thus, the presence of nitrites in urine is an indication of a bacterial infection, making the Nitrite test a key tool in diagnosing UTIs.
Colour
The urine colour test primarily measures the concentration and colour of urine to provide insights into an individual’s overall health. It assesses hydration status, with clear to light yellow urine indicating good hydration and darker shades suggesting dehydration. It can also detect urinary tract infections (UTIs) through unusual colours like cloudy or reddish urine, signaling the presence of blood or pus. Abnormal urine colours, such as dark brown or amber, may indicate liver conditions like hepatitis or cirrhosis, while pink, red, or brown urine can reveal the presence of blood, signaling kidney issues, trauma, or potential malignancies. The test can reflect dietary influences and supplement intake, with certain foods and vitamins causing colour changes. It can also highlight metabolic disorders, such as porphyria, which may cause purple urine. Additionally, medication effects and potential exposure to toxins can be inferred from changes in urine colour, making this test a comprehensive indicator of overall health and potential underlying conditions.
Appearance
The urine appearance test measures:
Colour: The urine colour indicates the presence of substances like bilirubin, blood, or medications in the urine, providing clues about liver function, hydration levels, or underlying health issues.
Clarity: The urine clarity assesses the transparency of urine, which can reveal the presence of cells, proteins, or other particles that may indicate infections or kidney disease.
Odor: The urine odor detects abnormal smells that may indicate infections or metabolic disorders affecting the urinary system.
By examining these aspects, doctors can gain insights into hydration status, kidney function, and potential health conditions affecting the urinary tract. This comprehensive evaluation aids in timely diagnosis and management of potential urinary tract problems.
Specific Gravity
The urine Specific Gravity test measures the concentration of solutes in the urine, reflecting the kidneys' ability to concentrate or dilute the urine in response to varying hydration levels. By comparing the density of urine to that of water, the test provides insights into the balance of fluids and substances like salts, waste products, and other solutes. This test is important because it helps diagnose and monitor various medical conditions, including dehydration, kidney disease, diabetes insipidus, and other disorders affecting kidney function, enabling timely and appropriate medical interventions.
Epithelial Cell
The Epithelial Cell test measures the presence and quantity of epithelial cells shed into the urine. This test helps doctors understand urinary tract health by identifying abnormalities such as infections, inflammation, or damage to kidney tubules. Different types of epithelial cells in urine, including squamous, transitional, and renal tubular epithelial cells, provide specific insights into the nature and location of urinary tract issues. This test aids in diagnosing conditions affecting the urinary system and guides appropriate treatment strategies based on the findings.
Casts
The urinary cast test measures the presence, and quantity of casts in a urine sample. These casts are cylindrical structures formed from coagulated proteins and cells within the kidney's tubules. By identifying and quantifying the different types of casts, such as red blood cell casts, white blood cell casts, granular casts, and hyaline casts, the test provides valuable insights into kidney health. The presence of specific types of casts can indicate underlying kidney conditions, such as glomerulonephritis, kidney infections, acute tubular necrosis, and chronic kidney disease. This test helps doctors diagnose, monitor, and manage kidney-related issues, guiding appropriate medical interventions and treatments.
Crystals
The Crystals test measures the presence, type, and quantity of crystals in a urine sample. Crystals can form from various salts and minerals in the urine, and their identification helps diagnose underlying conditions such as kidney stones, urinary tract infections, or metabolic disorders. The test provides insights into potential urinary tract issues by detecting specific types of crystals, such as calcium oxalate, uric acid, or struvite crystals. By analyzing the crystals, doctors can determine the severity of the condition, monitor the effectiveness of treatment, and guide preventive measures to maintain optimal urinary tract health.
Protein Urine
The Protein Urine test detects the presence of proteins in the urine sample. Essential proteins are typically retained in the blood by healthy kidneys, but their presence in urine can indicate kidney damage or dysfunction. Conditions like diabetes, hypertension, and certain kidney diseases can cause increased protein leakage into the urine. This test is crucial for assessing kidney health and detecting abnormalities that may require further investigation or intervention.
Ph for Urine
The Ph for Urine primarily measures the acidity or alkalinity of urine by assessing the balance of hydrogen ions in the urine. It provides insights into an individual’s metabolic and kidney function, with acidic urine suggesting conditions like metabolic or respiratory acidosis, and alkaline urine indicating potential metabolic or respiratory alkalosis. The test can also reflect dietary influences, such as high protein diets may lead to acidic urine, while fruit-rich diets may result in alkaline urine. Abnormal pH levels can indicate conditions such as urinary tract infections, kidney stones, and certain metabolic disorders. Additionally, the test helps to monitor the impact of medications and supplements on urine pH, making it a valuable tool for comprehensive health assessment and diagnosis.
Urobilinogen
The Urobilinogen test measures the amount of urobilinogen present in the urine. Urobilinogen is a substance formed from the breakdown of bilirubin, a by-product of old red blood cells processed by the liver. This test plays a key role in assessing liver function and detecting liver diseases.
Under normal circumstances, the liver converts bilirubin into urobilinogen. Some of this urobilinogen is reabsorbed into the blood, excreted by the kidneys, and then eliminated from the body through urine. However, when liver function is impaired, the amount of urobilinogen in the urine can change. Hence, the Urobilinogen test serves as an important indicator of abnormalities such as liver disease or blockage of the bile ducts.
Ketone
The Ketone test measures the presence of ketone bodies in the urine, which are metabolic byproducts produced when the body breaks down fat for energy in the absence of sufficient carbohydrates. This process, known as ketosis, typically occurs during states such as prolonged fasting, strict low-carbohydrate diets, or in certain medical conditions like uncontrolled diabetes mellitus, particularly type 1 diabetes. In diabetes, for instance, the test can help identify diabetic ketoacidosis (DKA), a serious complication characterized by high levels of ketones that can lead to an acid-base imbalance in the blood. The presence of ketones in the urine can be an important marker for monitoring metabolic states and managing conditions that affect blood sugar levels.
Urine Glucose
The Urine Glucose test measures the presence or absence of glucose in the urine sample. Normally, glucose is filtered out by the kidneys and reabsorbed into the blood, so it should not be detectable in the urine. When glucose appears in the urine, it indicates that blood glucose levels may be elevated beyond the kidneys' reabsorption capacity.
Urine glucose is a useful test to check how well your body is managing glucose levels and kidney function. It helps diagnose and monitor diabetes, provides insight into blood sugar control, and can indicate potential issues with kidney function.
Yeast
The urine yeast test measures the presence of yeast cells in the urine sample. The presence of yeast cells can indicate an infection or an imbalance in the urinary tract's natural microbial environment. Yeast is a type of fungus that naturally resides in small amounts on the skin, in the mouth, and in the intestines. However, when it overgrows, it can cause infections, such as yeast infections in the urinary tract which require medical attention. Therefore this test is crucial for identifying fungal infections, particularly those caused by Candida species, and plays a vital role in guiding appropriate treatment strategies.
Pus Cell
The pus cells test measures the presence and quantity of pus cells in urine samples. This test helps identify urinary tract infections (UTIs) and other inflammatory conditions of the urinary tract. Doctors perform this test to promptly diagnose and manage urinary tract-related disorders, ensuring timely treatment and management.
Red Blood Cells
The Red Blood Cells test measures the presence and amount of red blood cells (RBCs) in a urine sample. The primary purpose of the test is to detect hematuria, a condition characterized by the presence of blood in the urine. Hematuria can be either visible (gross hematuria) or invisible to the naked eye (microscopic hematuria), and the RBC Urine Test is capable of detecting both. It serves as an early indicator of various underlying health conditions ranging from urinary tract infections (UTIs), kidney stones, and kidney disease, to more serious conditions such as bladder cancer or trauma to the urinary tract. Early identification of hematuria through the RBC Urine Test can prompt timely treatment and management of these conditions, which can significantly improve patient outcomes and prevent complications.
Leucocyte Esterase
The Leucocyte Esterase test measures the presence of leukocyte esterase (an enzyme released by white blood cells) in urine samples, which are typically present when there is an infection or inflammation in the urinary tract. Common conditions associated with elevated leukocyte esterase levels include urinary tract infections (UTIs), kidney infections (pyelonephritis), and interstitial cystitis. When the body's immune system detects pathogens such as bacteria, it sends white blood cells to the affected area to combat the infection, leading to an increase in leukocyte esterase levels in the urine. Thus, the Leucocyte Esterase test serves as a marker for these underlying issues ensuring early detection and appropriate treatment.
Blood
The Blood test measures the presence of blood in the urine sample, indicating potential issues within the urinary system or kidneys. This test is crucial for diagnosing conditions such as hematuria, urinary tract infections (UTIs), kidney stones, kidney disease, or even certain cancers that can cause bleeding in the urinary tract.
Depending on whether the blood is visible to the naked eye (macroscopic hematuria) or only detectable under a microscope (microscopic hematuria), doctors can assess the severity and potential causes of the bleeding. By analyzing the presence of blood in the urine sample, doctors can determine the appropriate course of treatment and management, ensuring timely intervention to address underlying health concerns affecting urinary tract and kidney function.
Bacteria
The Bacteria test measures the presence and amount of bacteria in the urine. Normally, urine is sterile, but the presence of bacteria indicates an infection in the urinary system. This test helps diagnose UTIs, bladder infections, and other related conditions, guiding appropriate treatment plans.
Bilirubin
The Bilirubin test measures the levels of bilirubin present in the urine. Bilirubin is a by-product of the breakdown of old red blood cells, processed by the liver. This test is crucial in assessing liver function and detecting liver diseases.
Normally, the liver converts bilirubin into a form that can be excreted into bile and eventually eliminated from the body. When liver function is impaired, the amount of bilirubin in the urine can change, serving as an important indicator of abnormalities such as liver disease or bile duct blockage.
LFT (Liver Function Test)
An LFT (Liver Function Test) helps determine the health of your liver by measuring various components like enzymes, proteins, and bilirubin. These components help detect inflammation, infection, diseases, etc., of the liver and monitor the damage due to liver-related issues.
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SGPT
An SGPT test measures the amount of ALT or SGPT enzyme in your blood. ALT is most abundantly found in the liver but is also present in smaller amounts in other organs like the kidneys, heart, and muscles. Its primary function is to convert food into energy. It also speeds up chemical reactions in the body. These chemical reactions include the production of bile and substances that help your blood clot, break down food and toxins, and fight off an infection.
Elevated levels of ALT in the blood may indicate liver damage or injury. When the liver cells are damaged, they release ALT into the bloodstream, causing an increase in ALT levels. Therefore, the SGPT/ALT test is primarily used to assess the liver's health and to detect liver-related problems such as hepatitis, fatty liver disease, cirrhosis, or other liver disorders.
Gamma Glutamyl Transferase
Gamma-Glutamyl Transferase (GGT) is an enzyme found in various organs, with the highest concentration in the liver. Usually, this enzyme is present in low levels in the blood. However, when there is liver damage or disease, GGT is released into the bloodstream, causing an increase in GGT levels. In addition to the liver, GGT can also be elevated in conditions affecting the bile ducts or the pancreas. It is usually, the first liver enzyme to rise in the blood when there is any damage or obstruction in the bile duct, making it one of the most sensitive liver enzyme tests for detecting bile duct problems.
Bilirubin (Total, Direct and Indirect)
- Bilirubin Indirect
- Bilirubin Direct
- Bilirubin Total
The Bilirubin (Total, Direct and Indirect) test measures the level of three forms of bilirubin such as total bilirubin, direct (conjugated bilirubin), and indirect (unconjugated) bilirubin in the blood. Total bilirubin represents the sum of direct and indirect bilirubin. Direct bilirubin is the water-soluble form of bilirubin that has been processed by the liver via a conjugation process with glucuronic acid and is ready to be excreted into the bile ducts and ultimately into the intestines. Indirect bilirubin is the water-insoluble form of bilirubin that has not yet been processed by the liver and is bound to albumin in the blood. It is formed in the spleen and liver during the breakdown of hemoglobin from old or damaged red blood cells and cannot be excreted directly by the liver. Instead, it is transported to the liver, where it undergoes conjugation to become direct bilirubin.
Getting tested with the Bilirubin (Total, Direct and Indirect) test provides valuable information into various aspects of liver function, bile duct health, and the body’s ability to break down and eliminate bilirubin.
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Protein Total, Serum
- Protein Total
- Serum Albumin
- Globulin, Serum
- Albumin/Globulin Ratio, Serum
The Protein Total, Serum test measures the amount of proteins in the body. Proteins are known as the building blocks of all cells and tissues. They play a crucial role in the growth and development of most of your organs and in making enzymes and hormones. There are two types of proteins found in the body, namely albumin and globulin. About 60% of the total protein is made up of albumin, which is produced by the liver. It helps to carry small molecules such as hormones, minerals, and medicines throughout the body. It also serves as a source of amino acids for tissue metabolism. On the other hand, globulin is a group of proteins that are made by the liver and the immune system. They play an important role in liver functioning, blood clotting, and fighting off infections.
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Alkaline Phosphatase (ALP)
An Alkaline Phosphatase (ALP) test measures the quantity of ALP enzyme present throughout the body. The main sources of this enzyme are the liver and bones. It exists in different forms depending on where it originates, such as liver ALP, bone ALP, and intestinal ALP. In the liver, it is found on the edges of the cells that join together to form bile ducts.
ALP levels can be increased during pregnancy as it is found in the placenta of pregnant women. It is also higher in children because their bones are in the growth phase. ALP is often high during growth spurts (a short period when an individual experiences quick physical growth in height and body weight).
SGOT
An SGOT test measures the levels of serum glutamic-oxaloacetic transaminase (SGOT), also known as aspartate aminotransferase (AST), an enzyme produced by the liver. SGOT is present in most body cells, most abundantly in the liver and heart. The primary function of this enzyme is to convert food into glycogen (a form of glucose), which is stored in the cells, primarily the liver. The body uses this glycogen to generate energy for various body functions.
Blood Pressure
Body Mass Index
Lipid Profile, Non Fasting
The Lipid Profile, Non Fasting assesses the level of specific fat molecules called lipids in the blood and helps determine the risk of heart ailments. This test determines the amount of different types of lipids, including total cholesterol, low-density lipoprotein (LDL) cholesterol, very-low-density lipoprotein (VLDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides. Lipids play a pivotal role in the functioning of the body. They are crucial components of the cell membranes and hormones, provide cushioning, and are a storehouse of energy. Any alterations in the lipid levels may lead to potential heart ailments, and this makes their monitoring crucial.
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Cholesterol - Total
The Cholesterol - Total test measures the total amount of cholesterol (fats) in your blood. Cholesterol is mainly synthesized in the liver and partially in the intestines. It acts as a building block for cell membranes, is a precursor to vital hormones, and helps produce bile acids that help digest fats. Cholesterol is transported through the blood as lipoproteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). An optimal amount of these proteins is necessary for proper body functioning.
Very Low Density Lipoprotein
The Very Low Density Lipoprotein test measures the concentration of very-low-density lipoprotein (VLDL) cholesterol in the blood. VLDL cholesterol plays a vital role in the body's metabolic processes. It is produced by the liver and is used to transport triglycerides, a type of fat, from the liver to various tissues throughout the body, where they are either utilized for energy or stored for later use. Though VLDL cholesterol is essential for the body's normal functioning, it is harmful if present in excess amounts. By measuring VLDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and recommend appropriate preventive or treatment strategies.
Cholesterol - HDL
The Cholesterol - HDL test measures the concentration of high-density lipoprotein (HDL) cholesterol in the blood. HDL cholesterol plays a crucial role in maintaining cardiovascular health, as it helps transport excess low-density lipoprotein (LDL) cholesterol from the bloodstream back to the liver for excretion. This process prevents plaque buildup on the blood vessel walls, which can cause them to become narrow and less flexible. Higher HDL cholesterol levels are generally associated with a lower risk of heart problems, such as heart attacks and strokes. By measuring HDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and recommend appropriate preventive or treatment strategies, including lifestyle modifications and medications.
Total Cholesterol/HDL Cholesterol Ratio
The Total Cholesterol/HDL Cholesterol Ratio test measures the ratio of total cholesterol and high-density lipoprotein (HDL)/good cholesterol in your blood which is a significant indicator of cardiovascular health. This ratio is calculated by dividing the total cholesterol by the HDL number. A high ratio indicates a higher amount of 'bad' cholesterol relative to 'good' cholesterol, implying a higher risk of developing heart disease. Conversely, a lower ratio implies a higher amount of 'good' cholesterol relative to 'bad' cholesterol, indicating a lower risk.
LDL/HDL Ratio
An LDL/HDL Ratio test measures the ratio of low-density lipoproteins (LDL) to high-density lipoproteins (HDL) in your blood. These two types of lipoproteins carry cholesterol throughout the body. LDL, often referred to as the 'bad' cholesterol, carries cholesterol to the cells that need it. However, if there is too much LDL cholesterol in the blood, it can combine with other substances and form plaque in the arteries, leading to cardiovascular diseases. On the other hand, HDL, often referred to as the 'good' cholesterol, helps remove other forms of cholesterol, including LDL, from the bloodstream. It transports cholesterol back to the liver, where it is broken down and eliminated from the body, thus reducing the risk of cholesterol buildup and heart disease. The LDL/HDL ratio is a significant indicator of cardiovascular health. A high ratio indicates a higher amount of 'bad' cholesterol relative to 'good' cholesterol, implying a higher risk of developing heart disease. Conversely, a lower ratio implies a higher amount of 'good' cholesterol relative to 'bad' cholesterol, indicating a lower risk.
Non HDL Cholesterol
The Non HDL Cholesterol test looks for the “bad” cholesterol particles that are likely to contribute to heart problems. These bad particles include LDL (low-density lipoprotein) cholesterol, VLDL (very-low-density lipoprotein) cholesterol, and remnants of other cholesterol-carrying molecules. Cholesterol is a waxy substance that circulates in your bloodstream and is essential for various bodily functions. However, too much of “bad” types of cholesterol can build up in your arteries and increase the risk of heart conditions. LDL and VLDL cholesterol particles are often referred to as the "bad" cholesterol because they can stick to the walls of your arteries and form plaque, narrowing the arteries and restricting blood flow to your heart. By measuring non-HDL cholesterol, your doctor can assess your risk of heart disease and determine if any interventions or lifestyle changes are needed to protect your heart.
Cholesterol - LDL
The Cholesterol - LDL test measures the concentration of low-density lipoprotein (LDL) cholesterol in the blood. LDL cholesterol plays an important role in your body. It carries cholesterol from your liver to other parts of the body where it's needed for things like building cell walls and making hormones. However, it is often referred to as "bad" cholesterol because when present in excess in your blood, it can stick to your blood vessel walls leading to the formation of plaque, making them narrow and less flexible. When this happens, it's harder for the blood to flow, which can lead to heart problems, like heart attacks and strokes. By measuring LDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and can recommend appropriate preventive or treatment strategies.
Triglycerides
The Triglycerides test measures the amount of triglycerides in the blood and helps evaluate your risk of developing cardiovascular diseases. Triglycerides are a type of fat (lipid) that your body uses as a source of energy. When you consume more calories than your body needs, the excess calories are converted into triglycerides and stored in fat cells for later use. High triglyceride levels can contribute to the hardening and narrowing of arteries, increasing the risk of heart attack, stroke, and other related conditions.
Electrocardiography at Center
The ECG (Electrocardiogram) test is a diagnostic tool used to measure the electrical activity of the heart. This test provides a detailed recording of the heart's electrical impulses, which are crucial for its rhythm and function. By capturing the heart's electrical signals, the ECG test can identify various conditions affecting heart health, such as arrhythmias, heart attacks, and other cardiac abnormalities.
The ECG machine consists of a series of electrodes attached to the skin at specific locations on the chest, arms, and legs. These electrodes detect the electrical impulses generated by the heart as it beats. The impulses are then transmitted to the ECG machine, which records them as a waveform on a computer or paper printout. This waveform represents the heart's electrical activity over time, allowing for the analysis of the heart's rhythm, rate, and electrical conduction.
Doctors examine the ECG trace to diagnose heart conditions and determine appropriate treatments. By evaluating the size and timing of each electrical impulse, doctors can detect irregular heartbeats, heart muscle damage, and other cardiovascular problems.
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