• Users Online: 52
  • Print this page
  • Email this page
Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 33-38

The “Executive Cardiac Health Checkup”: A concoction of guidelines, practice, and perspective

Department of Cardiology, St. Gregorios Hospital, Parumala, Kerala, India

Correspondence Address:
Dr. Sajan Ahmad Zulfikar
16FG, Skyline Edge, Thirumoolapuram, Thiruvalla, Kerala.
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/khj.khj_6_21

Rights and Permissions

PROLOGUE: The “Executive Master Cardiac Health Checkup” (wonder who made that up the first time!) patient makes his entrance into the cardiologist’s outpatient (OP) chamber. It doesn’t require the deductive skills of our friend in Baker street to identify that he has recently returned from either the USA or its neighbor across the Niagara. He looks healthy as a fresh cucumber. And smells even better (Calvin Klein probably). I offer him a smile, a seat, and my hand. He mistakes the intention of my third gesture and hurriedly thrusts a package on to my unsuspecting hand—the colourful and fancy looking Investigation File (gloss finish for the extra effect). “Doctor, all the test reports are here. Blood tests, ECG, Echo are all done. They wouldn’t let me do the TMT without seeing you,” he complained. I thank the technician silently in my mind for having followed my standing instruction faithfully (I have had my share of trouble with unsolicited treadmill tests). I tell him calmly that I wish to talk to him first about his health, then proceed with a clinical examination, and would then give my full attention to the reports in the file. He is clearly not happy. He gives a few not-so-furtive glances at his oversized watch to indicate that he didn’t have much time to waste. POST SCRIPT: After the evaluation, I happily gave the gentleman a “clean chit” and congratulated him on the excellent condition of his heart. He didn’t look as happy as I wanted him to feel though. “Doctor, can I do the TMT now?,” he asked impatiently. One should know when a battle is lost. I smiled, and wrote “Routine check up, No risk factors” against the indication column on the TMT form. The patient proudly came back with the “Negative TMT.” This time, he was smiling from ear to ear, “Thank you Doc, I will be back next year around Christmas for the same check-up.” So much for evidence-based medicine!

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded152    
    Comments [Add]    

Recommend this journal