Heart disease is often viewed and it’s not often viewed it is the number one killer correct? And it’s almost like a silent killer in that world of primary prevention that makes it very scary, talk a little bit about what are the things that maybe we use to try to diagnose as early as possible I think we have a graphic for that. Also, what are some of the ways that we can start to screen and look for heart disease in general? So we have a lot of diagnostic tools in cardiology, so an electrocardiogram or EKG better known as EKG is basically a tool that we that allows us to see the electrical activity of the heart having said that doesn’t necessarily mean that every time you have an EKG you will be able to diagnose underlying heart disease it is a good tool depending on the setting but a normal EKG doesn’t necessarily rule out any heart disease, but it’s always a good way to start to see what is the electrical activity of the heart an EKG allows us a lot of things to see. So I’m gonna give you the question that patients give me all the time. I want an EKG and they’re asymptomatic Is that a good idea for me to do the EKG or a bad idea for me to do what’s your opinion? Well, I don’t think it would be a too bad idea. But again, it would all depend in the patient like patients age Also the cardiovascular risk factors of that patient But as you said if the patient is asymptomatic and you have an out, let’s say a mildly abnormal EKG that leads sometimes to unnecessary testing. So you have to be really careful when you order a test. I often say this diagnostic test of an EKG works best when you’re symptomatic doing an asymptomatic EKG doesn’t guarantee a healthy heart.