{"id":24372,"date":"2026-02-28T22:53:53","date_gmt":"2026-03-01T02:53:53","guid":{"rendered":"https:\/\/cliniqueomicron.ca\/bilan-cardiovasculaire-complet\/"},"modified":"2026-09-17T22:18:32","modified_gmt":"2026-09-18T02:18:32","slug":"complete-cardiovascular-assessment","status":"publish","type":"page","link":"https:\/\/cliniqueomicron.ca\/en\/bilan-cardiovasculaire-complet\/","title":{"rendered":"Comprehensive Cardiovascular Assessment: Exams, Indications, and Results | Clinique Omicron"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"24372\" class=\"elementor elementor-24372\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-49631d0 e-flex e-con-boxed e-con e-parent\" data-id=\"49631d0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d1d07ad elementor-widget elementor-widget-html\" data-id=\"d1d07ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n@import url('https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=swap');\n\n.co-wrap * {\n  font-family: 'Poppins', sans-serif;\n  box-sizing: border-box;\n}\n.co-wrap {\n  max-width: 1100px;\n  margin: 0 auto;\n  padding: 30px 0 60px;\n  margin-top: 10px;\n}\n.co-label {\n  font-family: 'Cinzel', serif;\n  font-size: 14px;\n  font-weight: bold;\n  letter-spacing: 1px;\n  text-transform: uppercase;\n  color: #4D6577;\n  margin-bottom: 14px;\n  display: block;\n}\n.co-wrap h1 {\n  font-size: 32px;\n  font-weight: 500;\n  color: #323C52;\n  margin: 0 0 22px;\n  line-height: 1.2;\n  letter-spacing: 0.5px;\n}\n.co-intro {\n  font-size: 16px;\n  font-weight: 400;\n  line-height: 1.75;\n  color: #4D6577;\n  margin-bottom: 36px;\n  padding-bottom: 32px;\n  border-bottom: 1px solid rgba(77,101,119,.2);\n}\n.co-wrap h2 {\n  font-size: 20px;\n  font-weight: 600;\n  color: #323C52;\n  margin: 32px 0 12px;\n  letter-spacing: 0.3px;\n}\n.co-wrap p {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  line-height: 1.7;\n  margin-bottom: 14px;\n}\n.co-list {\n  list-style: none;\n  padding: 0;\n  margin: 12px 0 24px;\n}\n.co-list li {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  padding: 10px 14px 10px 38px;\n  margin-bottom: 8px;\n  border-radius: 6px;\n  position: relative;\n  background: rgba(77,101,119,.06);\n  border-left: 3px solid #4D6577;\n}\n.co-list li::before {\n  content: \"\u2713\";\n  position: absolute;\n  left: 12px;\n  font-weight: 700;\n  color: #4D6577;\n}\n.co-table {\n  width: 100%;\n  border-collapse: collapse;\n  margin: 14px 0 22px;\n  font-size: 14px;\n  border-radius: 8px;\n  overflow: hidden;\n}\n.co-table thead tr {\n  background: #323C52;\n  color: #fff;\n}\n.co-table thead th {\n  padding: 11px 16px;\n  text-align: left;\n  font-weight: 600;\n  font-size: 13px;\n}\n.co-table tbody tr:nth-child(even) { background: rgba(77,101,119,.06); 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}\n<\/style>\n\n<div class=\"co-wrap\">\n  <span class=\"co-label\">Cardiology \u2013 Preventive Medicine<\/span>\n  <h1>Complete cardiovascular assessment<\/h1>\n<style>.oc-fiche-cta{margin:8px 0 34px;padding:22px 24px;border:1.5px solid rgba(50,60,82,.15);border-left:4px solid #FF611C;border-radius:12px;background:#F4F6F8;font-family:Poppins,sans-serif}.oc-fiche-cta-t{font-size:18px;font-weight:600;color:#323C52;margin:0 0 4px;line-height:1.35}.oc-fiche-cta-x{font-size:15px;color:#4D6577;margin:0 0 14px;line-height:1.55}.oc-fiche-cta-b{display:flex;flex-wrap:wrap;gap:10px}.oc-fiche-cta-b a{display:inline-flex;align-items:center;justify-content:center;min-height:44px;padding:10px 18px;border-radius:8px;font-size:14px;font-weight:600;text-decoration:none;box-sizing:border-box}.oc-fiche-cta-b .oc-p{background:#FF611C;color:#fff}.oc-fiche-cta-b .oc-p:hover{background:#E04E0C}.oc-fiche-cta-b .oc-s{background:#fff;color:#323C52;border:1.5px solid rgba(50,60,82,.25)}@media (max-width:600px){.co-wrap h1{font-size:24px;line-height:1.25;text-transform:none}.oc-fiche-cta{padding:18px 16px}.oc-fiche-cta-b a{flex:1 1 100%}body .co-wrap > .co-table,body .co-wrap > .co-table tbody,body .co-wrap > .co-table tr,body .co-wrap > .co-table td{display:block;width:100%;box-sizing:border-box}body .co-wrap > .co-table{min-width:0;table-layout:auto}body .co-wrap > .co-table thead{display:none}body .co-wrap > .co-table tr{margin:0 0 10px;border:1px solid rgba(77,101,119,.18);border-radius:8px;overflow:hidden}body .co-wrap > .co-table td{padding:9px 12px;border:0}body .co-wrap > .co-table td:first-child{font-weight:600;color:#323C52;background:rgba(77,101,119,.07)}#ocw{transform:scale(.8);transform-origin:bottom right}}<\/style><div class=\"oc-fiche-cta\" data-oc-cta=\"fiche-haut-examen\"><p class=\"oc-fiche-cta-t\">Faire cet examen<\/p><p class=\"oc-fiche-cta-x\">Un professionnel peut \u00e9valuer si cet examen est indiqu\u00e9 pour vous et vous orienter, en clinique ou en t\u00e9l\u00e9consultation.<\/p><div class=\"oc-fiche-cta-b\"><a class=\"oc-p\" href=\"https:\/\/cliniqueomicron.ca\/en\/appointment\/\">Make an appointment<\/a><a class=\"oc-s\" href=\"https:\/\/cliniqueomicron.ca\/en\/online-consultation\/\">Consult online<\/a><a class=\"oc-s\" href=\"tel:+15146063350\">514 606-3350<\/a><\/div><\/div>\n\n\n  <div class=\"co-intro\">\n    A complete cardiovascular work-up is a structured set of clinical, biological and instrumental assessments designed to measure the health of the heart and blood vessels, identify modifiable cardiovascular risk factors and detect heart disease early, before symptoms appear. Cardiovascular disease remains the leading cause of death worldwide, and is one of the main causes of premature death in Canada. Yet a large proportion of these events, including myocardial infarction and stroke, are preventable through early detection and intervention on risk factors. The cardiovascular check-up is part of a proactive preventive medicine approach: it is not only aimed at symptomatic people, but also at those who wish to assess their risk proactively, particularly from their forties onwards or in the presence of predisposing factors such as hypertension, diabetes, smoking, obesity or a family history of early coronary disease. The nature and extent of the examinations performed are tailored to each patient's age, sex, medical history and risk profile.\n  <\/div>\n\n  <h2>Who should have a cardiovascular assessment?<\/h2>\n  <p>Although everyone can benefit from a basic cardiovascular assessment, certain profiles warrant more comprehensive and regular investigation:<\/p>\n\n  <ul class=\"co-list\">\n    <li>Man aged 40 or over, or woman aged 50 or over (or menopausal), with no known symptoms<\/li>\n    <li>Family history of early heart disease: myocardial infarction or cardiovascular death before age 55 in a male first-degree relative, before age 65 in a female relative.<\/li>\n    <li>Presence of one or more risk factors: high blood pressure, diabetes, dyslipidemia, active or past smoking, abdominal obesity<\/li>\n    <li>Marked sedentary lifestyle, wishing to resume intense physical activity after a long period of inactivity<\/li>\n    <li>Elite athletes or individuals who practice endurance sports intensively<\/li>\n    <li>Individuals with conditions associated with increased cardiovascular risk: chronic kidney disease, sleep apnea, rheumatoid arthritis, lupus, severe psoriasis<\/li>\n    <li>Personal history of cardiovascular event: heart attack, stroke, angina, heart surgery<\/li>\n    <li>Individuals with suggestive symptoms: chest pain upon exertion, unexplained shortness of breath, palpitations, fainting or near-fainting spells<\/li>\n  <\/ul>\n\n  <h2>Components of a complete cardiovascular assessment<\/h2>\n  <p>The cardiovascular assessment is broken down into several levels of investigation, from the simplest to the most specialized, depending on the patient's clinical profile:<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Component<\/th>\n        <th>What does it consist of<\/th>\n        <th>What it detects<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Patient history and physical examination<\/td>\n        <td>Comprehensive medical examination: personal and family history, lifestyle habits, symptoms, medications; cardiac and pulmonary auscultation, palpation of peripheral pulses<\/td>\n        <td>Heart murmurs, arrhythmias detectable by auscultation, signs of heart failure, peripheral artery disease<\/td>\n      <\/tr>\n      <tr>\n        <td>Blood pressure measurement<\/td>\n        <td>Taken from both arms in sitting and standing positions; sometimes 24-hour ambulatory blood pressure monitoring (ABPM)<\/td>\n        <td>Arterial hypertension, orthostatic hypotension, blood pressure asymmetry suggesting dissection or stenosis<\/td>\n      <\/tr>\n      <tr>\n        <td>Complete lipid profile<\/td>\n        <td>Fasting blood test: total cholesterol, LDL, HDL, triglycerides, TC\/HDL ratio, non-HDL cholesterol<\/td>\n        <td>Dyslipidemia, familial hypercholesterolemia, hypertriglyceridemia<\/td>\n      <\/tr>\n      <tr>\n        <td>Fasting blood glucose and HbA1c<\/td>\n        <td>Blood tests evaluating glucose metabolism<\/td>\n        <td>Type 2 diabetes, prediabetes, insulin resistance<\/td>\n      <\/tr>\n      <tr>\n        <td>Resting electrocardiogram (ECG)<\/td>\n        <td>Recording of the heart's electrical activity via electrodes placed on the skin; lasts a few minutes<\/td>\n        <td>Arrhythmias, conduction disturbances, signs of past ischemia or infarction, ventricular hypertrophy<\/td>\n      <\/tr>\n      <tr>\n        <td>Body mass index and waist circumference<\/td>\n        <td>Standardized anthropometric measurements<\/td>\n        <td>Overweight, abdominal obesity, metabolic syndrome<\/td>\n      <\/tr>\n      <tr>\n        <td>Kidney function test<\/td>\n        <td>Creatinine, eGFR, urinary microalbumin<\/td>\n        <td>Kidney damage secondary to hypertension or diabetes; independent cardiovascular risk factor<\/td>\n      <\/tr>\n      <tr>\n        <td>Thyroid panel (TSH)<\/td>\n        <td>TSH (Thyroid-Stimulating Hormone) Dosage<\/td>\n        <td>Hypothyroidism or hyperthyroidism can contribute to dyslipidemia, arrhythmia, or hypertension<\/td>\n      <\/tr>\n      <tr>\n        <td>High-sensitivity C-reactive protein (hs-CRP)<\/td>\n        <td>Blood marker of low-grade systemic inflammation<\/td>\n        <td>Residual cardiovascular risk, chronic inflammation associated with atherosclerosis<\/td>\n      <\/tr>\n      <tr>\n        <td>Uric acid<\/td>\n        <td>Blood count<\/td>\n        <td>Hyperuricemia associated with increased cardiovascular risk, insulin resistance, gout<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Specialized cardiovascular examinations<\/h2>\n  <p>According to the results of the baseline assessment and the risk profile, further complementary investigations can be prescribed or recommended:<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Review<\/th>\n        <th>Description<\/th>\n        <th>Main indications<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Transthoracic echocardiogram<\/td>\n        <td>Echocardiogram using ultrasound to visualize heart structure and function in real-time<\/td>\n        <td>Suspected heart failure, heart murmur, severe hypertension, unexplained shortness of breath, history of myocardial infarction<\/td>\n      <\/tr>\n      <tr>\n        <td>Stress test<\/td>\n        <td>ECG performed during treadmill or stationary bike exercise, with continuous monitoring of heart rate and blood pressure<\/td>\n        <td>Stress myocardial ischemia screening, functional capacity assessment, exertional chest pain<\/td>\n      <\/tr>\n      <tr>\n        <td>Holter ECG (ambulatory recording)<\/td>\n        <td>Continuous ECG recording for 24 to 48 hours (or longer) via a small portable device<\/td>\n        <td>Palpitations, syncope, suspected paroxysmal atrial fibrillation, evaluation of antiarrhythmic treatment efficacy<\/td>\n      <\/tr>\n      <tr>\n        <td>Ambulatory Blood Pressure Monitoring (ABPM)<\/td>\n        <td>Automatic blood pressure recording every 15 to 30 minutes for 24 hours under normal living conditions<\/td>\n        <td>White coat hypertension, masked hypertension, assessment of circadian blood pressure profile, treatment resistance<\/td>\n      <\/tr>\n      <tr>\n        <td>Coronary Artery Calcium Score<\/td>\n        <td>Thoracic scanner without injection measuring the quantification of calcium deposits in the coronary arteries<\/td>\n        <td>Refined cardiovascular risk assessment in intermediate-risk patients, therapeutic decision-making aid (statins)<\/td>\n      <\/tr>\n      <tr>\n        <td>Doppler ultrasonography of the supra-aortic trunks<\/td>\n        <td>Carotid and vertebral artery ultrasound measuring intima-media thickness and screening for atheromatous plaques<\/td>\n        <td>Screening for early atherosclerosis, history of stroke or TIA, high cardiovascular risk<\/td>\n      <\/tr>\n      <tr>\n        <td>Ankle-brachial systolic index (ABSI)<\/td>\n        <td>Ankle-brachial pressure index, measured by Doppler<\/td>\n        <td>Screening for peripheral arterial disease, intermittent claudication<\/td>\n      <\/tr>\n      <tr>\n        <td>Coronary angiogram or coronary CT angiogram<\/td>\n        <td>Coronary artery imaging with or without contrast injection<\/td>\n        <td>Suspicion of significant coronary obstruction, cardiac preoperative assessment, refractory atypical chest pain<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>The Framingham Risk Score, the SCORE2 (European) score, or the tools recommended by Canadian guidelines are used to estimate the 10-year risk of major cardiovascular events by combining several factors: age, sex, smoking, blood pressure, LDL and HDL cholesterol. This calculation guides the decision on whether or not to initiate preventive treatment with statins or antihypertensives in asymptomatic patients.<\/span>\n  <\/div>\n\n  <h2>Cardiovascular Risk Factors: Modifiable and Non-Modifiable<\/h2>\n  <p>The cardiovascular assessment identifies and quantifies all risk factors, whether they are amenable to intervention or not.<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Category<\/th>\n        <th>Risk factors<\/th>\n        <th>Possible support<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Unmodifiable<\/td>\n        <td>Age (male &gt; 45 years, female &gt; 55 years), male sex, family history of premature coronary artery disease, ethnicity<\/td>\n        <td>Enhanced surveillance, earlier screening, lower intervention thresholds<\/td>\n      <\/tr>\n      <tr>\n        <td>Major modifications<\/td>\n        <td>High blood pressure, dyslipidemia, diabetes, smoking, abdominal obesity, sedentary lifestyle<\/td>\n        <td>Medication, lifestyle changes, smoking cessation<\/td>\n      <\/tr>\n      <tr>\n        <td>Emerging Modifiables<\/td>\n        <td>Metabolic syndrome, sleep apnea, chronic inflammation (high hs-CRP), chronic psychosocial stress, pro-inflammatory diet<\/td>\n        <td>Apnea treatment, stress management, dietary optimization<\/td>\n      <\/tr>\n      <tr>\n        <td>Related to chronic illnesses<\/td>\n        <td>Chronic kidney disease, autoimmune diseases (lupus, RA), HIV on antiretroviral treatment, history of pre-eclampsia<\/td>\n        <td>Enhanced cardiovascular monitoring, treatment of the underlying disease<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Interpretation and follow-up of results<\/h2>\n  <p>The results of the cardiovascular assessment are always interpreted as a whole, not in isolation. A single slightly abnormal parameter is not enough to define a person's actual risk. The doctor integrates all the data to develop a personalized plan:<\/p>\n\n  <ul class=\"co-list\">\n    <li>Global 10-year cardiovascular risk calculation: low, intermediate, or high, guiding intervention thresholds<\/li>\n    <li>Identification of priority modifiable factors to address based on their individual impact on overall risk<\/li>\n    <li>Establishing personalized therapeutic goals: LDL, blood pressure, and HbA1c targets based on profile<\/li>\n    <li>Action plan including lifestyle modifications: Mediterranean-type diet, physical activity, smoking cessation, weight management<\/li>\n    <li>Initiation or adjustment of preventive drug treatment if the calculated risk justifies it<\/li>\n    <li>Follow-up Planning: Check-up Frequency Based on Risk Level and Parameter Stability<\/li>\n  <\/ul>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>A normal cardiovascular assessment at a given point in time does not guarantee the absence of future risk. Risk factors change with age, lifestyle habits, and hormonal changes. Regular monitoring, with a frequency determined by the doctor based on each patient's profile, is essential to detect any deterioration before it leads to a clinical event.<\/span>\n  <\/div>\n\n  <h2>Cardiovascular Assessment Preparation<\/h2>\n  <p>To obtain reliable results for biological analyses and functional examinations, a few simple guidelines should be followed:<\/p>\n\n  <ul class=\"co-list\">\n    <li>9 to 12-hour fast before blood draw for lipid profile and blood sugar (still water allowed)<\/li>\n    <li>Avoid intense physical activity within 24 hours before a stress ECG or blood draw.<\/li>\n    <li>Inform the doctor of all medications, supplements, and natural products being consumed.<\/li>\n    <li>Provide previous test results if available, to allow for comparison over time<\/li>\n    <li>Report any recent symptoms, even if brief: chest pain, shortness of breath, palpitations, or fainting.<\/li>\n    <li>Wear comfortable clothing that allows for electrode placement if an ECG is planned.<\/li>\n    <li>Avoid caffeine and nicotine within 2 to 3 hours of taking your blood pressure.<\/li>\n  <\/ul>\n\n  <div class=\"co-urgence\">\n    <div class=\"co-urgence-titre\">Cardiac symptoms requiring immediate attention<\/div>\n    <p>Certain symptoms should never be ignored while waiting for a check-up appointment: crushing chest pain radiating to the left arm, jaw, or back; sudden onset of severe shortness of breath at rest; rapid and sustained palpitations with a feeling of malaise; loss of consciousness or sudden fainting; sudden weakness in a limb or facial drooping that could suggest a stroke.<\/p>\n    <p>In the presence of these signs, immediately call 911 or go to the nearest emergency room without delay. These conditions constitute cardiovascular emergencies where every minute counts to limit lasting damage.<\/p>\n  <\/div>\n\n  <h2>Consult at Clinique Omicron<\/h2>\n  <p>Clinique Omicron propose des bilans cardiovasculaires complets et personnalis\u00e9s dans plusieurs points de service au Qu\u00e9bec. Un m\u00e9decin ou un infirmier praticien sp\u00e9cialis\u00e9 (IPS) peut coordonner l'ensemble des \u00e9valuations, interpr\u00e9ter vos r\u00e9sultats dans leur contexte global et \u00e9laborer avec vous un plan de pr\u00e9vention adapt\u00e9 \u00e0 votre profil de risque. Les examens de premi\u00e8re ligne sont r\u00e9alisables directement en clinique, et les explorations sp\u00e9cialis\u00e9es font l'objet d'orientations cibl\u00e9es vers les partenaires en cardiologie. Des consultations en personne et en t\u00e9l\u00e9m\u00e9decine sont disponibles. Pour prendre rendez-vous dans l'une de nos succursales au Qu\u00e9bec, visitez <a href=\"https:\/\/cliniqueomicron.ca\/en\/\" style=\"color:#4D6577;font-weight:600;\">cliniqueomicron.ca<\/a>.<\/p>\n\n  <style>.co-disclaimer{font-size:13px;color:#8a9aaa;font-style:italic;border-top:1px solid rgba(77,101,119,.15);padding-top:24px;margin-top:40px;line-height:1.6;}<\/style>\n  <p class=\"co-disclaimer\">The content of this page is provided for informational purposes only and is not intended to replace the advice of a qualified healthcare professional. Consult a physician for any symptoms, questions or decisions you may have regarding your health.<\/p>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Cardiologie \u2013 M\u00e9decine pr\u00e9ventive Bilan cardiovasculaire complet Le bilan cardiovasculaire complet est un ensemble structur\u00e9 d&#8217;\u00e9valuations cliniques, biologiques et instrumentales visant \u00e0 mesurer l&#8217;\u00e9tat de sant\u00e9 du c\u0153ur et des vaisseaux sanguins, \u00e0 identifier les facteurs de risque cardiovasculaire modifiables et \u00e0 d\u00e9pister pr\u00e9cocement les maladies cardiaques avant l&#8217;apparition de sympt\u00f4mes. Les maladies cardiovasculaires demeurent&hellip;&nbsp;<a href=\"https:\/\/cliniqueomicron.ca\/en\/bilan-cardiovasculaire-complet\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Comprehensive Cardiovascular Assessment: Exams, Indications, and Results | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"Bilan Cardiovasculaire Complet | Omicron Clinic Quebec","_metasync_otto_description":"Cholest\u00e9rol, ECG, tension art\u00e9rielle, \u00e9cho 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