Unit 12, 1 Grazier lane.Belconnen ACT 2617

Heart Health Checks Belconnen

Heart disease is one of Australia’s top killers, but can be largely prevented if detected early and managed properly. Heart Health Checks in Belconnen should be easy, thorough and preventive at Belconnen General Practice. From heart disease prevention to screening and protection, this guide will help you know all the information you need to help your heart stay in top shape, or reduce your risk of developing heart disease.

Cholesterol consultation in modern clinic

Cholesterol consultation in modern clinic

Understanding Cardiovascular Disease Risk Factors

Educating patients about the risk factors of cardiovascular diseases.

Cardiovascular disease refers to ailments involving the heart and blood vessels, such as heart attack, stroke and heart failure. Knowing your risk factors is the key first step in prevention.

Non-Modifiable Risk Factors

Age and Gender

Cardiovascular risk is greater in men older than 45 years and women older than 55 years (post-menopausal). Heart disease can be diagnosed earlier in men than in women.

Family History

When close relatives (parents, siblings) have had heart disease, stroke or sudden death, your genetic risk is increased. Just because you have a family history doesn’t mean you will develop heart disease, but it does mean that you should do more to prevent heart disease.

Ethnicity

Aboriginal and Torres Strait Islander people and people of South Asian descent are at increased cardiovascular risk.

Modifiable Risk Factors

High Blood Pressure (Hypertension)

High blood pressure over time damages the walls of blood vessels, making them more likely to cause a heart attack or stroke. Regular monitoring is crucial.

High Cholesterol

When there is too much cholesterol in the arteries, plaques develop, blocking blood flow to the organs.

Smoking

This can greatly promote the development of atherosclerosis. It is never too late to quit because there will be a significant decrease in cardiovascular risk at any age.

Physical Inactivity

Not exercising makes the heart muscle less effective and is a contributing factor to weight gain, hypertension and hyperlipidaemia.

Unhealthy Diet

Eating too much saturated fat, trans fat, salt and added sugars are a significant risk for cardiovascular disease.

Overweight and Obesity

Extra weight puts pressure on the heart and raises blood pressure and cholesterol.

Diabetes

High blood sugar causes blood vessels to become damaged and causes plaque to build up.

Chronic Stress

Long-lasting stress increases blood pressure and inflammation—both risk factors for the cardiovascular system.

Sleep Disorders

Poor sleep quality and sleep apnea increase the risk of cardiovascular diseases.

Heavy Drinking

When a woman drinks over 2 standard drinks a day or a man drinks over 3, it increases blood pressure and is a risk factor for heart disease.

The good news? All modifiable risk factors can be treated with lifestyle changes and, if needed, medications.

Heart Health Screening Assessment

The GP will examine your heart in a Heart Health Screening Assessment.

Risk factors for heart disease can be identified without symptoms through comprehensive heart health screening, which gives the chance to take preventive action.

Initial Assessment and Risk Evaluation

Your GP will be able to talk to you about:

  • Your own medical history, such as any prior heart attack, stroke or angina pectoris.
  • Symptoms such as chest pain, shortness of breath, palpitations or unusual fatigue.
  • Your family’s cardiovascular history.
  • Your lifestyle habits like smoking, exercising, diet and drinking alcohol.
  • Current and upcoming medications.
  • Anxiety and wellbeing.

The thorough history is the basis for determining your cardiovascular risk profile.

Physical Examination

Your GP will carry out:

Vital Signs

Measurement of blood pressure, heart rate and the assessment of respiratory rate.

Heart Auscultation

Using a stethoscope to listen to the heart for any abnormal sounds or rhythms.

Lung Examination

Looking for heart failure and fluid in the lungs.

Peripheral Vascular Examination

Checking blood flow through your legs, arms and feet.

General Examination

Checking for diabetes symptoms, obesity or other related conditions.

Your Heart’s Silent Protector: Blood Pressure Monitoring

High blood pressure is often called the “silent killer” because it usually doesn’t have any symptoms, but it can still harm blood vessels.

Heart health consultation in a modern clinic

Heart health consultation in a modern clinic

Understanding Blood Pressure Readings

Blood pressure is measured as systolic over diastolic pressure (for example, 120/80 mmHg).

Systolic Pressure

The pressure when your heart beats and pumps blood through your arteries.

Diastolic Pressure

The pressure between heartbeats when your heart is resting.

Blood Pressure Categories

Normal

Less than 120/80 mmHg

Elevated

120–129/<80 mmHg

Stage 1 Hypertension

130–139/80–89 mmHg

Stage 2 Hypertension

Greater than or equal to 140/90 mmHg

Hypertensive Crisis

Greater than 180/120 mmHg (medical attention needed)

Regular Monitoring

Blood pressure should be routinely checked:

  • In healthy people who don’t have high blood pressure, at least once a year.
  • More often if you have high readings or other risk factors.
  • If hypertension is suspected or diagnosed, home blood pressure monitoring can be provided.

Home monitoring is beneficial to many and can give more accurate readings than would be obtained in the office. It can also help detect “white coat hypertension” (high readings in the office only).

Understanding Your Cholesterol Numbers

Cholesterol is a type of fat that circulates in the blood. A certain amount of cholesterol is beneficial to your body, but too much can lead to an increase in cardiovascular disease.

Types of Cholesterol

Total Cholesterol

The sum of all the cholesterol in the blood. Ideally below 200 mg/dL (5.2 mmol/L).

LDL Cholesterol (“Bad” Cholesterol)

Transports cholesterol to your arteries where it can build up. The lower the better, depending on your risk level.

HDL Cholesterol (“Good” Cholesterol)

Carries excess cholesterol out of your arteries. High levels are protective.

Triglycerides

Another type of blood fat that raises the risk of heart disease when too high.

Cholesterol Screening Guidelines

It is recommended to have your cholesterol checked:

  • At least once every 5 years for all adults over 40.
  • More often if you have other risk factors, a family history of heart disease, or high cholesterol.
  • Annually if you are taking cholesterol-lowering medications.

ECG Testing and Interpretation: Reading Your Heart’s Electrical Activity

An electrocardiogram (ECG) measures the electrical activity of your heart and is one of the most important tests used in cardiovascular risk evaluation.

What an ECG Shows

An ECG can detect:

Heart Rhythm Disorders

Abnormalities of the heart’s rhythm (arrhythmias) that may require treatment.

Previous Heart Attacks

Signs of previous heart attacks can appear as scar tissue patterns.

Current Ischaemia

Lack of blood supply to the heart muscle during the test.

Structural Abnormalities

Thickened heart walls or enlarged heart chambers.

Electrolyte Disturbances

Disturbances affecting the electrical activity of the heart.

Left Ventricular Hypertrophy

Thickening of the heart’s left ventricle, the main pumping chamber of the heart.

The ECG Procedure

ECG testing is simple, non-invasive and usually takes only 5–10 minutes.

  • You will lie on your back on an examination table.
  • Sticky electrodes are attached to your chest, arms and legs.
  • The ECG machine records your heart’s electrical activity from multiple angles.
  • Your GP reviews the tracing and discusses the results with you.

There is no pain, radiation or special preparation required. Most patients find the procedure completely comfortable.

Who Should Have ECG Screening?

ECG screening may be recommended:

  • For adults over the age of 40, especially those with cardiovascular risk factors.
  • Prior to beginning certain medications that may affect the heart.
  • More frequently if abnormalities are identified.
  • Every 6 months if you have established heart disease.

Advanced Investigations and Stress Testing: Put Your Heart to the Test

When resting tests suggest possible heart disease, additional investigations may be required to assess how your heart performs under stress.

Exercise Stress Testing

During an exercise stress test, you walk on a treadmill or pedal a stationary bicycle while your ECG, blood pressure and heart rate are monitored.

The intensity gradually increases until you reach your target heart rate or symptoms develop.

Advantages

  • Measures heart function during exercise.
  • Assesses exercise tolerance.
  • Detects exercise-induced arrhythmias.
  • Relatively inexpensive and non-invasive.

Limitations

  • Not suitable for people unable to exercise.
  • May be inconclusive in some cases.
  • False-positive and false-negative results can occur.

Stress Echocardiography

Stress echocardiography combines ultrasound imaging of the heart with exercise or medication-induced stress.

It provides detailed images of heart structure and function and can identify areas with reduced blood flow.

Coronary CT Angiography (CCTA)

Coronary CT angiography uses contrast dye and CT imaging to visualise the coronary arteries.

This test is particularly useful for diagnosing coronary artery disease without the need for cardiac catheterisation.

Coronary Angiography

Coronary angiography is considered the gold standard for diagnosing coronary artery disease.

A thin catheter is inserted into blood vessels leading to the heart, and contrast dye is injected to visualise the coronary arteries on X-ray images.

This procedure can identify blockages and may also allow treatment during the same procedure when required.

Risk Scores and Prediction Models: What Do They Mean?

Healthcare professionals use cardiovascular risk scores to estimate your likelihood of developing heart disease or experiencing a cardiovascular event over a specific period.

Australian Cardiovascular Risk Assessment

The Australian Absolute Cardiovascular Disease Risk Assessment Tool estimates your 5-year risk of heart attack or stroke using:

  • Age and gender
  • Blood pressure
  • Total cholesterol and HDL cholesterol
  • Smoking status
  • Diabetes status
  • Family history

Risk Categories

Very Low Risk

Less than 10% chance of cardiovascular disease within 5 years.

Intermediate Risk

10–15% chance within 5 years.

High Risk

Greater than 15% chance within 5 years.

This assessment helps determine the intensity of treatment required. Individuals at high risk often benefit from more aggressive management of blood pressure and cholesterol levels.

Framingham Risk Score

The Framingham Risk Score is another commonly used tool that estimates the likelihood of developing coronary heart disease within 10 years.

These tools help you and your GP make informed decisions regarding preventive strategies and medications.

Lifestyle Changes for a Healthy Heart: Your Greatest Weapon

Lifestyle changes remain the most effective strategy for preventing cardiovascular disease.

Many people can avoid or delay heart disease through healthy daily habits.

Heart-Healthy Diet

The Mediterranean Diet is one of the most evidence-based eating patterns for cardiovascular health.

Key Components

  • Plenty of vegetables and fruits
  • Whole grains and legumes
  • Olive oil as the primary fat source
  • Fish and seafood 2–3 times per week
  • Moderate amounts of red meat
  • Moderate amounts of dairy products, especially yoghurt and cheese
  • Herbs and spices instead of excess salt

Dietary Recommendations

  • Limit saturated fat intake to less than 7% of total calories.
  • Eliminate trans fats where possible.
  • Consume 25–30 grams of fibre daily.
  • Limit sodium intake to less than 2,300 mg per day.
  • Choose whole grains instead of refined grains.
  • Include foods rich in omega-3 fatty acids.
  • Reduce added sugars to less than 5% of daily calories.

Regular Physical Activity

Aim for:

  • 30 minutes of moderate-intensity aerobic exercise on most days.
  • 75 minutes of vigorous-intensity exercise each week.
  • Muscle-strengthening activities at least 2 days per week.

Benefits of Exercise

Regular physical activity helps:

  • Strengthen the heart.
  • Lower blood pressure.
  • Improve cholesterol levels.
  • Improve blood sugar control.
  • Promote healthy weight management.
  • Reduce stress.
  • Improve mood and mental wellbeing.

If you are currently inactive, start gradually and discuss your exercise plans with your GP, particularly if you have existing cardiovascular risk factors.

Smoking Cessation

One of the most important steps you can take for your heart health is to quit smoking. Smoking damages blood vessels, increases blood pressure and significantly raises the risk of heart disease and stroke.

Benefits of Quitting Smoking

The benefits begin almost immediately:

Within 1 Hour

Heart rate and blood pressure begin to decrease.

Within 1 Day

The risk of heart attack starts to decline.

Within 1 Month

Circulation and lung function begin to improve.

After 1 Year

The risk of heart disease is reduced by approximately 50%.

After 15 Years

The risk of heart disease becomes similar to that of a non-smoker.

Your GP can support your quit-smoking journey through:

  • Nicotine replacement therapy
  • Prescription medications
  • Counselling and behavioural support
  • Smoking cessation programs

Stress Management

Chronic stress contributes to hypertension, inflammation and other cardiovascular risk factors.

Effective Stress Management Strategies

Regular Physical Activity

Exercise is one of the most effective ways to manage stress.

Mindfulness and Meditation

Mindfulness practices and yoga can help reduce stress levels and improve mental wellbeing.

Deep Breathing Exercises

Simple breathing techniques can help regulate stress responses.

Social Connection

Maintaining meaningful relationships and support networks plays an important role in emotional wellbeing.

Adequate Sleep

Good-quality sleep helps the body recover and regulate stress hormones.

Professional Support

Counselling or therapy may be beneficial when stress becomes overwhelming.

Hobbies and Leisure Activities

Engaging in enjoyable activities can help maintain emotional balance and reduce stress.

Maintaining a Healthy Weight

Maintaining a healthy weight reduces strain on the heart and lowers the risk of cardiovascular disease.

A healthy Body Mass Index (BMI) generally falls between 18.5 and 24.9 kg/m².

Even modest weight loss can have significant benefits.

Benefits of Losing 5–10% of Body Weight

  • Lower blood pressure
  • Improved cholesterol levels
  • Better blood sugar control
  • Reduced cardiovascular risk

Limiting Alcohol Consumption

Moderate alcohol consumption may be associated with lower cardiovascular risk, while excessive alcohol intake significantly increases risk.

General Recommendations

  • Women: No more than 2 standard drinks per day
  • Men: No more than 3 standard drinks per day

Excessive alcohol consumption can:

  • Increase blood pressure
  • Contribute to weight gain
  • Increase the risk of heart disease and stroke

Quality Sleep and Heart Health

Good sleep is essential for cardiovascular health.

Adults should aim for 7–9 hours of quality sleep each night.

Why Sleep Matters

Poor sleep and sleep disorders such as sleep apnoea can increase the risk of:

  • High blood pressure
  • Heart disease
  • Stroke
  • Obesity
  • Diabetes

If you suspect sleep problems, speak with your GP about appropriate assessment and management.

Medications for Cardiovascular Prevention

Lifestyle changes remain the foundation of cardiovascular prevention. However, some individuals may require medication to effectively manage their risk factors.

Heart health consultation in a modern clinic

Heart health consultation in a modern clinic

Blood Pressure Medications

Several classes of medications can help control high blood pressure.

ACE Inhibitors

Examples include lisinopril. These medications help widen blood vessels and reduce workload on the heart.

Angiotensin II Receptor Blockers (ARBs)

Examples include losartan. These work similarly to ACE inhibitors.

Calcium Channel Blockers

Examples include amlodipine. These help relax blood vessels.

Thiazide Diuretics

Examples include hydrochlorothiazide. These reduce fluid volume and lower blood pressure.

Beta-Blockers

Examples include metoprolol. These medications slow the heart rate and reduce blood pressure.

Your GP will recommend medications based on your individual health needs and medical history.

Cholesterol-Lowering Medications

Statins

Statins are the most commonly prescribed cholesterol-lowering medications.

They can reduce LDL cholesterol by 20–50% and significantly lower the risk of heart attack and stroke.

Other Cholesterol Treatments

Ezetimibe

Reduces cholesterol absorption from the intestine.

PCSK9 Inhibitors

Advanced treatments used for very high cholesterol levels.

Bempedoic Acid

A newer option that may be suitable for patients who cannot tolerate statins.

Antiplatelet Medications

Low-dose aspirin may be prescribed for:

  • Secondary prevention after heart attack or stroke
  • Certain high-risk individuals

Your GP will determine whether aspirin therapy is appropriate for you.

Other Preventive Medications

Additional medications may include:

Diabetes Medications

Help control blood sugar levels and reduce blood vessel damage.

Heart Failure Medications

May include beta-blockers or ACE inhibitors.

Blood Thinners

Used to reduce stroke risk in people with atrial fibrillation.

Understanding Genetic Risk

Family history is an important cardiovascular risk factor. While genetics cannot be changed, understanding your risk allows for earlier intervention and prevention.

Early-Onset Family History

Risk is increased if:

  • Male relatives had a heart attack before age 55.
  • Female relatives had a heart attack before age 65.
  • Multiple family members experienced heart disease or stroke at an early age.

Managing Genetic Risk

If you have a strong family history:

  • Inform your GP.
  • Begin cardiovascular screening earlier.
  • Adopt healthy lifestyle habits as soon as possible.
  • Discuss medication options if required.
  • Consider genetic testing when appropriate.
  • Encourage screening for other family members.

GP Monitoring Schedule: Long-Term Heart Health

Regular monitoring helps identify problems early and ensures treatment remains effective.

Low-Risk Individuals

Recommended Monitoring

  • Blood pressure every 2 years
  • Cholesterol screening every 5 years
  • Full cardiovascular assessment every 5 years

Intermediate-Risk Individuals

Recommended Monitoring

  • Annual blood pressure checks
  • Annual cholesterol screening
  • Annual cardiovascular review
  • Periodic ECG monitoring

High-Risk Individuals

Recommended Monitoring

  • Blood pressure every 3 months
  • Cholesterol screening every 3–6 months
  • Cardiovascular review every 3–6 months
  • ECG every 6 months or as indicated
  • Additional investigations when required

Annual Heart Health Check-Ups

A comprehensive annual assessment may include:

  • Blood pressure measurement
  • Resting heart rate assessment
  • Weight and BMI calculation
  • Cardiovascular history review
  • Lifestyle assessment
  • Blood tests
  • ECG if required
  • Medication review
  • Updated cardiovascular risk assessment

When Specialist Expertise Is Needed

Referral to a Cardiologist

Your GP may recommend referral to a cardiologist for specialised assessment and management.

Reasons for Referral

  • Suspected or confirmed coronary artery disease
  • Heart failure
  • Significant arrhythmias
  • Valvular heart disease
  • Congenital heart disease
  • High cardiovascular risk
  • Advanced diagnostic testing
  • Preparation for major surgery

Your GP and cardiologist work together to provide coordinated care.

Cardiac Rehabilitation Programs: Recovery and Prevention

Cardiac rehabilitation is an important part of recovery following:

  • Heart attack
  • Stroke
  • Heart surgery
  • Other cardiovascular events

Components of Cardiac Rehabilitation

Exercise Training

Structured programs designed to improve cardiovascular fitness safely.

Health Education

Understanding heart disease and prevention strategies.

Nutritional Counselling

Guidance on heart-healthy eating habits.

Stress Management

Techniques to improve emotional wellbeing.

Medication Education

Support with medication understanding and adherence.

Psychosocial Support

Managing anxiety, depression and lifestyle adjustments.

Return-to-Work Guidance

Helping patients safely return to normal daily activities.

Benefits of Cardiac Rehabilitation

Participants often experience:

  • Improved exercise capacity
  • Reduced symptoms
  • Better blood pressure and cholesterol control
  • Improved wellbeing
  • Lower risk of future cardiovascular events
  • Better medication adherence

Heart Health Prevention at Every Stage of Life

Childhood and Adolescence (0–18 Years)

  • Encourage healthy eating habits
  • Promote regular physical activity
  • Maintain a healthy weight
  • Avoid exposure to second-hand smoke
  • Assess family history of heart disease

Young Adulthood (18–40 Years)

  • Avoid smoking
  • Exercise regularly
  • Follow healthy eating guidelines
  • Manage stress effectively
  • Limit alcohol consumption
  • Consider baseline cardiovascular assessment if there is a family history

Middle Age (40–60 Years)

  • Begin regular cardiovascular screening
  • Monitor blood pressure and cholesterol
  • Maintain physical activity
  • Manage weight
  • Address conditions such as diabetes
  • Review family history regularly

Older Adults (60+ Years)

  • Continue routine cardiovascular screening
  • Optimise medication management
  • Stay physically active
  • Monitor for heart failure and atrial fibrillation
  • Coordinate care with specialists when required

Protect Your Heart: Your Action Plan

Cardiovascular disease is highly preventable. Taking action today can significantly improve your long-term heart health.

Key Steps to Protect Your Heart

  • Understand your cardiovascular risk factors.
  • Have regular blood pressure checks.
  • Monitor your cholesterol levels.
  • Consider baseline ECG screening after age 40.
  • Follow healthy lifestyle recommendations.
  • Take prescribed medications as directed.
  • Attend regular GP reviews.
  • Seek specialist care when necessary.
  • Involve family members in prevention efforts.
  • Address risk factors as early as possible.

Make an Appointment for Your Heart Health Check Today

Maintaining a healthy heart requires regular monitoring and preventive care.

At Belconnen General Practice, our experienced GPs provide comprehensive cardiovascular assessments for individuals seeking preventive care, managing risk factors or recovering from a cardiac event.

We work closely with specialists and support patients through every stage of their heart health journey as part of our broader chronic disease management services.

Protect your heart today and take the first step towards better cardiovascular health.

Book your Heart Health Check at Belconnen General Practice today.

You can book online or contact our team for more information about our services.

FAQ

What is a Heart Health Check?

A Heart Health Check is a preventive assessment that evaluates your risk of heart disease, stroke, and other cardiovascular conditions. It typically includes blood pressure monitoring, cholesterol testing, medical history review, and lifestyle assessment to help identify risk factors early.

Who should get a Heart Health Check in Belconnen?

Adults aged 45 years and over, or 30 years and over for Aboriginal and Torres Strait Islander people, should consider regular Heart Health Checks. People with high blood pressure, diabetes, smoking history, or a family history of heart disease may benefit from earlier screening.

How often should I have my blood pressure checked?

Most healthy adults should have their blood pressure checked at least once a year. If you have hypertension, diabetes, or other cardiovascular risk factors, your GP may recommend more frequent monitoring.

What tests are included in a Heart Health Check?

A Heart Health Check may include blood pressure measurement, cholesterol testing, diabetes screening, weight assessment, lifestyle evaluation, and sometimes an ECG. Your GP will determine which tests are appropriate based on your individual risk factors.

Can heart disease be prevented?

Many cases of heart disease can be prevented through healthy lifestyle choices. Regular exercise, a balanced diet, maintaining a healthy weight, avoiding smoking, limiting alcohol, and attending routine health checks can significantly reduce cardiovascular risk.

What are the warning signs of heart disease?

Common warning signs include chest pain, shortness of breath, dizziness, irregular heartbeat, unusual fatigue, and swelling in the legs or ankles. However, some people may have no symptoms, which is why regular Heart Health Checks are important.

Where can I get a Heart Health Check in Belconnen?

Belconnen General Practice provides comprehensive Heart Health Checks, cardiovascular risk assessments, blood pressure monitoring, and preventive care. Early screening can help identify risk factors and support long-term heart health.