Family history of coronary artery disease is an important part of medical history taking during a general health check, especially for middle-aged people or those with existing risks. This requires proactive questioning even when the patient has no symptoms at all. Only when this is done, will the general health check be most meaningful.

Stress echocardiography is a diagnostic method in cases where the patient is unable to exercise or has an abnormal resting electrocardiogram, helping to assess EF as well as new regional wall motion disorders in patients with a history of myocardial infarction. Stress echocardiography can be combined with contrast echocardiography to assess myocardial perfusion and tissue Doppler ultrasound.