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This is more relevant for men than women (they are not medically-equal). If over 45-50, never a bad idea to get an echo stress test on some sort of regular basis. I've seen many trim, athletic guys drop dead, or almost drop dead, with cardiac events which could have been dealt with semi-ok for years.
While it is a fact that almost half of male Western humans (Asians too) will succumb to arterial disease (and almost the other half to some cancer - something will take us down), there is no reason to speed up the former death. (Less civilized areas have people of all ages dying of infection, accidents, war, etc.) Can treatments for cadiovascular disease keep you going? Yes - just ask my 90+ year old overweight, wine-loving father-in-law who has had stents, bypass, pacemaker, and ongoing treatment for congestive heart failure, and is still truckin' and loving life.
Sheesh, it's only arthritis that really limits him now. Too many sports.
"It will happen to all of that at some point you'll be tapped on the shoulder and told, not just that the party is over, but slightly worse: the party's going on but you have to leave." - Christopher Hitchens
Yes you can get an echo, better yet a stress test echo. But this only tells you part of the story. If arteriosclerosis is in your family history you should consider getting a CT with contrast, which will be a picture of the pulmonary plumbing showing actual arterial congestion. It's a fancier version of the calcium score.
I had something done like that called a lying down stress test. Crazy wild to go through as you are in the tube and you body thinks it is running for it's life due to injected chemicals. You want to respond but you have to lay still. They can see all sorts of things including any blockages if there are any and calcium build up too. Another big shock comes when the insurance bill hits and you see it is almost $15,000 to have the test run.
I highly recommend a calcium screening as a first step. Our doctor recommended one to my husband based on his age. Turned out he had three severely blocked arteries. He had absolutely no symptoms but was on the verge of a heart attack.
Fortunately this was pre-Covid, so catheterization and bypass were quickly scheduled and done very successfully. Because the blockages were diagnosed early, he suffered no damage to his heart at all.