Symptoms or physical examination can talk for cardiovascular disease. To confirm selected non-invasive and invasive investigations are usually carried out. History A careful history is essential; it can not be replaced by tests. The history should include a thorough organ system verification, as many symptoms that appear in other organs (eg. As dyspnea, dyspepsia) occur are often caused by heart disease. It is to raise a family history because many heart diseases (eg. As coronary heart disease, arterial hypertension, a bicuspid aortic valve, hypertrophic cardiomyopathy, the mitral valve prolapse) have a genetic basis. Among the serious cardiac symptoms include chest pain or discomfort, dyspnea, fatigue, fatigue, palpitations, dizziness, feeling of impending fainting, syncope and edema. These symptoms generally occur at more than one cardiac disease and even in non-cardiac diseases. Physical examination The general cardiovascular examination and cardiac auscultation are discussed on other issues. Despite the ever-increasing use of cardiac imaging, the examination at the bedside is useful because it is always available and can be repeated any number of times without causing costs.