
Normal blood pressure does not guarantee absence of heart blockages, according to Dr. Saumya Sekhar Jenasamant, a cardiothoracic surgeon. Blockages develop silently through plaque buildup containing cholesterol, fat, and calcium. Available diagnostic tests include ECG, treadmill tests, echocardiography, CT coronary angiography, coronary calcium scoring, and coronary angiography. People with risk factors like diabetes, high cholesterol, smoking, obesity, or family history should undergo screening regardless of feeling healthy.