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Freakonomics, M.D.

52. Who Gets a Heart Disease Test?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 9 September 2022

⏱️ 32 minutes

🧾️ Download transcript

Summary

Medical tests can save lives. So how do doctors decide who gets tested, and when?

Transcript

Click on a timestamp to play from that location

0:00.0

At the end of each episode, I ask you to share your thoughts about the show, and send

0:10.1

me any questions you might have.

0:12.0

Well, here's a question we got from a listener named Max.

0:15.1

Hey, Boppy, this is Max.

0:16.5

So a few weeks ago, my father had a heart attack and triple bypass.

0:19.6

This was a big surprise, because he's never had any signs that his heart was headed

0:22.7

in this direction.

0:23.7

What gave it away was an angiogram that showed 90% plus blockage in three of his arteries.

0:28.8

My question is, why is the angiogram not considered a more routine procedure for heart health?

0:34.1

Is it as too expensive to make part of a normal physical?

0:36.5

Is it scarce resources?

0:38.4

And can I actually make it part of my routine physical so that I can monitor my heart in

0:42.5

a more detailed way?

0:44.2

Max's question is a good one, and it's relevant too.

0:47.6

Heart disease is the leading cause of death in the United States.

0:51.0

According to the CDC, it killed nearly 700,000 people in 2020, which is about one in five

0:57.4

deaths.

0:58.4

It's costly by some estimates over $200 billion a year.

1:04.7

Heart disease should be on all of our radars because there's a good chance that it'll affect

1:08.5

us or someone we love.

1:11.0

So how can we figure out if we have heart disease?

1:13.8

Do we all need an angiogram?

...

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