Introduction to Cardiology
July 28, 2025
Guide to Cardiology
Getting older comes with unique health considerations, and heart health is among the most important. Cardiology is the medical field dedicated to the heart and circulatory system – in simple terms, it is the study and care of the heart. In this comprehensive guide to cardiology, we’ll explain key concepts in senior-friendly language. You’ll learn what cardiology is, the different types of cardiology (and cardiologists), and get answers to common questions. Our goal at Sage Health is to empower you with knowledge about your heart in a supportive, easy-to-understand way.
Heart disease risk increases with age, and understanding cardiology can help you stay proactive. Whether you’re curious about a specific term (like what is interventional cardiology or what is HCM in cardiology) or wondering when to see a heart specialist, this guide has you covered. Let’s begin our journey to a healthier heart.
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What is Cardiology?
Cardiology is the branch of medicine that focuses on the heart and blood vessels. In other words, it deals with diagnosing, treating, and preventing disorders of the heart and circulatory system. Cardiologists are doctors who specialize in heart health – they manage conditions like high blood pressure, coronary artery disease, heart failure, arrhythmias (irregular heartbeat), and more. They use tools like EKGs (electrocardiograms), heart ultrasounds (echocardiograms), and stress tests to assess how well your heart is working.
In practical terms, cardiology is all about keeping your heart as strong and healthy as possible. For seniors, this can involve:
- Preventive care: Guiding you on diet, exercise, and medications to reduce heart disease risk.
- Diagnosis: Figuring out why you might have symptoms like chest pain or shortness of breath.
- Treatment: Managing heart conditions with medications, procedures, or lifestyle changes.
- Monitoring: Regular check-ups to track blood pressure, cholesterol, and heart function.
If you’ve wondered about the cardiology field’s role in your health, remember this: cardiology is about supporting your heart’s well-being at every stage of life. Next, we’ll explore the different types of cardiology and some common terms you might hear in a cardiologist’s office.
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Types of Cardiology
Cardiology is a broad field, and cardiologists often focus on specific areas of heart care. Understanding the types of cardiology can help you know which kind of specialist or treatment you might need. The main categories include noninvasive cardiology, invasive cardiology, and interventional cardiology, as well as sub-specialties that deal with particular heart problems or techniques. Below, we break down key terms and subfields:
What is Interventional Cardiology?
Interventional cardiology is a sub-branch of cardiology that treats heart conditions through minimally invasive procedures using catheters (thin, flexible tubes) instead of open surgery. Essentially, an interventional cardiologist can fix certain heart problems by threading small instruments through your blood vessels. This means no large incisions are needed – a relief for many older patients who may want to avoid major surgery.
Common interventional cardiology procedures include:
- Angioplasty and Stenting: Opening clogged heart arteries with a tiny balloon and placing a stent (a metal mesh tube) to keep the artery open. This improves blood flow and can be life-saving during a heart attack.
- Valve repairs/replacements via catheter: Fixing a narrowed heart valve (for example, via TAVR – Transcatheter Aortic Valve Replacement) without traditional open-heart surgery.
- Repair of structural heart issues: Patching small holes in the heart or treating aneurysms using catheter-based tools.
Interventional cardiology has revolutionized heart care by offering non-surgical treatments that help restore blood flow and repair heart structures. Patients often have shorter recovery times compared to open surgery. If your cardiologist finds a blockage or structural issue, an interventional cardiologist may step in to perform one of these procedures.
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What is Invasive Cardiology?
Invasive cardiology involves procedures that enter the body to diagnose or treat heart conditions. This can range from minor catheter-based interventions to more involved surgeries. Invasive cardiology typically refers to any procedure where doctors insert instruments into the body – for example, through an artery in your leg or arm – to reach the heart. This is in contrast to “noninvasive” tests like external scans or blood tests.
Key points about invasive cardiology:
- It often overlaps with interventional cardiology. In fact, all interventional cardiology procedures (like angioplasty) are considered invasive because they involve instruments inside the body.
- Cardiac catheterization is a common invasive diagnostic test. A cardiologist guides a small catheter to the heart to take pictures (angiograms) or measure pressures. This test can show blocked arteries or valve problems.
- Some electrophysiology procedures (to test or treat heart rhythm issues) are also invasive, as they involve threading wires into the heart.
Invasive cardiology can include open-heart surgeries as well, but those are usually done by cardiac surgeons (not cardiologists). For instance, bypass surgery or heart valve surgery require a surgeon. A cardiologist will refer you to a surgeon if such an operation is needed.
In summary, invasive cardiology is any cardiac care that requires going inside the patient’s body. Thanks to modern advances, many invasive cardiology procedures are minimally invasive (small incisions or catheters) rather than fully open surgeries.
What is HCM in Cardiology?
HCM in cardiology stands for Hypertrophic Cardiomyopathy. This is a heart condition, not a procedure or specialty. Hypertrophic cardiomyopathy is a disease in which the heart muscle becomes abnormally thick. The thick muscle can make it harder for the heart to pump blood effectively. Often, HCM is caused by genetic factors (abnormal genes passed down in families) that cause the heart walls (usually the left ventricle wall) to grow thicker than normal.
Important facts about HCM:
- It can be asymptomatic (especially in early stages). Some people don’t know they have it until it’s detected by a doctor.
- When symptoms do occur, they may include chest pain, dizziness, fainting, fatigue, or shortness of breath – especially during exercise. These happen because a thickened heart wall can block or reduce blood flow out of the heart.
- HCM is a common cause of sudden cardiac arrest in young athletes, but it affects older adults as well. In seniors, HCM may be discovered during routine heart tests or after noting new symptoms.
- Treatment can include medications to help the heart relax and pump better, procedures to thin the heart muscle or improve blood flow, and implantable devices like defibrillators for certain patients.
If you’ve been told you have HCM, you’ll likely work with a cardiologist who specializes in cardiomyopathy or heart failure. They will monitor your condition and recommend treatments to help your heart work efficiently. The good news is that many people with hypertrophic cardiomyopathy can lead full, active lives with proper care.
What is Echocardiology?
Echocardiology typically refers to echocardiography, which is a noninvasive imaging test – essentially an ultrasound of the heart. An echocardiogram uses sound waves to create live images of your heart, allowing doctors to see the heart beating and pumping blood in real time.
What echocardiography shows:
- Heart chamber size and function: It can measure how well your heart chambers contract and relax, and calculate your ejection fraction (how much blood the heart pumps out with each beat).
- Heart valves: Echo shows if valves are opening and closing properly, and can detect valve narrowings or leakages.
- Blood flow: Using a form of echo called Doppler, doctors can see blood flow through the heart and vessels, helping identify any abnormal shunts or high pressures.
- Structural abnormalities: Echocardiograms can reveal thickened walls (like in HCM), weakened areas from a past heart attack, or congenital defects.
An echocardiogram is safe (no radiation) and is a routine tool in cardiology check-ups. If your doctor wants to evaluate symptoms like shortness of breath or fatigue, they may order an echo to get a detailed look at your heart’s structure and function. In seniors, echoes are especially useful for tracking heart failure, checking on artificial valves, or monitoring known heart conditions over time.
What is Electrophysiology Cardiology?
Electrophysiology in cardiology deals with the heart’s electrical system – essentially, the branch of cardiology focused on heart rhythm disorders (arrhythmias). You might hear the term cardiac electrophysiology or see specialists called electrophysiologists. These are cardiologists with extra training in diagnosing and treating abnormal heart rhythms.
Key points about electrophysiology cardiology:
- Heart rhythm 101: Normally, your heartbeat is controlled by electrical signals that travel in a precise pathway through the heart. When this system misfires or the signals get off-track, it can cause arrhythmias – your heart might beat too fast (tachycardia), too slow (bradycardia), or irregularly (like in atrial fibrillation).
- Treatments for arrhythmias: EP cardiologists can treat many rhythm problems. They may do a cardiac ablation – a procedure that destroys tiny areas of heart tissue causing abnormal electrical signals, effectively “curing” certain arrhythmias. They also implant pacemakers (to correct slow heart rhythms) and ICDs (implantable cardioverter-defibrillators for preventing dangerous fast rhythms).
- Common arrhythmias: Atrial fibrillation (Afib) is one of the most common rhythm issues in older adults – EP specialists often manage Afib with medications or ablation.
In summary, electrophysiology cardiology is all about keeping your heart beating in a healthy rhythm. If you have palpitations or your doctor finds an irregular heartbeat, you may be referred to an electrophysiologist. They play a crucial role in modern cardiology, especially for seniors, since arrhythmias become more common with age.
Your heart is in good hands at Sage Health. We hope this guide has helped answer your questions in an accessible way. Our team is here to support you in every aspect of your heart health journey.
Cardiology in Sage Health
Sage Health stands out by offering exceptional cardiology services as part of its comprehensive Primary Care offerings. Unlike typical doctor’s offices, Sage Health provides innovative, high-performance care that is personalized for seniors and Medicare-eligible adults. With a focus on keeping you healthy, Sage Health offers in-house cardiologists who work alongside a dedicated care team of primary care physicians, nutritionists, and other specialists to ensure that your health needs are met seamlessly.
The smaller patient panels—no more than 400 patients per physician—allow for more time to listen, understand, and provide the attention you deserve. Whether you’re managing a chronic condition or simply focusing on prevention, Sage Health’s cardiology services are integrated into a holistic approach to care.
With wellness programs, including fitness and cooking classes, Sage Health emphasizes proactive health management and senior-focused care. Plus, with concierge services to coordinate your healthcare needs, Sage Health makes it easy to access top-notch care without the hassle, all while accepting Medicare and Medicare Advantage.
Sources:
https://my.clevelandclinic.org/health/articles/24511-interventional-cardiology
https://my.clevelandclinic.org/health/articles/21983-cardiologist
https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/cardiology
https://www.heartsure.co.uk/post/a-guide-to-cardiology-in-the-uk