The following components are included in your executive exam*: (click the component to learn more)

Medical History and Physical Exam by Your Physician
A review of current medical data with physician, to include history of medical issues, family and other relevant health information.
Treadmill Test + Strength and Flexibility Testing
Tests for patients' aerobic fitness and screens for cardiovascular disease; evaluates upper body strength and lower body flexibility.
Nutritional Analysis
This provides a snapshot of dietary intake.
Comprehensive Lab Evaluation
Complete blood count, chemistry profile including cholesterol/HDL/LDL/triglycerides, TSH, iron saturation and ferritin levels, C-reactive protein, prostate-specific antigen for men as indicated, vitamin D, insulin, microalbumin/creatinine ratio, B-12 as needed, liver and kidney function, inflammatory markers, urinalysis, and cardiovascular biomarkers.
Mental Health & Sleep Apnea Screenings
Screens patient for anxiety and depression.

Utilization of a screening tool to improve identification of patients at high risk for sleep apnea.
Hearing and Vision Testing
Tests for patients' visual acuity, color vision, glaucoma, depth perception, and macular degeneration.
DEXA Bone Density Scan and Body Composition
What’s the purpose of the scan?
The DEXA Body Composition Scan provides information on your body’s fat tissue, muscle mass, and bone density. There are two components to the scan (not everyone will need both components):
  • The body composition scan provides valuable information about your lean body mass and fat distribution that can be used to individualize lifestyle modification recommendations and health risk management discussions with your healthcare team.
  • The bone density scan is a way to measure bone loss as you age and is therefore not routinely done on individuals younger than 45. It is the most useful and easy way to help diagnose mildly decreased bone strength, called osteopenia, and advanced decreased bone strength, called osteoporosis, which are conditions that have no symptoms before fractures occur.
At your follow-up appointment results will be reviewed and plan of care discussed, you will be given a printout with percentages and images of the data obtained that you can keep as a reference.

What to expect during a DEXA:
After measuring your height and weight, you will be escorted to the scanning table and asked to lie down and get comfortable. The scanning arm extends across the table, over your body, and works by sending a low dose x-ray beam that allows both soft tissue and bone measurements. The scan is painless and takes about 30 minutes to complete both parts of the study.

Make sure you are well hydrated and do not wear anything metal (zippers, metal snaps, etc) on the day of your test.

What your DEXA results mean:
The body composition measurements provide individualized information on lean mass and body fat, including where your body fat is concentrated. Abdominal cavity fat, or visceral fat, is a risk factor for cancer, diabetes, heart disease and dementia.

Bone density information results compare your findings to someone your age (Z-score) and to a healthy 30-year-old of the same sex (T-score). This allows prediction of potential fracture risk and provides valuable information for you and your doctor to discuss prevention, diagnosis and potential treatment of osteoporosis through risk factor modification and when indicated, medication.
Carotid Intima-Media Thickness (CIMT) Measured by Ultrasonography
What’s the purpose of the test?
The CIMT test measures the thickness of the inner two layers (the intima and media) of the carotid artery (a large artery in your neck) to predict potential for increased risk of heart disease and stroke in patients 45 and older with undiagnosed cardiovascular disease. Thickening of these two layers or early evidence of plaque, can be the very first signs of cardiovascular disease.

Pros of the CIMT Test:
  • It’s noninvasive
  • No blood needs to be drawn
  • It uses ultrasound waves, which means no radiation risk
  • It’s relatively quick
  • No special preparation is needed
  • It does not require any recovery time
  • It provides more data for determining cardiovascular risk, potentially before any signs or symptoms are obvious

What to expect during a CIMT test:
You will be escorted to the scanning area and asked to lie down on a table and make yourself comfortable. A licensed medical sonographer will perform the test. A thick gel is applied to the skin of the neck and an ultrasound transducer is used. The transducer makes sound waves that will bounce off the carotid arteries, creating an "echo" that is processed into pictures by a computer. The test is painless and takes about 15 minutes.

What your CIMT test results mean:
A CIMT measurement is provided for both sides of the neck and may indicate the need for more aggressive management of risk factors associated with heart disease and stroke.

Heart disease risk is influenced by multiple variables and the result of this test adds another potentially unique perspective. Your doctor will include this information in their comprehensive review of your personal risk factors. Risk factors may include a personal history of pre-eclampsia, early menopause, diabetes, hypertension, high cholesterol, chronic inflammatory diseases and smoking as well as your family history and certain blood test results.
Cleveland Heart Lab Assessment of Vascular Inflammation and Disease
Cleveland HeartLab offers unique inflammation testing which provides additional and complementary insight into cardiovascular risk beyond cholesterol testing alone.
Occult Blood Testing for Hidden Blood in Stool
A test that checks for occult (hidden) blood in the stool. Blood in the stool may be a sign of colorectal cancer or other problems, such as polyps, ulcers, or hemorrhoids.

For new patients or as directed by a physician, we will perform the following tests at no additional cost: Vitamin B12 with Methylmalonic Acid, Hepatitis C Antibody, Carotid Doppler Ultrasound, Abdominal Aortic Aneurysm Screening, Thyroid Ultrasound.
*if indicated