Basic

History & physical examination

It starts with a thorough conversation: previous illnesses, family history, medication & lifestyle. A careful physical examination follows. It shows which measurements carry particular weight for you.

Basic

Musculoskeletal examination

We examine joints, spine & muscles functionally: mobility, strength & resilience. Depending on your situation & the findings, we add instrument-based methods.

Basic

Laboratory panel including lipoprotein(a) & kidney values

The panel covers blood count, fasting glucose & HbA1c, the full lipid profile, liver & kidney values including albumin in urine, as well as TSH.

We measure lipoprotein(a) once: it is genetically determined, barely changes over a lifetime & is rarely measured in Germany, although it can have consequences for the whole family.

Basic

Resting ECG

The resting ECG records the electrical activity of your heart. It shows rhythm disturbances & abnormalities of conduction, & provides the baseline against which all later recordings can be compared.

Basic

24-hour blood pressure measurement

The 24-hour measurement is the single most informative element: it detects white-coat hypertension as well as the reverse, and above all the missing night-time dip, which is a risk factor in its own right.

We measure without a cuff: to the highest scientific standards & with the greatest possible comfort for you, with no inflation & no disturbed sleep.

From all values we calculate your ten-year risk (SCORE2).

Basic

Results consultation

In a separate appointment we go through all results calmly. You learn what your values mean, where you stand & which steps follow from that.

Basic

Included in the laboratory panel

The laboratory panel of the basic programme covers the following values:

Metabolism & nutrition

Everything from Basic

The full scope of the basic programme is included: history & physical examination, the complete laboratory panel including lipoprotein(a), resting ECG, 24-hour blood pressure measurement & the results consultation.

Metabolism & nutrition

Extended metabolic values & insulin resistance

In addition we measure fasting insulin with HOMA index, uric acid, ferritin & transferrin saturation, as well as extended liver values with a fibrosis score.

Metabolism & nutrition

Body composition

We place body composition honestly: as a single measurement it says little, over time it says a great deal. Anyone losing weight while losing muscle instead of fat will only see it this way.

Metabolism & nutrition

Ultrasound of the abdominal organs

The ultrasound focuses above all on the liver. Fatty liver disease is the most common liver finding in Germany & an early sign of insulin resistance, often years before blood sugar becomes abnormal.

Ultrasound & fibrosis score together show whether it remains harmless fat storage or whether tissue is being remodelled.

Metabolism & nutrition

Food diary & prevention plan

Before the appointment you keep a food diary. Together with your values this becomes a concrete prevention plan: what you change, what you keep & how we measure success.

Metabolism & nutrition

Additional laboratory values

Beyond the basic panel we measure:

Extended

Everything from Metabolism & nutrition

The full scope of both other programmes is included: from the laboratory panel through the 24-hour blood pressure measurement to ultrasound, body composition & nutrition plan.

Extended

Echocardiography

Echocardiography shows pumping function, valves & above all the wall thickness of the left ventricle, which increases after years of raised blood pressure, long before symptoms appear.

Extended

Lung function test

The lung function test takes five minutes. In smokers, former smokers or with breathlessness on exertion it regularly reveals an unrecognised narrowing. For everyone else it provides a baseline for comparison with future measurements.

Extended

Ultrasound of the neck vessels at intermediate risk

The ultrasound of the neck vessels is not part of the fixed scope. There is a reason: as a general search for narrowing it is not recommended by guidelines in people without symptoms. It is different when looking at the vessel wall itself.

If your calculated risk (SCORE2) lies in the intermediate range, neither clearly unremarkable nor clearly in need of treatment, this finding can carry the decision about therapy. That is exactly when we perform it, & we explain why beforehand.

Extended

Strategy consultation with annual plan

In the strategy consultation we translate all findings into concrete decisions: what matters now, what is observed & what can wait, set down in your written annual plan.