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Cardiac Diagnostic Testing in Pearland & Houston

On-site cardiac testing — ECG, echocardiography, stress testing, and heart monitoring — with results reviewed by your own cardiologist.

Cardiac Testing

Understanding Cardiac Diagnostic Testing

Cardiac testing exists to answer a specific question about your heart — how it is beating, how well it pumps, whether the valves are working, and whether the blood supply is adequate.

Not every patient needs every test. Testing is selected from your symptoms, examination, medical history, and cardiovascular risk, and each test is chosen because it answers something the others cannot.

All of our testing is performed on site and interpreted by the cardiologist looking after you, so results come back quickly and are discussed alongside your symptoms rather than handed over as an isolated report.

Meet Our Cardiology Team

Experienced. Compassionate. Focused on You.

When you are having cardiac testing, it matters that the person reading it knows your history. Our cardiologists interpret your results themselves and explain what they mean, rather than passing back a report to decipher.

Portrait of Dr. Rizwan Khan, general cardiologist

Rizwan Khan, MD, FACC

General & Preventive Cardiology

MD — Doctor of Medicine
FACC — Fellow of the American College of Cardiology
Fellowships: Cleveland Clinic and Loyola University Medical Center
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Portrait of Dr. Muhammad Waheed Raja, general cardiologist

Muhammad Waheed Raja, MD

Preventive & Non-Invasive Cardiology

MD — Doctor of Medicine
Cardiology fellowship: Tulane University School of Medicine
Former Clinical Assistant Professor of Medicine, UTMB
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Portrait of Dr. Afaq Motiwala, interventional cardiologist

Afaq Motiwala, MD, FACC, RPVI

Interventional & Vascular Cardiology

FACC — Fellow of the American College of Cardiology
RPVI — Registered Physician in Vascular Interpretation
Interventional fellowship: Temple University Hospital
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Why Us

Why Patients Choose Alliance Heart & Vascular

Personalized Heart Care

Treatment plans tailored to your symptoms, history, and individual needs.

Comprehensive Cardiology

Preventive, diagnostic, interventional, and vascular care in one practice.

Advanced Cardiac Testing

Modern diagnostics for heart rhythm, function, structure, and blood flow.

Convenient Greater Houston Access

Serving Pearland with additional locations expanding across Greater Houston.

Board-Certified Cardiologists

Experienced physicians with advanced cardiovascular training and expertise.

Most Major Insurances Accepted

We work with many leading insurance plans for convenient access to care.

Heart Health Resources

Related Reading

Locations

Comprehensive Cardiovascular Care Close to Home

Alliance Heart & Vascular is expanding to serve patients across Pearland, Greater Houston and surrounding communities.

Pearland

Comprehensive cardiology, preventive cardiovascular care, diagnostic evaluation, and follow-up.

View Pearland Location

More locations coming soon

Alliance Heart & Vascular is expanding across Greater Houston and nearby communities, bringing convenient access to trusted cardiovascular care closer to where our patients live and work.

Insurance

Insurance We Accept

Alliance Heart & Vascular works with many major health insurance plans. Insurance participation can vary by plan, network, employer, and location.

Please call (346) 614-0002 before your appointment to verify your specific insurance benefits and network participation. Our team can help answer questions about scheduling, referrals, and insurance verification.

Before your visit

Call ahead to verify benefits and network participation
Ask whether your plan requires a referral
Bring your insurance card and photo ID
Bring prior cardiac test results if you have them
Why Testing

When Is Cardiac Testing Needed?

Testing is usually arranged to explain a symptom, to clarify a risk, or to check on a known condition. Common reasons include:

Chest discomfort, particularly on exertion
Shortness of breath with activity
Palpitations or an irregular pulse
Dizziness, lightheadedness, or fainting
Reduced exercise tolerance
Swelling in the legs or ankles
A heart murmur found on examination
An abnormal ECG from another physician
Suspected heart failure
Known valve disease needing monitoring
Follow-up after a heart attack or stent
Assessment before planned surgery
Blood pressure with suspected heart strain
An arrhythmia alert from a wearable device
A family history of inherited heart disease
Ongoing symptoms after an emergency visit

The most useful test is the one that captures your symptom while it is happening. That is why intermittent problems usually need monitoring rather than a single snapshot.

Emergency Reminder

Testing is for evaluation, not emergencies. If you have severe chest pain, sudden breathlessness, or fainting, call 911 immediately.

Do not wait for an office appointment.

Online appointment requests should never be used for potentially life-threatening symptoms.

What Each Test Answers

What Each Test Actually Shows

Cardiac tests fall into two broad groups, and most diagnostic questions need at least one from each:

Rhythm and electrical activity

EKG — the rhythm at a single moment
Holter monitoring — over 24 to 48 hours
Extended monitoring — over days to weeks
Evidence of previous heart damage
Signs of chamber strain or enlargement
Conduction delays and heart block
Atrial fibrillation and flutter
Ectopic and premature beats
Rhythm correlation with your symptoms

Structure, function, and flow

Pumping function and ejection fraction
Chamber size and wall thickness
Valve narrowing and leakage
Blood flow under exertion
Blood supply to the heart muscle
Flow in the vessels outside the heart

An ECG records only a few seconds of your heartbeat. If your symptoms come and go, a normal ECG does not rule anything out, and longer monitoring is the appropriate next step.

Preparing

How to Prepare for Your Test

Most cardiac tests are straightforward, non-invasive, and completed within the same visit. Our team will tell you in advance if anything is required beforehand:

Bring photo ID, insurance card, and medication list
Ask whether to hold medication before a stress test
Wear comfortable clothing and walking shoes
Avoid caffeine before stress or rhythm testing if advised
Allow extra time for nuclear imaging
Keep a symptom diary while wearing a monitor
Bring any previous heart-test results

Worth knowing

Do not stop any cardiac medication before a test unless you have been specifically instructed to. If you are unsure, call our office rather than guessing.

Visit Us
10905 Memorial Hermann Drive, Suite 203, Pearland, TX 77584
Downtown Houston — serving the Texas Medical Center, Midtown, and Downtown
Monday–Friday, 8:00 a.m. – 4:30 p.m.
(346) 614-0002
Diagnostics

Explore Each Test in Detail

Not every patient needs every cardiac test. Testing should be selected based on your symptoms, examination, medical history, and cardiovascular risk. Depending on your individual situation, your cardiologist may recommend one or more of the following.

Advanced Cardiovascular Imaging

Certain patients may require additional cardiac imaging or coronary evaluation depending on their symptoms and risk profile. Your cardiologist will explain why a particular test is being recommended and how the results may influence your treatment plan.

Treatment

From Test Result to Treatment

A test result is only useful if it changes something. Once testing is complete, the findings are explained to you and translated into a plan. That may involve:

A clear explanation of what the test showed
A confirmed diagnosis where possible
Reassurance when results are normal
Further testing if the question is unanswered
Medication started or adjusted
Blood pressure and cholesterol targets
Rhythm or rate control
Referral for intervention when indicated
Electrophysiology referral for ablation
Valve disease surveillance
A repeat interval agreed in advance
A written report for your physician
Ongoing cardiology follow-up

A normal result is a genuine outcome, not a wasted appointment. Excluding a cardiac cause with confidence is often exactly what a patient needs.

Cardiology practice
Referrals

Sent for Testing After an ER Visit?

Emergency departments are designed to exclude immediate danger, and they do that well. What frequently goes unfinished is identifying the cause — particularly for symptoms that had already stopped by the time you were seen.

Outpatient testing is appropriate if you have:

Symptoms that stopped before an ECG was taken
A normal ECG but continuing symptoms
An abnormal result needing follow-up
Recurrent palpitations since discharge
Continuing chest discomfort or breathlessness
Been advised to arrange outpatient testing
Been discharged without a clear diagnosis
Bring your discharge documents and any ECG tracings with you. A tracing recorded while you had symptoms is often the single most useful piece of information available.
FAQ

Frequently Asked Questions About Cardiac Testing

Still have questions?

Talk to our office — Monday to Friday, 8:00 a.m. to 4:30 p.m.

Call (346) 614-0002

Testing is selected from your symptoms, examination, history, and cardiovascular risk. Most patients need one or two tests rather than a full panel, and each is chosen to answer a specific question.

Testing is for evaluation rather than emergencies. Call 911 for severe chest pain, sudden breathlessness, or fainting rather than waiting for a scheduled test.

An EKG records only a few seconds of your heartbeat. If your symptoms are intermittent, the rhythm may be completely normal in between, which is why longer monitoring is often needed.

An echocardiogram is an ultrasound scan of the heart. It is painless, involves no radiation, takes around thirty minutes, and shows pumping function, chamber size, and how the valves are working.

Exercise stress testing records your ECG and blood pressure while you walk on a treadmill. Nuclear stress testing adds imaging that shows blood flow to the heart muscle, giving more detail in higher-risk patients.

A Holter monitor is worn for 24 to 48 hours. Where symptoms are less frequent, longer monitoring over one to four weeks gives a much better chance of capturing an episode.

Keep a simple diary noting the time and nature of any symptoms. Correlating what you felt with what the monitor recorded at that moment is what makes the test diagnostic.

Ask our office before your appointment. Some medications are held before a stress test, but never stop a cardiac medication on your own without being told to.

Most results are available quickly because testing is read in-house. Your cardiologist will explain what the test showed and what happens next rather than sending an uninterpreted report.

Yes. A normal result is a meaningful outcome. Confidently excluding a cardiac cause allows attention to move elsewhere, and reassurance is a legitimate goal of testing.

Yes. Vascular ultrasound assesses the arteries and veins of the neck, legs, and abdomen, and is used for peripheral artery disease, carotid narrowing, and leg swelling.

Nuclear stress testing involves a small amount of radiation, comparable to other routine medical imaging. It is used when the additional information will genuinely change your management.

Yes. All testing listed here is performed at our offices, and you can be seen in either Pearland or Downtown Houston.

Bring your photo ID, insurance card, medication list, comfortable shoes if you are having a stress test, and any previous heart-test results.

Yes. Alliance Heart & Vascular welcomes new patients seeking cardiovascular evaluation. Call our office or request an appointment online.

Need Cardiac Testing?

The right test answers the question you actually have.

Whether you have been referred for testing, have symptoms that have not been explained, or need follow-up on a known condition, our team can arrange the appropriate test on site and review the results with you directly.

Request an Appointment

New patients are welcome.

Serving patients throughout Pearland, Greater Houston, and surrounding areas.