The Heart Tests Available in Varanasi — and What Each One Misses

1. ECG (Electrocardiogram)

Records the heart's electrical signals via chest electrodes

₹150 – ₹400

What it Finds:

Rhythm problems, ongoing or past heart attacks, electrical conduction defects, signs of enlarged heart muscle.

What it Misses (CRITICAL):

A resting ECG can be completely normal in a person with severe arterial blockage if blood flow is adequate while sitting still. It does not clear your arteries!

⏱ Duration: 5–10 mins 📋 Preparation: None 💡 Best for: First-line baseline, pre-op clearance, palpitations

2. Blood Tests (Lipid Profile & Cardiac Markers)

Measures cholesterol fractions, blood sugar, and cardiac enzymes

₹699 – ₹4,899

What it Finds:

Long-term vascular risk factors (LDL, HDL, triglycerides). Troponin detects active heart muscle damage during acute events.

What it Misses:

Existing arterial blockages. Plenty of people who suffer heart attacks have normal cholesterol. Lipids show risk, not structural blockage.

⏱ Duration: 5 min blood draw 📋 Preparation: 10-12 hrs fasting usually required 💡 Karauli Packages: Dil Se Healthy Basic (₹699) & Advanced (₹4,899)

3. 2D Echocardiography (2D Echo)

Ultrasound imaging of live moving heart valves & chambers

₹1,000 – ₹2,500

What it Finds:

Pumping power (Ejection Fraction %), valve narrowing/leakage, chamber enlargement, fluid collection (pericardial effusion).

What it Misses:

The coronary arteries themselves. It shows heart muscle structure and pumping, but cannot directly visualize or map arterial blockages.

⏱ Duration: 20–30 mins 📋 Preparation: No fasting or injections needed 💡 Best for: Breathlessness, swelling, valve issues, heart failure

4. TMT (Treadmill Test / Stress Test)

Continuous ECG monitoring while exercising on a treadmill

₹1,000 – ₹2,500

What it Finds:

Inadequate blood supply under physical stress. Catches flow deficits that disappear during a resting ECG.

What it Misses:

Where the blockage is located and how severe it is. A positive TMT indicates reduced flow but requires angiography for exact arterial location.

⏱ Duration: 30–45 mins 📋 Preparation: Light meal, sports shoes, medication list 💡 Best for: Exertional chest pain / angina evaluation
Gold Standard Non-Invasive Scan

5. CT Coronary Angiography (CTCA)

Ultra-fast 384-slice 3D CT scan of coronary arteries with IV contrast

₹10,000 – ₹25,000

What it Finds:

Direct 3D visualization of coronary arteries — exact blockage location, stenosis %, calcified vs soft plaque, and stent/bypass integrity.

What it Misses:

It is a diagnostic scan, not a surgical treatment. If severe 90%+ blockage is discovered, therapeutic catheterization/stenting is performed separately.

⏱ Duration: 1–2 hrs appointment (scan takes seconds) 📋 Preparation: Fasting, kidney test (KFT), pulse control ⚡ Technology: 384-Slice Siemens Scanner at Karauli Bhojubeer

Decision Table: Symptom → Likely Test Required

Use this clinical summary table to understand why your doctor orders specific tests:

Your Clinical Situation Test Usually Considered First Duration Varanasi Market Cost
Routine annual check, no symptoms (30+) Lipid Profile + Resting ECG 15 min ₹700 – ₹1,200
Chest pain on exertion, relieved by rest TMT (Treadmill Stress Test) 30–45 min ₹1,000 – ₹2,500
Chest pain at rest or unclear pattern ECG → CT Coronary Angiography 1–2 hrs ₹10,000 – ₹25,000
Breathlessness, ankle swelling, fatigue 2D Echocardiography (Echo) 20–30 min ₹1,000 – ₹2,500
Palpitations, occasional & unpredictable ECG → 24-48 hr Holter Monitoring 24–48 hrs Varies
Heart murmur detected by doctor 2D Echocardiography 20–30 min ₹1,000 – ₹2,500
Diabetic, age 40+, no cardiac symptoms Lipid + ECG + Echo / Calcium Score Varies Package-based
Abnormal TMT test result CT Coronary Angiography (CTCA) 1–2 hrs ₹10,000 – ₹25,000
Pre-operative cardiac clearance ECG ± 2D Echocardiography 30 min ₹1,000 – ₹3,000

The Five-Rung Ladder: How Cardiac Testing Escalates

Heart testing is not a menu you pick from. It is a ladder. Each rung answers a narrower question at a higher cost, and you only climb when the rung below gives a clinical reason.

1

Rung 1: Pathology Blood Work

Lipid profile, blood sugar, cardiac risk markers. Establishes baseline vascular risk.

₹699 – ₹4,899
2

Rung 2: Resting ECG

Electrical activity baseline. Quick reference point for arrhythmia and acute infarction.

₹150 – ₹400
3

Rung 3: 2D Echocardiography

Structure and pumping power. Answers "is the heart muscle and valve structure healthy?"

₹1,000 – ₹2,500
4

Rung 4: Treadmill Stress Test (TMT)

Function under exertion. Answers "does blood supply fall short when heart rate rises?"

₹1,000 – ₹2,500
5

Rung 5: CT Coronary Angiography (CTCA)

Direct 3D arterial visualization. Answers "where exactly is the narrowing and by how much?"

₹10,000 – ₹25,000

What Your Cardiologist Actually Needs From a Report

Ensure your test report contains these 5 essential elements so your doctor can make immediate treatment decisions:

  • 1
    Named, Credentialed Reporting Doctor: Radiologist sign-off (e.g. Dr. Ankita Ujjwal Shah, MD, DNB at Karauli Diagnostics). Unsigned reports carry far less weight.
  • 2
    Comparison to Prior Studies: Always bring previous ECGs or Echo reports — baseline changes matter more than isolated figures.
  • 3
    Specific Numerical Measurements: Exact Ejection Fraction % for Echo; vessel stenosis percentages per segment for CTCA.
  • 4
    High-Resolution Digital Images / DICOM: Standard DICOM images on disk/link so your cardiologist can inspect raw scans directly.
  • 5
    Kidney Function (KFT) Report: Required prior to CT Angiography contrast administration to prevent delay.

How to Book a Heart Test in Varanasi: Step by Step

Step 1

Get Prescription

Imaging (CTCA, TMT) requires doctor referral.

Step 2

WhatsApp Prescription

Send photo to 70689 70689 for instant price confirmation.

Step 3

Confirm Prep

Check fasting (Lipid/CTCA) or KFT requirements.

Step 4

Visit Centre / Home Draw

Visit nearest branch or request home blood sample draw.

Karauli Diagnostics Centres Across Varanasi

All five rungs of the cardiac ladder available under one roof:

Bhojubeer (Main CT Hub)

Plot No. 18/1, S.2 326 e-3, Gilat Bazar, Bhojuveer, Varanasi 221003

Google Maps Directions

Sankat Mochan Branch

Sankat Mochan, Varanasi, Uttar Pradesh

Google Maps Directions

Manduadih Branch

Manduadih, Varanasi, Uttar Pradesh

Google Maps Directions

Maldahiya Branch

Maldahiya, Varanasi, Uttar Pradesh

Google Maps Directions

Frequently Asked Questions

There is no single best heart test. Each answers a different clinical question. An ECG checks electrical activity, a 2D Echo checks structure and pumping, a TMT checks function under stress, and a CT Coronary Angiography checks the arteries. The right test depends on your symptoms, risk factors and what your doctor needs to rule in or out.
No. A resting ECG can be entirely normal in a person with significant coronary narrowing, because the heart may receive enough blood at rest. If blockage is suspected, a TMT or CT Coronary Angiography is needed.
A 2D Echo is an ultrasound that shows the heart’s structure and pumping function while you lie still. A TMT is an ECG recorded while you exercise, to see whether blood supply becomes inadequate under stress. They measure different things and are often used together.
Indicative market ranges in Varanasi are approximately ₹150–₹400 for an ECG, ₹1,000–₹2,500 for a 2D Echo, ₹1,000–₹2,500 for a TMT, and ₹10,000–₹25,000 for a CT Coronary Angiography. Karauli’s cardiac health packages start at ₹699. Call 70689 70689 for current rates.
For CT Coronary Angiography and TMT, yes — these are performed on the referral of a cardiologist or physician. Basic screening blood tests and health packages can be booked directly.
It is considered safe for most patients. It uses iodinated contrast dye and a low, controlled radiation dose. Tell the team in advance about kidney problems, asthma, diabetes medication, or any previous reaction to contrast so precautions can be taken.
AS

Medically Reviewed by Dr. Ankita Ujjwal Shah (MD, DNB)

Consultant Radiologist, Karauli Diagnostics · Last updated 1 August 2026

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