Had echo and angiograms in 2008 and the impression was no visible coronary heart disease, heart disease runs in family when should i be checked again?

Noninvasive Imaging: Atherosclerosis begins when the artery wall thickens due to modifiable (high LDL particle levels, smoking or high blood pressure ) or non-modifiable (genetics, age, gender) risk factors. Over time, areas of focal thickening may grow into a larger lesion called a “plaque". Carotid intima-media thickness (cimt) and coronary calcium score are imaging tests that are more sensitive for early disease.

Cad: Should be on diet, exercise and risk factor program. If all good then perhaps a treadmill at 5 years. If smoking and other risk factors, those need to be dealt with.

This year: That was good news. Hopefully you are maintaining good personal practices. Non smoking exercize diet regular checks of blood pressure and lipids every 5 years or with planned changes in your workouts is reasonable. There is no absolute. See american heart simple 7.