*Source: https://www.years.co/en/herzcheck-berlin* From €1,900 Berlin-Charlottenburg No referral needed PHI reimbursement possible # Heart check in Berlin as part of your comprehensive prevention. Cardiovascular disease is the leading cause of preventable death. At YEARS you get a full cardiovascular work-up with ECG, exercise ECG, echocardiography, vascular ultrasound, spiroergometry and 87+ biomarkers. Embedded in a comprehensive diagnostic day covering heart, metabolism, cancer screening and biological ageing. Book an appointment Request a free consultation ## What YEARS does in your heart check in Berlin A heart check at YEARS in Berlin covers all apparative standards of modern cardiology and an advanced biomarker-based risk assessment. In our Core programme we examine your heart with a 12-lead resting ECG, exercise ECG, echocardiography, vascular Doppler ultrasound, pulse wave analysis and spiroergometry to determine your VO2max. In the lab we measure the markers with the strongest evidence for cardiovascular risk (ApoB, Lp(a), hs-CRP, NT-proBNP and a complete lipid profile), all included from Core. In Evolve we extend to oxidised LDL, Lp-PLA2, homocysteine and interleukin-6: functional markers absent from a standard GP check-up. The heart check is part of a full preventive day that also covers cancer screening, metabolism, hormones and biological age. So you do not just get a finding. You get a complete risk picture. What is in the longevity check-up? → What does a preventive day cost? → ## Why a heart check alone falls short Cardiovascular disease rarely develops in isolation. It is the product of metabolism, inflammation, lifestyle and genetics. That is why examining only the heart rarely tells the whole story. ### Cardiovascular disease is the No. 1 cause of death In Germany more people die from cardiovascular disease than from cancer. The treacherous part: the first symptoms are often fatal. Arterial plaques grow silently over decades, until an infarction makes them visible. Early detection is the only way you have to manage the risk. ### Standard prevention misses the relevant markers The statutory check-up measures LDL cholesterol. That is not sufficient. ApoB counts the actual number of atherogenic particles, and correlates far more strongly with risk. Lp(a) is genetically fixed and is virtually never measured in standard labs. This is where we start. ### Your heart depends on the rest of your body Insulin resistance, visceral fat, chronic inflammation, sleep quality, hormone status, they all shape your cardiovascular risk. A good heart check therefore does not look only at the heart. It is part of a comprehensive prevention day. ## Apparative cardiovascular diagnostics at YEARS All examinations required for a complete cardiological assessment. In one day, in one practice, with physician-led interpretation. ### 12-lead ECG (rest & exercise) Detects arrhythmias, conduction disturbances and signs of ischaemia. The exercise ECG (ergometry) shows how your heart responds under physical load. ### Echocardiography Ultrasound of the heart. Assesses pump function, wall thickness, valve function and chamber size. Radiation-free, in real time, without contrast. ### Vascular Doppler ultrasound Examination of the carotid arteries, the aorta and the peripheral vessels. Reveals plaques, stenoses and blood flow velocity. ### Spiroergometry (VO2max) Exercise test with breath gas analysis. Measures your maximal oxygen uptake, one of the strongest single predictors of cardiovascular mortality. ### Pulse wave analysis & ABI Quantifies arterial stiffness and the ankle-brachial index. Both are early indicators of arterial damage long before symptoms appear. ### HRV & blood pressure profile Short-term heart rate variability as an indicator of autonomic regulation, plus physician review of your resting and exercise blood pressure as well as pulse oximetry. Deliberately not part of the standard portfolio: coronary CT, calcium score, cardiac MRI and Holter monitoring are specialised investigations. When clinically indicated we refer to cardiology centres of excellence, we do not offer them as routine preventive care. ## The biomarkers that actually matter Beyond LDL. We measure the markers with the strongest evidence for plaque, inflammation and cardiac stress. Included in every programme (from Core) - ApoB (Apolipoprotein B) , counts atherogenic particles directly, not just their cholesterol content - Lp(a) (Lipoprotein a) , genetically fixed, lifelong stable risk factor, measured once - hs-CRP , low-grade chronic inflammation as a risk marker - NT-proBNP , indicator of cardiac stress and early heart failure - Full lipid profile , total cholesterol, LDL, HDL, triglycerides - Arterial blood gas , oxygen uptake and acid-base balance Extended (from Evolve) - Oxidised LDL , direct plaque indicator - Lp-PLA2 , marker of plaque instability - Homocysteine , marker of vascular damage - Interleukin-6 , deeper view on chronic inflammation - Omega-3/6 index , fatty acid status with cardiovascular relevance Ultimate adds polygenic risk scores and 170+ risk genes, including familial hypercholesterolaemia and cardiomyopathy genes, plus epigenetic markers of the biological age of your vasculature. ## Your heart check is part of a complete preventive day At YEARS you do not get an isolated heart package. You book a full preventive day in which cardiovascular diagnostics is one central pillar, alongside cancer screening, metabolic assessment, hormone profile and the measurement of your biological age. That is the decisive difference compared with a pure cardiology practice: we see your heart in context. ### Cancer screening Tumour markers in blood. From Evolve including 3T full-body MRI and multi-cancer liquid biopsy. ### Metabolism & hormones HbA1c, insulin, HOMA-IR, thyroid, sex hormones, stress axis, vitamins. ### Biological age Epigenetic markers (DunedinPACE, GrimAge) in Ultimate. Measures your rate of ageing. ### Lifestyle & mental health Sleep profile, cognitive function, validated questionnaires on stress and mood. See the full programme overview → ## Which programme contains your heart check? The heart check is always part of a programme. Core is the entry level, Evolve adds advanced markers and imaging, Ultimate is the premium tier with genetics. Core Evolve Ultimate EKG, Echo, vascular ultrasound, spiroergometry ApoB, Lp(a), hs-CRP, NT-proBNP, lipid profile Oxidised LDL, Lp-PLA2, homocysteine, IL-6 Full-body MRI (3T), structural screening Polygenic risk scores, 170+ risk genes Epigenetic markers (DunedinPACE / GrimAge) Year-round concierge follow-up EKG, Echo, vascular ultrasound, spiroergometry core ✓ evolve ✓ ultimate ✓ ApoB, Lp(a), hs-CRP, NT-proBNP, lipid profile core ✓ evolve ✓ ultimate ✓ Oxidised LDL, Lp-PLA2, homocysteine, IL-6 core – evolve ✓ ultimate ✓ Full-body MRI (3T), structural screening core – evolve ✓ ultimate ✓ Polygenic risk scores, 170+ risk genes core – evolve – ultimate ✓ Epigenetic markers (DunedinPACE / GrimAge) core – evolve – ultimate ✓ Year-round concierge follow-up core – evolve – ultimate ✓ Core in detail Evolve in detail Ultimate in detail Book an appointment ## How your preventive day in Berlin runs Step 01 ### Preparation After booking you complete a comprehensive online questionnaire, family history, medication, risk factors, symptoms. Your physician comes into the diagnostic day prepared for your case. Step 02 ### Diagnostic day All apparative examinations and blood draws on a single day in Berlin-Charlottenburg. Quiet rooms between procedures, breakfast and lunch included. Step 03 ### Debrief Within a week we meet for an approximately two-hour debrief, in person or by video, with a written report and a concrete, individualised action plan. ## Why YEARS for your cardiovascular prevention ### Cardiology in the context of full prevention We do not treat your heart in isolation. Metabolism, hormones, inflammation, sleep, all feed into the assessment of your cardiovascular risk. ### Marker profile beyond the GP ApoB, Lp(a), hs-CRP, NT-proBNP, these values are not part of the statutory check-up. We measure what the evidence calls for, not what the statutory plan covers. ### All in one day, in one practice No referrals, no three separate appointments. ECG, echo, spiroergometry, vascular Doppler, blood work, all under one roof in Berlin-Charlottenburg. ### 4.9 out of 5 stars (71+ Google reviews) Private practice, no referral needed, all examinations in a single day. PHI reimbursement is often possible. ## Frequently asked questions about the heart check in Berlin When is an advanced heart check-up worthwhile? + An advanced heart check-up makes sense if you have a family history of early heart attacks or strokes, if you carry risk factors such as high blood pressure, diabetes, obesity or elevated cholesterol, or if you are over 40 and have not had a full cardiovascular assessment in years. Diffuse symptoms (exertional shortness of breath, palpitations, chest pressure) also warrant proper imaging and lab work before they escalate into an acute event. What does YEARS measure that your GP does not? + We measure ApoB instead of LDL alone, Lp(a) for genetic risk, hs-CRP for inflammation and NT-proBNP as a cardiac stress marker. Evolve adds Lp-PLA2, oxidised LDL, homocysteine and interleukin-6. Apparatively we combine 12-lead resting and exercise ECG, echocardiography, vascular Doppler ultrasound, pulse wave analysis and spiroergometry in a single day, a combination not typically available in primary care or standard preventive check-ups. Does YEARS also offer cardiac MRI or coronary CT? + No. Cardiac MRI, coronary CT and calcium scoring are specialised radiological procedures that we refer externally to cardiology centres when clinically indicated, we do not offer them as routine prevention. Our standard cardiovascular diagnostics use echocardiography (heart ultrasound) and vascular Doppler ultrasound, both radiation-free and performed on the diagnostic day. The full-body MRI included in Evolve is a structural screen for organs and soft tissue and does not replace a dedicated cardiac MRI. Do I need a referral? + No. YEARS is a private preventive medicine practice in Berlin-Charlottenburg. You book directly online without a GP referral. The lead time to an appointment is currently four to six weeks. If you already have prior results or medication lists, bring them along, we integrate them into the assessment. Is the heart check reimbursed by insurance? + For patients with German private health insurance, partial reimbursement is often possible. We issue a complete invoice based on the German fee schedule for physicians (GOÄ), which you submit to your insurer. The exact reimbursement depends on your individual contract. For patients with statutory insurance, the advanced cardiovascular diagnostics (ApoB, Lp(a), spiroergometry, echocardiography) are self-pay services that exceed the statutory check-up. How long does the day take? + The diagnostic day takes 6 to 10 hours depending on the programme. You arrive fasted between 7 and 8 in the morning at our Berlin-Charlottenburg practice. Breakfast and lunch are included. Between procedures and blood draws you have access to quiet rooms. There are no waiting times between stations, everything is organised as a continuous sequence. When do I get the results? + The apparative findings (ECG, echocardiography, vascular ultrasound) are discussed with you directly on the same day. The complete lab panel including ApoB, Lp(a), hs-CRP and all other markers takes 5 to 7 working days. We then schedule an approximately two-hour debrief (in person or via video call) with a written report and a concrete, individualised action plan for risk reduction. What does the heart check-up cost? + The heart check is not bookable as a stand-alone package. It is part of our three preventive programmes. Core starts at €1,900 and includes the full apparative cardiovascular work-up plus the lab panel with ApoB, Lp(a), hs-CRP, NT-proBNP and lipid profile. Evolve from €7,600 extends to oxidised LDL, Lp-PLA2, interleukin-6, homocysteine and full-body MRI. Ultimate adds polygenic risk scores, 170+ risk genes and year-round concierge follow-up. ## Heart, circulation and the rest, in one day in Berlin. Book your preventive day at YEARS now. Private practice, no referral required, in Berlin-Charlottenburg. All examinations in a single day. Book an appointment Request a free consultation