The kind of tests you need depend on your age, how much exercise you get, how great your diet is and your family history (if your parents or brothers and/or sisters have heart problems, you're at risk).
The American Heart Association suggests everyone start monitoring heart health by age 20. Your doctor should check your blood pressure, your weight and your cholesterol and triglyceride levels.
High blood pressure greatly increases your chance of having heart problems. If your blood pressure is above 120/80mm, you may want more regular checks. Blood pressure can be controlled through medication or a better diet and exercise.
Starting at age 45, get your blood glucose levels checked. High blood glucose levels -- a sign of Type 2 diabetes -- can lead to heart disease and stroke.
You may also want a more comprehensive heart screening.
At Henry Ford where Mattina works, a typical heart screening involves all the tests you should have in your 20s. A BMI test is performed and your waist circumference measured.
The electrical activity in your heart is monitored, and you'll undergo what's called a carotid intima-media thickness test. Essentially, the two major arteries in your neck are screened for signs of hardening (an early sign of disease). A carotid and peripheral arterial disease screening looks for blockages in your legs, neck and arms. Your blood sugar is measured, your lipid profiles are tested and your cholesterol checked.
"We do a lot of sick care in medicine these days," Mattina said. "I think we need to be more aggressive and look for potential problems before they happen because what we generally have now isn't enough."
For women, it's especially important to know the signs of heart trouble, as they can differ from symptoms in men.
Instead of the classic chest pain with exertion, women may experience this pain while resting or have a sensation in their neck or jaw -- or classic symptoms that can be confused with gastro-intestinal disease.
"Women are so busy taking care of everyone else they put themselves last, but they have to take care of themselves when it comes to their heart," Ma said.
"This is No. 1 on my list," Mattina said, and Ma agreed.
Mattina said when she sees a young patient who has a heart attack, 90 percent of them admit to being smokers. It's a little known fact, but most smokers die from heart disease long before they'll get lung cancer.
There are fewer smokers these days, according to the CDC, but the number of women who quit has plateaued. Smoking is still the leading cause of preventable death in the United States. It tends to create blood clots, decreases your levels of good cholesterol, makes it harder to exercise and can raise your blood pressure temporarily.