I my limited experience, barring a catastrophe, like the tube actually blowing up or something, you will hear kind of a static coming from either one channel or the other. Swapping tubes from the left side to the right and having the noise follow that swap clearly indicates a tube is going bad. If you have only one tube to worry about, obviously a swap of channels would not work, I would recommend having a new spare on hand to be able to swap in for it to diagnose the noise. If any noise goes away, you know the other tube was bad. Getting a tube tester is always a good idea to be sure of the strength of the tube scientificly, but using your ears will work also. That is if you don't mind your amp being your tube tester. 