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in Cardiovascular - 02 May, 2014
Angina pectoris diagnosis

The correct diagnosis of the anginal patient must fundamentally be based on the medical history, clinical and laboratory examinations click for more. As for the history, it is essential to pay attention to possible secondary causes of diseases and angina simulant heart damage, the type of symptoms reported (equivalent ischemic) and risk factors (age, smoking, sedentary lifestyle, poor eating habits, family history of ischemic heart disease As for the instrumental examinations, changes in characteristics during the anginal attack can be observed standard electrocardiogram (ST-segment depression, for example.), But far from the examination of anginal process remains the stress test or treadmill or cycle ergometer in doubtful cases are the equivalent exams tomography myocardial perfusion imaging and stress echocardiography physical or medication – Amlodipine besylate (Norvasc).
In fact, the level of work rate, blood pressure and heart rate needed to trigger anginal attack in a given patient, can be played in the same patient with electrocardiogram ECG, myocardial scintigraphy and pharmacological stress echo. A physical effort may in fact be progressively increased during these tests. The determination of the cardiovascular response to stress is an important means for diagnosis and prognostic study of patients with coronary artery disease possible.
In case of positivity in these tests is the necessary step coronary angiography, the final exam that allows the immediate evaluation of the arterial coronary allows, in case of obstruction (stricture) of hemodynamically significant intervention by vessel dilation (angioplasty) with or without the application of the stent. In more severe cases the patient may be asked to surgical revascularization procedures (coronary artery bypass).