How is angina diagnosed?

Diagnosis of Angina. If you have noticed a pain in your chest when you exert yourself, you should visit your GP as soon as possible. Your GP will ask you a number of questions about the pain and then examine you. He or she will listen to your heart and chest, check your blood pressure, and look for any signs of anaemia.


If you develop a sudden pain in your chest, you should call for emergency help.

You may need to have some further tests to help diagnose if you have a heart condition. These can include:
• an ECG (electrocardiogram), where your hearts electrical activity is measured, either while you are lying down or exercising on a treadmill
• blood tests, such as a blood count, cholesterol and lipid levels, and cardiac enzymes (which are released by damaged heart cells)
• an echocardiogram, where an ultrasound probe is run over your chest so that the hearts chambers and valves can be seen working
• an angiogram, where a dye visible on X-rays is injected into your coronary arteries to show up any narrowing or blockages
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Related Questions

How is angina diagnose and the suptoms?

Ok. Angina is the symptom. Cardiac ischemia related chest and substernal crushing chest pain with radiation to anterior neck and arm. Relieved by rest, oxygen, Nitroglycerin generally. No heart damage done with he spell. No enzyme release. If it gets worse, does not stop, and damage done, it is a heart attack with myocardial infarction as the medical term. Read more...

How is variant angina diagnosed? Is it a diagnosis by chance timing? Or can it be found with the right test regardless of time of day etc.?

Dx of exclusion. Many patients eventually have a coronary angiogram which shows no significant blockages. Sometimes, variant (vasospastic or prinzmetal's) angina can be brought out during an angiogram by causing spasm when the catheter slips into the problematic artery. Medications can be given to provoke this also during an angiogram. Medications such as calcium channel blockers can be used to try and prevent it. Read more...

We all know chest burn/discomfort/sob can be from GI or other causes. How can you diagnose angina clinically. Would angina symptoms only during exertion?

Chest pain. Typical angina pectoris is a squeezing sensation in the chest brought on by exericse, excitement or other form of physical or psychologic stress. When the the typical type of pain happens at rest, we call that pre infarction angina. Read more...
Not always. Typical angina is brought on or made worse with exertion, but atypical angina also occurs, which am have no pattern. Gastrointestinal discomfort is usually either brought on, or relieved by food intake. Read more...
Stress test. You need a stress test if you are worried about angina, but it might be useful to try an antacid like Pepcid (famotidine) to see if it resolves. Also yes, if it happens only with exertion angina is more likely. Read more...

How do you diagnose microvascular angina?

Cardiac testing. Microvascular angina occurs when there is a reduction in blood flow to the heart unrelated to blockages in the large arteries that provide oxygen and nutrients to the heart itself. This is related to problems with smaller arteries within the muscle of the heart. It can cause the same sort of chest discomfort. It is most commonly seen in diabetics and hypertensives with thick heart muscle. Read more...
By Exclusion. It's generally a diagnosis of exclusion, when one can't find another reason for symptoms of angina. It would require a catheterization with coronary angiogram to exclude blockages in the larger coronary arteries on the surface of the heart. Also an echocardiogram might be done to exclude valvular heart disease. It's more common in women and treated usually with beta blockers such as metoprolol. Read more...