In diagnosing the Angina, most doctors will begin by asking about the symptoms experienced by the patient. In addition, the doctor will also ask if the patient has a family of heart disease or likes to do habits that can trigger the condition, such as eating fatty foods, smoking, or drinking hard.
To further strengthen the diagnosis, some simple checks can also be performed by doctors, including weight measurement, blood pressure measurement, and blood tests to determine levels of sugar, cholesterol, and kidney function. In addition to blood tests, kidney function can also be known through a urine test. Kidney-related conditions are important to detect because there are some sitting wind medications that should not be used by people with kidney disease.
In addition, here are further checks to confirm the diagnosis of Angina:
- Electrocardiogram (EKG). Through this test the electrical activity and heart rhythm are recorded with the help of electrodes connected to a special machine. From this recorded heartbeat pattern, doctors can see whether the patient’s blood flow has decreased or disrupted. In addition to the Angina, the electrocardiogram can also detect whether the patient has a heart attack.
- Echocardiogram. This test aims to identify problems associated with the sitting wind, such as the presence of heart muscle damage due to disruption of blood flow or the insufficient part of the heart to get blood supply. This identification is derived from an image generated through sound waves.
- Exercise Tolerance Test. This test aims to measure the heart’s resistance when we do physical activity before the symptoms of Angina appear. Physical activity can be a sport with a treadmill performed in the room. Cardiac endurance tests will be combined with an electrocardiogram to help doctors read the heart rhythm.
- Heart scintigraphy. This test can be done if the results of electrocardiogram readings are still doubtful. In a heart skintigraphy test, a special dye fluid will be injected into the blood vessels. These dyes will flow into the heart and are monitored using a gamma camera to see if the flow is interrupted.
- Angiography of coronary arteries. This test is done by using a special tool in the form of a thin tube inserted into a blood vessel. The goal is to find out whether the blood vessel is blocked and how severe the blockage is. Cardiac angiography is performed if the diagnosis of Angina can not be done in any way or if symptoms persist despite being treated. This test poses the risk of complications such as heart attack or stroke. Therefore, this procedure is only done if absolutely necessary.
- Blood test. Doctors will examine the presence of cardiac enzymes in the blood as a reference to the occurrence of damage to heart organ from heart attack.
- X-ray chest (rontgen). This method of examination is sometimes used by doctors to see if the symptoms are felt related to conditions other than the wind sitting. In addition, tests that produce images of heart and lungs are used by doctors to see the enlargement of the heart.
- CT heart scan. This examination aims to determine the presence and extent of severe constriction of the heart vessels and whether there is an enlarged heart that is not too visible from the results of X-Ray chest. A CT scan of the heart is performed with the help of a special tubular machine equipped with X-rays. From this examination will be obtained a picture of the patient’s heart condition in detail