Angina Pectoris Diagnosis in Adults
Angina pectoris is not easy to diagnose because there are some diseases that have the same symptoms, such as gastric acid disease. In addition to performing physical tests and inquiring about the patient’s health history and family, the following tests will also be conducted:
- Blood pressure test using tensimeter to find out if the patient has hypertension.
- Measure the weight and size of the hip to check if there is an obesity tendency.
- Blood tests to monitor potential triggers, such as levels of cholesterol, glucose, C-reactive protein (CRP), and liver organ function.
- Urine test to check the kidney function of the patient.
The following advanced tests may be performed if additional diagnostic references are required:
- Electrocardiogram (EKG), to check the heart’s electrical flow and monitor if there is an interruption in the heart rhythm.
- Echocardiogram, the heart scan uses sound waves to identify damage to the heart muscle and stagnant blood flow.
- X-rays and CT scans. This scan is done to check the condition of muscles, blood vessels and heart size, and lungs.
- Advanced blood test, to check if there is a leak of cardiac enzyme in the blood.
- Sports tolerance test (ETT), to monitor cardiac tolerance when exercising mild to severe. This test is generally done on a treadmill or a static bike.
- Myocardial perfusion scintigraphy (MPS), to check blood flow to the heart muscle during exercise and during rest, by injecting radioactive substances in the blood vessels and monitored using a special scanning device. MPS in patients who are not able to exercise, can be done by using drugs that can improve the work of the heart as while on the move.
- Coronary angiogram, to check the condition of heart arteries by injecting a dye (contrast material) specifically and monitored by inserting a thin, flexible hose (catheter) through a large blood vessel in the groin or arm to the heart chamber. Although rare, these tests are at risk of complications such as heart attacks and strokes. Doctors will usually recommend this test if the diagnosis of angina has not been found or the patient has unstable angina.