How To Diagnose Coronary Heart Disease

Coronary heart disease (CHD) is primarily caused by atherosclerosis in the coronary arteries, which leads to myocardial ischemia, angina pectoris, and potentially more severe conditions such as heart attacks or sudden cardiac death. Older adults are at a higher risk for developing CHD, especially those with a family history of hypertension, heart disease, or diabetes. If typical symptoms of angina occur within this demographic, it is crucial to consider the possibility of coronary heart disease.

Recognizing Common Symptoms

One of the hallmark signs of CHD is chest pain or discomfort, often described as a feeling of tightness or pressure in the chest area. This typically occurs during physical activity, emotional stress, or sudden weather changes. The discomfort may subside with rest, relaxation, or the use of nitroglycerin. Recognizing these patterns can be a key indicator in diagnosing coronary heart disease.

Diagnostic Procedures

If these symptoms are present, it's important to seek medical attention for proper diagnosis. A variety of diagnostic tools can be used, including electrocardiograms (ECG), stress tests, and coronary computed tomography angiography (CTA). These tests help identify issues such as arterial narrowing or plaque buildup in the coronary arteries.

Confirming Diagnosis With Coronary Angiography

Should the coronary CT scan reveal significant narrowing or plaque accumulation, a coronary angiography is typically recommended. This procedure is considered the gold standard for diagnosing coronary heart disease, as it provides the most accurate and detailed visualization of the coronary arteries.