Patient Diagnostic with Angina Pectoris(Diagnosa Pasien dengan Angina Pectoris-Patienten mit Angina pectoris-Diagnostik)

Angina is not a disease in its own right but is the name given to pain arising when the muscular wall of the heart becomes temporarily short of oxygen.
What are the symptoms?
The main symptom is pain in the centre of the chest. The pain can spread to the throat and upper jaw, he back and the arms (mainly the left one). It is a dull, heavy, constricting pain, which characteristically appears during exercise and fades when exercise stops. Less commonly , the pain may occur only In the arms, wrists or neck but you can recognize it as angina if you know that it arises whenever you are abnormally active or excited and disappears after the activity or excitement has stopped. It is often made worse by cold weather, walking into a wind or after a heavy meal. Additional symptoms that can often nausea and dizziness. There are, however, other causes of central chest pai, such as spasm in the muscles of the esophagus, and tests may be needed to establish the diagnosis with certainly.

What test should be done?
After examining you, the doctor may take a blood specimen for tests to identify thyroid disorder,anemia or other possible causes of chest pain. It may be advisable to find the level of lipids (fats) in your blood, I which case the blood must be taken in the morning before you have eaten, a urine test will determine whether or not you have diabetes (diabetics are more susceptible to heart disease).
There are numer of test that can be performed to get more information bout a patent’s angina. The first is a electrocardiogram (ECG). This is normally done whilst the patient is suffering from a chest pain.
There is also something called a stress test which is done while the patient walks on a treadmill so that it is possible to see how the heart is performing when the patient exercises.

Diagnostic test such as X-ray examination may be included. X-rays of the heart that is taken before and after exercise can show if an area of the heart is not getting enough blood. If this happens it may mean that arteries supplying blood to the heart are blocked . another test is cardiac catheterization. This is a test in which a long thin tube is inserted through the artery in an arm or a leg and then guided into the heart. Dye is then injected into the arteries around the heart is then x-rayed to see if any of the arteries are blocked.
In addition, both a CT scan and an MRI scan may occasionally be used to obtain clear pictures of the heart structure. Your doctor may arrange for some or most of these tests to be carried out , depending on his or her assessment of the probable severity of your coronary heart disease, your age and the type of treatment most likely to be suitable for you. However, in general , extensive testing is recommended only for patients who are willing to udergo surgery, if it should prove to be necessary.
Modern treatment for angina is very effective but the powerful drugs used have to be taken exactly as prescribed, and you may need to consult your doctor about upleasant side-effects they may produce, such as dizziness or lack of energy (EPN Publisher Jakarta)

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