Diagnosis of Coronary Heart Disease

Coronary heart disease (CHD) is typically diagnosed through a combination of medical history, physical exam, and various tests. The diagnosis usually begins with a review of the patient’s medical history, including any family history of heart disease, risk factors for CHD, and a history of symptoms. A physical exam may be conducted to assess the patient’s blood pressure, heart rate, and overall health.

Several tests can be used to diagnose CHD, including:

1. Electrocardiogram (ECG): An ECG is a test that measures the electrical activity of the heart. This test can identify any abnormalities in the heart’s rhythm or electrical activity.
2. Echocardiogram: An echocardiogram is a test that uses sound waves to create images of the heart. This test can identify any problems with the heart’s structure or function.
3. Stress test: A stress test involves exercising the heart to see how it responds. This test can identify any areas of the heart that are not receiving enough blood.
4. Blood tests: Blood tests can be used to measure cholesterol levels, blood sugar levels, and other factors that may increase the risk of CHD.
5. Coronary angiography: Coronary angiography is an invasive test that involves injecting dye into the arteries of the heart. This test can identify any blockages in the coronary arteries.

Once a diagnosis of CHD is made, the healthcare provider will determine the best course of treatment based on the severity of the disease and the patient’s overall health. Treatment options may include lifestyle changes, medication, and/or surgery.