coronary heart disease diagnosis

coronary heart disease diagnosis
It is not easy to diagnose CHD in women, the pain in the chest to develop more frequently than men. The chances for these chest pains progress to myocardial infarction are rare. In one study, half of women in coronary angiography, no significant coronary artery blockade. But, women with classical angina symptoms had 71 percent probability that diseased coronary arteries. Nearly 90 percent of women suffer from heart attack had chest pains since the first clinical presentation. This is similar to what men have. Nevertheless, women are more often symptoms such as breathlessness, fatigue, nausea, abdominal pain, or above.

Diagnosis of CHD in women is often a difficult task for physicians. Resting electrocardiogram (ECG) shows, often non-specific abnormalities in women, irrespective of whether there is underlying CHD. The conventional treadmill stress test also is not much help as a diagnostic tool for women. Non-invasive tests such as stress myocardial perfusion imaging and stress echocardiography, the sensitivity and specificity of the treadmill stress test in the female population.

Several reports have documented that women with CHD have a worse outcome than their male counterparts. Compared to men, women have a higher chance of complications following heart attack. This could be explained by:

- Older age of female CHD patients, usually 10 years older than male CHD patients.

- Increased risk of CO-morbid conditions such as high blood pressure, diabetes and heart failure.

- Differences in the size of the coronary arteries of men and women.

- A greater likelihood of urgent surgical or interventional procedure in women.

- Less aggressive approach generally adopted by physicians.

- Reduced risk of referral for cardiac rehabilitation after a cardiac event

Pharmacological therapy with ACE inhibitors, aspirin, beta-blockers, nitrates, and cholesterol-lowering medication was effective in men and women.

1987-A study has shown that men are 6.3 times more frequently than women, after coronary angiography, when the non-invasive tests were normal. Cardiac procedures such as PTCA (percutaneous transluminal coronary angiography) and bypass surgery at 15 to 27 percent more often in men than in women with the diagnosis of CHD.

Complications during PTCA were higher for female patients. A slightly worse operative mortality was also associated with the surgical treatment of women. After heart bypass surgery, women have a lower probability of being free from angina pectoris than men. Female CHD patients also have more experience and less disability return to work than the male patients. The proportion of long-term survival and re-operation, however, are similar.

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