Signs suggestive of stable angina

The article was professionally consulted by Master, Doctor Ngo Dac Thanh Huy - Cardiologist - Department of Medical Examination & Internal Medicine, Vinmec Danang International General Hospital

Stable angina is the absence of unstable worsening of angina within the last few weeks. With stable angina, the clinical condition is usually stable, with brief angina occurring only on exercise, relieved at rest, and well responsive to nitrates. Stable angina is often associated with plaque stabilization.
Features of angina include:
Patient has retrosternal chest pain, onset with exertion or stress, pain relieved by rest or with nitrates. Stable, pre-existing pain, with no increase in frequency and duration or severity of pain. SEE ALSO: Distinguishing stable angina from unstable angina

Clinical signs suggestive of stable angina include:
Typical angina:
Location: Usually posterior to the sternum and localized, may radiate to the neck, shoulders, arms, jaw, epigastric and posterior. It is common to spread to the left shoulder and then to the inside of the left hand. Circumstances appear: Or appear when exertion, strong emotions, after a lot of meals or smoking. Duration of pain: Usually a few minutes, can be longer but not more than 30 minutes. Physical examination: Physical examination is less specific but very important, which can reveal risk factors or effects on the heart.

Electrocardiogram
The resting electrocardiogram is a screening test in coronary artery disease. EKG during pain can show T wave and ST segment changes (ST depression, negative T wave).
Exercise methods
Stress methods are applied in cardiology facilities, fully equipped and equipped:
-Stress electrocardiogram:
Assess the patient at high risk for coronary heart disease. Predicts safe levels of physical activity for patients (especially after myocardial infarction). The stress ECG also cannot predict the degree of coronary stenosis and does not accurately identify the ischemic myocardium. -Exercise echocardiography:
Is a valuable, simple probe that can predict the ischemic myocardium and the corresponding coronary artery location that has been damaged.
Radiometric method in measuring myocardial perfusion
-Regular echocardiography:
Search for regional movement disorders (if any). Helps assess heart function, comorbidities (heart valves, pericardium, myocardium...). -Holter electrocardiogram:
Can detect the time of day when ischemic heart disease occurs or detect silent ischemic heart disease. During coronary spasm, ST segment elevation can be seen. In addition, a number of other cardiac arrhythmias may be observed. Coronary angiography
Coronary angiography is only applied in medical facilities that implement interventional cardiology). The general indication for coronary angiography in patients with coronary insufficiency is for interventional purposes, if available.
In summary, stable angina is the absence of unstable worsening of angina during the last few weeks. The short pain occurs only with exertion, is relieved with rest, and is often related to the stabilization of the atherosclerotic plaques. For early detection of stable angina, it is necessary to rely on the subclinical signs and symptoms presented in the patient.
When seeing signs of angina, especially stable angina, the patient should see a doctor to find out the cause of the disease, from which reasonable intervention measures can be taken. Vinmec International General Hospital is the right choice for the examination and treatment of cardiovascular diseases, including angina.
Here, a team of qualified, experienced and well-trained doctors and nurses will examine, diagnose and advise patients with advanced and modern methods; with the support of modern technological equipment, ensuring the most accurate results.