Chest Pain / Angina Pectoris: Difference between revisions

Depending on the characteristics, chest pain can be identified as typical angina, atypical angina or non-cardiac chest pain, see Table 1.   

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! align="center" colspan="2" | Table 1. Clinical classification of chest pain <Cite>REFNAME17</Cite>

The classification of chest pain in combination with age and sex is helpful in estimating the pretest likelihood of angiographically significant coronary artery disease, see Table 2.  

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! align="left" colspan = "7" | Table 2. Pretest Probabilities of >=50% Diameter Stenotic Coronary Artery Disease in Patients with Chest Pain as Shown in the American College of Cardiology/American Association Guidelines for Management of Chronic Stable Angina <Cite>REFNAME20</Cite>

The severity of complaints can be classified according to the Canadian Cardiovascular Society as shown in Table 3

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! colspan="2" | Table 3. Classification of angina severity according to the Canadian Cardiovascular Society

The findings on stress testing can be used to determine the choice between medical therapy only or medical therapy and invasive assessment of the coronary anatomy in patients with stable angina. Coronary angiography is recommended based upon the severity of symptoms, likelihood of ischemic disease, and risk of the patient for subsequent complications including mortality based on risk scores. <Cite>REFNAME15</Cite> For the algorithm for the initial evaluation of patients with clinical symptoms of angina see Figure 1

   

==Coronoary Angiography==