Principles of diagnsosis of ischemic heart disease. Mohammad Hashemi Interventional cardiologist Department of cardiology. Ischemic chest pain due to coronary artery disease (CAD).
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Department of cardiology
This is usually accomplished using clinical judgement, along with ECG testing, and less frequently exercise testing, other noninvasive testing, or invasive angiography.
The clinical evaluation is also useful to estimate the pretest probability of organic causes of chest pain prior to undergoing diagnostic tests (eg, stress ECG testing to detect CHD or d-dimer, CTa-angiography or lung perfusion scanning to detect pulmonary embolism).
The history typical chest pain is less useful in patients suspected of having an acute coronary syndrome (ACS)
Exercise ECG testing is the most commonly used noninvasive test because it is simple and inexpensive.