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How to Diagnose Coronary Heart Disease

The first step in the management of Coronary Heart Disease (CHD) is the designation of a definite diagnosis. Correct diagnosis is important, because if a diagnosis of CHD has been made, in which are likely to have the sense that people will be able to experience cardiac infarction or sudden death. Diagnosis is wrong always have bad consequences on quality of life of patients ..


In addition, their opportunities for employment, may be reduced. If this happens to older people, then they probably should have retired too early, to be repeatedly hospitalized to eat excessively or drugs of potential toxins for a long time. On the other hand, fatal consequences can occur when the presence of CHD is unknown or if the presence of other cardiovascular diseases that cause angina pectoris missed and go undetected.

Diagnostic Method
      Here, the most important diagnostic methods of CHD, either currently existing or in the foreseeable future, will potentially have a major role. Physicians should choose whatever checks that need to be made to the patient to achieve the accuracy
maximum diagnostic risks and costs to a minimum. Stages of the evaluation conducted in patients with angina pain:

Diagnostic Steps
1 Anamnesis
2. physical examination
3. laboratory
4. Photos of the chest
5. Non-invasive cardiac examination
- Resting ECG
- Test of physical exercise (treadmill)
- A combination of physical exercise testing imaging:
- Physical exercise testing echocardiography (Stress Eko)
- Physical exercise testing Myocardial Perfusion Scintigraphy
- Physical exercise testing pharmacologic Combination Imaging Technique
- Echocardiography break
- Monitoring ECG ambulatoir
- Non-invasive technique of determining the classification of the coronary and coronary anatomy:
- Computed Tomography
- Magnetic Resonanse arteriography
6. Invasive testing to determine coronary anatomy
- Coronary arteriography
- Intra-vascular ultrasound (IVUS)

        Any patient with chest pain needs to be done a thorough anamnesis, the determination of risk factors, physical examination and ECG. In patients with mild symptoms of angina pectoris, fairly non-invasive examination. When patients with severe complaints and takes action and the possibility of revascularization, the action was an indication of angiography.
        On the dubious circumstances to do the treadmill test. The treadmill test is more sensitive and specific compared with resting ECG and a test of choice for detecting patients with angina pectoris and the possibility of this examination the ingredients are easy and affordable cost. In certain circumstances, it is difficult to interpret the results of the treadmill as in patients with resting ECG abnormalities, among others.: LBBB, repolarization abnormalities, LVH and so on.
          Another alternative tests, which can be done is to echocardiography and non-invasive technique of determining coronary calcification and coronary anatomy, Computed Tomography, Magnetic Resonanse arteriography, the sensitivity and specificity is higher. In addition the test is also suitable for patients who can not do excercise, where the exercise test can be done by using drugs dipyridamole or dobutamine




Evaluate Algorithm of Patient with Angina




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11 comments:

  1. waaww .. anak kedokteran harus berkunjung kemari nih. kalo saya, kliyeng-kliyeng bacanya :D

    ReplyDelete
    Replies
    1. hohohoho gak harus kedokteran; perdukunan dan kindergarten alias TK juga seharsnya bekunjung

      Delete
  2. Informasi kesehatan yang sangat bermanfaat untuk saya yang haus akan ilmu kesehatan. :D

    ReplyDelete
    Replies
    1. benara wahai kawanku obat stroke, seringlah mampir kesini :)

      Delete
  3. jantung koroner, penyakit pembunuh no 1 di dunia sudah semestinya selalu kita waspadai ya..

    ReplyDelete
    Replies
    1. betul wahai mamai Zidane. bahkan bersaingan dengan Dong Fang BU Bai, pendekar Pembunuh nomer 1 di dunia persilatan. sering mampir ya Mami Zidane. :)

      Delete
  4. jangan sampai kita terkena penyakit ini

    ReplyDelete
  5. Mbah Dukun Bagong sudah sangat terkenal diTulungagung,saya baru tahu kalau beliau punya Blog yang keren juga, ternyata beliau juga seorang blogger diKota Marmer ini,Salam Kenal Mbah Bagong...dari Tonggo dewe Tukang Marmer tulungagung

    ReplyDelete
    Replies
    1. terima kasih kang, apa ada halal bihalal blogger TA?

      Delete

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