Chronic stable angina differential diagnosis

Revision as of 16:54, 15 July 2011 by Lakshmi Gopalakrishnan (talk | contribs) (New page: {{Chronic stable angina}} {{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}} ==Differentiating chronic stable angina from urgent conditions== Angina pectoris is a sign of [[coronary heart...)
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Chronic stable angina Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Differentiating chronic stable angina from urgent conditions

Angina pectoris is a sign of coronary heart disease.

If the chest discomfort occurs chronically this is called stable angina which is the topic of this chapter.

If the chest discomfort occurs at rest or in an accelerating pattern this is called an acute coronary syndrome which requires urgent evaluation, treatment and can present as either:

  • the chest pain lasts at least 10 minutes at rest, or
  • there are repeated episodes at rest lasting ≥5 minutes, or
  • an accelerating pattern of ischemic discomfort (episodes that are more frequent, severe, longer in duration, and precipitated by minimal exertion).

An open artery with insufficient blood flow to the heart but without irreversible damage is present.


  • the chest pain lasts at least 10 minutes at rest, or
  • there are repeated episodes at rest lasting ≥5 minutes, or
  • an accelerating pattern of ischemic discomfort (episodes that are more frequent, severe, longer in duration, and precipitated by minimal exertion).

An open or closed artery with insufficient blood flow to the heart with irreversible damage is present.


  • the chest pain lasts at least 10 minutes at rest, or
  • there are repeated episodes at rest lasting ≥5 minutes, or
  • an accelerating pattern of ischemic discomfort (episodes that are more frequent, severe, longer in duration, and precipitated by minimal exertion).

A closed artery with insufficient blood flow to the heart and irreversible damage is present.


Differential diagnosis of chest pain

You can read in greater detail about the classification of chest pain by clicking on the specific links below.

Overview | Chest pain characteristic of myocardial ischemia | Chest pain not characteristic of myocardial ischemia | Life threatening diseases to be excluded | Differential Diagnosis | History & Symptoms | Physical Examination | Lab Tests | Interpretation | Treatment

References


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