Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Series: Atlas of Investigation and Management
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Angina is most commonly associated with myocardial ischemia, but
may also be symptomatic of valvular heart disease, hypertrophic
cardiomyopathy or uncontrolled high blood pressure. While chronic
or stable angina is predictable and relatively easy to manage, it
is the sudden and unexpected onset of symptoms in patients with
unstable angina that represents the most significant challenge to
the clinician, being a risk indicator for acute MI, severe cardiac
arrhythmia or even cardiac arrest. Since chest pain can also
indicate a number of other less critical conditions, it is
important that the clinician can rapidly and accurately determine
the true risk status of the patient in each case. In this atlas,
the authors guide the reader through the assessment of the patient
with chest pain, beginning with the simple physical examination and
evaluation of other risk factors that may be present, progressing
to non-invasive tests such as EKG and various imaging techniques,
and concluding with coronary angiography. The diagnostic value of
each of these techniques is compared and appropriate guidance given
on evaluating clinical findings.
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