Emotional coloration - anxiety, fear of death, sometimes general excitement, trembling, sweating, redness or paleness, shortness of breath, arrhythmias, increased blood pressure.
In the figurative expression of D.D. Pletneva - with angina pectoris, two realities - "Pain and death"
In some cases, you can find signs characteristic of atherosclerosis, in general, other changes in the heart.
In addition to complaints, instrumental methods and functional tests are the most evidential. The most widely used is ECG diagnostics. However, even in individuals with severe angina pectoris, there may be no changes on an ECG recorded at rest outside of an attack. But they will always be found during an attack or during physical exertion.
I Step - test - a technique standardized for functional loading (Master's test) using two steps, each 22.5 cm high. The number of stairs is determined according to the table, taking into account gender, age, body weight within 1.5 - 3 minutes
II Bicycle ergometry - more accurate IIITreadmill - treadmill
IV - Teleelectrocardiography - recording of an ECG at a distance with a transmitter mounted on a belt.
Terms:
-at least 2 hours after eating
-do not smoke or drink on the day of the study take medications - antianginal, cardiac glycosides.
Criteria for positive functional loading:
1.Development of an angina attack
2.The appearance of severe shortness of breath
3.Decrease in blood pressure by 25 - 30% 4.Reduction of the ST segment by 1 mm or more
5.The rise of the ST segment by 1 mm and boe.
24-hour Holter ECG monitoring:
Daily activity recording in V2 - V5 from a portable monitor. The patient keeps a diary, noting the condition.
Medication tests with curantile:
The phenomenon of intercoronary robbery with ergometrine with izadrin, nitroglycerin.