Coronary heart disease with palpitations: What tests should be done?
Disease description:
My good friend has coronary heart disease, and she has been experiencing severe palpitations recently. She asked me to accompany her to the hospital for an examination. I would like to learn what tests are needed for palpitations related to coronary heart disease?
Doctor's answer (1)
Dr. Tian Hongbo
Coronary heart disease, the full name being coronary artery disease, is a type of heart disease caused by insufficient blood supply from the coronary arteries, leading to myocardial ischemia or infarction. Patients often experience symptoms such as chest pain, chest tightness, and palpitations. When patients present with palpitations, doctors may recommend the following tests:
1. Electrocardiogram (ECG): An ECG is one of the basic tests for diagnosing coronary heart disease. It records the electrical activity of the heart and helps doctors determine whether there is myocardial ischemia or arrhythmia.
2. Coronary CT: Coronary CT is a non-invasive imaging test that clearly shows the morphology and degree of narrowing of the coronary arteries, aiding in the diagnosis of coronary heart disease.
3. Exercise treadmill stress ECG: This test involves monitoring the patient's ECG during physical activity to assess the heart's response under stress conditions, helping to detect potential myocardial ischemia.
4. Coronary angiography: This procedure involves inserting a catheter into a blood vessel, injecting contrast dye, and performing X-ray imaging to directly observe the degree and location of narrowing in the coronary arteries.
