Exams and Tests
Chest pain can occur for a variety of reasons, some that are serious and some that are harmless. Separating angina from other causes of chest pain is not always easy.
Your health care professional should take a thorough history and physical exam
. He or she should ask you about the quality of the pain in your chest. Where is it located? Are there any associated symptoms? When does it occur? How long does it last? What makes it better or worse?
An electrocardiogram (ECG)
, which shows how fast or evenly the heart is beating, may be done to look for signs of past heart attacks or decreased blood flow to the heart muscle, called ischemia. It also helps to determine what type of stress test you may need.
If your health care professional is concerned that your chest pain may be caused by coronary artery disease
, he or she may order a stress test
with or without pictures. During a stress test, a clinician tries to challenge your heart to see if the supply of blood to your heart muscle is enough to meet the demands of increased activity. A stress test can tell us if there are further signs of decreased blood flow to the heart muscle. The pictures can tell us if parts of your heart muscle do not get enough blood flow.
Other tests, such as coronary calcium score
and coronary computed tomography
, can look for atherosclerosis (plaque buildup) or narrowing of the coronary arteries. Sometime a stress cardiac MRI
can be used to assess blood flow to the heart.
Published: August 2017
Editorial Team Lead: Susan A. Matulevicius, MD, FACC
Medical Contributors and Reviewers: Ashish Aneja, MBBS, FACC; Nkechinyere Ijioma, MBBS, FACC; Antoine T. Jenkins, PHARMD; Nisha Jhalani, MD, FACC; Ion S. Jovin, MD, FACC; Ajay J. Kirtane, MD, FACC; Dorothy L. Murphy, NP, AACC