BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 典型心绞痛症状
  • 不典型心绞痛症状
  • 低风险的不稳定型心绞痛的症状
全部具体信息

其他诊断因素

  • 加重因素
  • 非心绞痛胸痛
  • 加重因素
  • 非心绞痛胸痛
全部具体信息

危险因素

  • 老年
  • 吸烟
  • 高血压
  • 低密度脂蛋白胆固醇升高
全部具体信息

诊断性检查

首要检查

  • 静息心电图 (ECG)
  • 血红蛋白
  • 空腹血脂检查
  • 空腹血糖和 HbA1c (糖化血红蛋白)
全部具体信息

需要考虑的检查

  • 甲状腺刺激激素
  • 非成像的运动心电图负荷试验
  • 负荷单光子发射型计算机断层显像 (SPECT)、负荷超声心动图、负荷心脏磁共振成像 (CMR)、负荷正电子发射计算机断层显像 (PET)
  • 心脏计算机断层扫描血管造影 (CCTA)
全部具体信息

新兴检查

  • 冠状动脉钙化 (CAC) 积分
  • 血流储备分数 (FFR)-CT 和 FFR-MRI
全部具体信息

治疗流程

疾病持续状态

所有患者

贡献者

作者 查看所有

General Medicine Service

Veterans Affairs (VA) Puget Sound Health Care System

Assistant Professor

University of Washington

Seattle

WA

利益冲突披露
DB declares that he has no competing interests.

Dr Douglas Berger would like to gratefully acknowledge Dr Stephan D. Fihn, Dr Karen E. Segerson, Dr Mark C. Zaros, Dr Joy Bucher, and Dr Steven M. Bradley, previous contributors to this topic. SDF, KES, MCZ, JB, and SMB declare that they have no competing interests.

同行评议专家 查看所有

Associate Professor

University of Texas MD Anderson Cancer Center

Department of Cardiology

Houston

TX

利益冲突披露
SWY declares that he has no competing interests.

Associate Professor of Pediatrics

Medical Director

Pediatric Cardiothoracic Intensive Care Unit

University of Michigan Congenital Heart Center

C.S. Mott Children's Hospital

Ann Arbor

MI

利益冲突披露
JRC declares that he has no competing interests.

Fellow

Albert Einstein College of Medicine

Montefiore Medical Center

Bronx

NY

利益冲突披露
MAS declares that he has no competing interests.

Associate Professor of Medicine

Division of Cardiology

Johns Hopkins Medical Institutions

Baltimore

MD

利益冲突披露
KW declares that she has no competing interests.

Professor of Cardiovascular Medicine

Director of Clinical Research

Vanderbilt University

Nashville

TN

利益冲突披露
DL declares that he has no competing interests.

Director

Section of Transcatheter Treatment of Congenital Heart Disease in the Adult

Rovigo General Hospital

Rovigo

Italy

利益冲突披露
GR declares that he has no competing interests.

使用此内容应接受我们的免责声明。