(1) Typical symptoms are angina pectoris or myocardial infarction.
(2) Pronounced myocardial ischemic signs revealed by ECGs during rest time; or positive result of ECG exercise test without other explanation in male aged above 40, or female above 45, asymptomatic CHD can be made if clinical symptoms are absent.
(3) In males aged above 40 and females above 45 with primary cardiac arrest that can be excluded from other diseases, CHD can be diagnosed. If the primary cardiac arrest cannot be excluded completely from other diseases, the diagnosis of asymptomatic CHD can be made.
(4) In males aged above 40 and females above 45, if heart failure with cardiac dilatation, dysfunction of papillary muscles and severe arrhythmia can not be explained by other reasons, the diagnosis of CttD can be made with reference to other risk factors such as hypertension, hyperlipidemia and diabetes.
(5) ECG is normal at rest, but the appearance of transient acute ischemic change of ST-T segment, or T wave turning erection from inversion, or transient abnormal q wave and ST-T segment elevation, and various kinds of intraventricular conductional disturbances during or after the attack may support the diagnosis. Furthermore, myocardial ischemia and arrhythmia revealed by ECG after exercise and food intake are helpful to the diagnosis.
(6) Acute myocardial infarction is often complicated with arrhythmia, cardiac insufficiency and shock, so dynamic ECG, peripheral WBC count, blood sedimentation rate and serum zymologic tests are helpful to further confirmation of diagnosis. Click to learn TCM Treatment Evaluation for Coronary Arteriosclerotic Cardiopathy.
