The definitive diagnosis of coronary atherosclerotic heart disease is coronary angiography. Since this is an invasive test, it is not the clinically preferred test. Instead, it is a preliminary diagnosis based on the patient’s clinical symptoms, electrocardiogram, and markers of myocardial damage, and coronary angiography is considered to confirm the diagnosis when necessary.
1. Electrocardiogram (ECG): It can be used to determine whether there is myocardial ischemia and the location of myocardial ischemia by the difference in the morphology of the ECG in the resting state and during angina pectoris attack, and it can also be used to determine the prognosis of patients with ACS.
2. Myocardial damage marker: It has high value in the diagnosis of acute myocardial infarction and helps to determine the approximate time of infarction.
3. Coronary angiography: an invasive test that is the “gold standard” for the diagnosis of coronary artery disease and can visually detect the location of stenotic lesions and estimate the severity of the lesions.
If you are likely to suffer from coronary heart disease, it is recommended that you choose the appropriate test under the guidance of a professional doctor in a regular hospital and according to the doctor’s advice.