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Unstable Angina Pectoris - Unstable Angina


Diagnosis & Tests

How is the condition diagnosed?

The diagnosis of unstable angina begins with a careful history of the person's symptoms and a physical examination. Unstable angina is usually diagnosed when:

  • a person with stable angina has a sudden increase in the number or severity of episodes of chest pain over the previous days or weeks
  • a person without angina develops increasing episodes of chest pain or chest pain at rest
  • a person, who may or may not have had angina in the past, develops prolonged chest pain but does not show evidence of a heart attack
  • The healthcare provider may order several diagnostic tests, including:

  • an electrocardiogram, or ECG, which is a recording of the electrical activity of the heart. An ECG is usually normal when a person has no chest pain and often shows certain changes when pain develops.
  • a cardiac catheterization, which is an X-ray procedure that is used to look for narrowed coronary arteries. A contrast agent is injected so the doctor can watch blood flow through the heart and its arteries.
  • various blood tests

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