Cardiac Syndrome X often is a diagnosis of exclusion where the presence of typical chest pains is not accompanied by coronary artery narrowings on angiography. In considering Syndrome-X, it is important to understand that about 80% of chest pains have nothing to do with the heart. Therefore, the characteristics of typical chest pains must be carefully documented to avoid unnecessary labeling patients with heart disease:
- Chest pain or Angina with physical stress; the pain may spread to the left arm or the neck, back, throat, or jaw. There might be present a numbness (paresthesia) or a loss of feeling in the arms, shoulders, or wrists.
- Coronary angiography demonstrates “normal” coronary arteries, i. e. no blockages or stenoses can be detected in the larger epicardial vessels.
- No inducible coronary artery spasm present during cardiac catheterization.
- Characteristic ischemic ECG changes during exercise testing.
- ST segment depression and angina in the presence of left ventricular wall perfusion abnormalities during thallium or other stress perfusion test.
- Consistent response to sublingual nitrates.
- Postmenopausal or menopausal status.
The diagnosis of “Cardiac Syndrome X” - the rare coronary artery disease that is more common in women, as mentioned, an “exclusion” diagnosis. Therefore, usually the same tests are used as in any patient with the suspicion of coronary artery disease:
- Baseline ECG
- Exercise ECG – Stress test
- Exercise radioisotope test (nuclear stress test, myocardial scintigraphy).
- Echocardiography (including stress echocardiography).
- Coronary angiography.
- Intravascular ultrasound.
- MRI scan.
Allow me to stop there for a moment to give a review on this yet another superb EKG device from the Cardioline brand: Cardioline Delta 1 Plus Single Channel EKG. Also being listed in the EKGShop.com website, Cardioline Delta 1 Plus Single Channel EKG is regarded as one of the recommended EKG Machines available in the market today as being used by most doctors and medical hospitals or clinics.
The Cardioline Delta 1 Plus Single Channel EKG is a digital portable electrocardiograph (ECG) that offers simultaneous and real time acquisition of the 12 ECG leads.
This said EKG Machine has up to $30 reimbursement per test. It pays for itself after 30 tests. This ECG Machine has an easy one touch automatic operation.
Aside from the abovementioned specs, this EKG also includes these features: advanced linear phase digital filters to eliminate interference without altering ECG morphology, high definition digital thermal printer, no stylus, no moving parts for more precise and reliable tracings, dual power supply, AC and internal rechargeable battery, you can reprint the last ECG with different recording parameters (increase the muscle filter or change the amplitude).
Moreover, if you buy EKG on the website (http://www.ekgshop.com/Product/Delta-1-Plus-Single-Channel-EKG.html), they offer a 3-year manufacturers warranty. You can also avail for a 1 year extended warranty which is available for $ 199 only. Extended warranty plans available including free loaners and our exclusive Rapid Response Service.
For more info regarding this brand, you may visit the link below:
http://www.ekgshop.com/Product/Delta-1-Plus-Single-Channel-EKG.html
No comments:
Post a Comment