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Stable Ischemic Heart Disease

 Syn. SIHD , Angina pectoris

Signs & Symptoms

 Pain gradual in onset
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]
Hypertension
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
Pain gradual in Offset
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]
Diabetes
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia] Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]

Physical Examination

 chest Discomfort localized with one finger (negative symptom)
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]
Hypertension
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
Pleuritic pain (negative symptom)
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]

Lab / Serology

 Elevated LDL
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
High diastolic blood pressure
Ref: Epocrates [ https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease/Risk-Factors]
Low HDL
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]

Imagin Study

 ST segment depression
Note: due to subendocardial ischemia
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]
Ulceration in the gastric mucosa (negative symptom)
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
Widened mediastinum
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]

Complication

Risk Factors

 Elder
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
Male
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]
Obesity
Ref: Epocrates [ Https://online.epocrates.com/diseases/14832/Stable-ischemic-heart-disease]

Cause

 Enhanced sympathetic activity
Note: cause raises heart rate, cause raises blood pressure, cause raises vessel tone, cause raises vessel resistance, cause promotes platelet aggregation
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]
Hyperviscosity
Ref: Uptodate [ Angina pectoris: Chest pain caused by myocardial ischemia]

Other