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Ischaemic heart disease may be present with any of the following problems:

1.Heart failure (difficulty in breathing or swelling of the extremities due to weakness of the heart muscle).
2.Acute chest pain: acute coronary syndrome, unstable angina or myocardial infarction (“heart attack”, severe chest pain unrelieved by rest associated with evidence of acute heart damage).
3.Angina pectoris (chest pain on exertion, in cold weather or emotional situations).

The medical history distinguishes between various alternative causes for chest pain (such as dyspepsia, musculoskeletal pain, pulmonary embolism). As part of an assessment of the three main presentations of IHD, risk factors are addressed. These are the main causes of atherosclerosis (the disease process underlying IHD) age, male sex, hyperlipidaemia (high cholesterol and high fats in the blood), smoking, hypertension (high blood pressure), diabetes, and the family history.

Ischemic Heart Disease Signs and Symptoms

1.Paroxysmal
2.Cardiac arrhythmias
3.Peripheral oedema
4.Cardiomegaly
5.Orthopnoea
6.Exertional dyspnoea
7.Chest pain

It should be kept in mind that this disease of ischemic heart occurs, in particular, in the old age although notable exceptions are coming to the fore these days. Let’s talk of the general situation then. Remember that any human being due to aging undergo plaques that are built up in their arteries. This condition is known as arteriosclerosis and is basically a hardening of the arteries. The same situation can lead to blood clots that can cause a heart attack or stroke. In accordance with studies, hardening of the arteries and blockage of major arteries is one of the most important causes of death by disease in the United States.

It should be remembered as well that the effect of ischemic heart disease on each individual depends on an assortment of factors. What are they? They include age, genetics, diet and exercise habits, and smoking. All these indicate that certain lifestyle changes become exceedingly necessary and play a great role in the reduction of risk. Now let’s concentrate on the symptoms of this disease. Never forget that the knowledge of symptoms is of high importance and the acquaintance may admonish you in advance.

It’s already known that the ischemic heart disease is a disease perceived on patients with congestive heart failure on account of coronary artery disease. For that reason the common symptoms are irregular or rapid pulse, heart palpitations, cough, less or excessive urine output, difficulty in breathing while laying, leg swelling and weight gain thanks to heart failure, weakness or faintness, chest pain, feeling of “squeezing” in the chest, loss of consciousness. Have you got the picture? You have to be conscious of each of them. Nevertheless try to be more alert of some exclusive symptoms.

The first and foremost of them is heart palpitations. This symptom does occur when the heart’s rhythm becomes abnormal and the concerned patient feels as if his heart is beating very fast. Sometimes the patient may feel the heart has stopped. Be conscious of heart palpitations always.

Quite often, the first sign of Ischaemic Heart Disease may be the severe chest pain of Myocardial Infarction, which may be fatal. However, the warning symptoms occur in a large number of patients in the form of Angina Pectoris. The main symptom of Angina is pain over the central chest that may sometimes radiate down the left arm, to the jaw or to the back. The characteristic feature of the pain is that it is usually aggravated by exercise and relieved by rest, though variant forms may occur. The pain is also relieved by the use of nitrates kept under the tongue. The pain is usually described as a sense of compression or tightness in the middle of the chest, and may last for five to twenty minutes. The pain may be accompanied by sweating. The presence of anginal episodes is virtually diagnostic of IHD.

Other signs that can be observed on clinical examination is the presence of Tendon Xanthomas, thickening of the Achilles Tendon and Arcus Lipidus in young patients, all of which may indicate a hereditary Hyperlipdaemia. The patient should also be examined for anaemia, obesity, diabetes, thyroid and peripheral vascular disease.