General Cardiovascular

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Cardiovascular - General

Diagnosis, Imaging, and Screening

NEWS:

Systolic And Diastolic Blood Pressures Together More Useful For Predicting Cardiovascular Risk “"Systolic blood pressure as a single blood pressure component is usually superior to diastolic blood pressure in predicting cardiovascular risk in middle-aged and older individuals," Franklin said. "But a very high or very low diastolic blood pressure can add to the risks identified by systolic blood pressure alone." “

Women With Hard To Diagnose Chest Pain Symptoms At Higher Risk For Cardiovascular Events “Many physicians are presented with the following scenario: a woman comes into the office complaining of chest pain, undergoes a stress test to evaluate the chest pain, and the stress test results suggest coronary artery disease, a condition in which plaque builds up inside the coronary arteries. She is then referred for an angiogram to look at the coronary arteries and despite her symptoms and the abnormal stress test, she is told that the tests didn't find anything of clinical significance and is sent home without treatment. … The physicians hypothesize that this difficult to diagnose chest pain could be caused by microvascular angina and endothelial dysfunction, affecting blood vessels in which the layers of the cells are not functioning properly and may be undetectable by standard testing. Researchers believe endothelial dysfunction to be the earliest stage of coronary artery disease. The study authors recommend that women with chest pain symptoms undergo initial testing for coronary artery disease. If there is no evidence of coronary artery disease, patients should undergo further assessment for endothelial dysfunction. If detected, patients should then undergo treatment to improve the dysfunction. Women with symptoms, but no presence of endothelial dysfunction, should work with physicians to aggressively modify certain risk factors for heart disease, such as smoking, weight control and cholesterol.”

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