Ischemia (is-KE' me-ah) is a condition that occurs
when blood flow and oxygen are kept from a particular part of the
body. Cardiac ischemia is the name for this condition when the heart
is the body part targeted. Ischemic heart disease is a term that
covers heart issues caused by narrowing of the arteries. With arteries
narrowed, less blood and oxygen are able to reach the heart muscle.
This is also referred to as coronary artery disease and coronary
heart disease and may ultimately lead to heart attack.
Ischemia often causes chest pain or discomfort known
as angina pectoris (AN' jih-nah or an-JI' nah PEK' tor-is).
Estimates indicate that 3 to 4 million Americans
may have ischemic episodes and not even know. These people have
ischemia without pain or silent ischemia, and they may have a heart
attack with no prior warning.
People with angina also may have undiagnosed episodes of silent
ischemia. An exercise test or a 24-hour portable monitor of the
electrocardiogram (e-lek' tro-KAR' de-o-gram) (Holter monitor) are
two tests that are often used to diagnose this problem. Some other
tests may also be used.
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