Diagnosis is usually made on clinical history. Patients with stable angina present with:
Episodic central-crushing or band like chest pain that may radiate to jaw/ neck or one/both arms. Pain in the arm/ neck may be the only symptom. It is important to ask about the frequency, severity, duration and timings of the pain.
Precipitating/ Relieving Factors:
Angina pain is usually precipitated by exertion, cold, emotion, and/or heavy meals. Pain stops with rest or using glyceral trinitrate.
May be associated with palpitations, sweating, nausea and /or breathlessness during attacks.
Presence of risk factors:
Patients who suffer from angina have certain risk factors like smoking, family history of cardiac disease, history of other vascular disease.
There are usually no physical signs although anemia may exacerbate symptoms. It is important to check BMI and BP. Look for murmurs especially ejection systolic murmur of aortic stenosis and any evidence of peripheral vascular disease and carotid bruits ( esp in diabetes).