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For diagnosing ischaemic heart disease the doctors perform a series of tests depending whether the disease is with angina (symptomatic) or without-silent ischemia.

Angina attacks associated with risk factors for heart disease influence the doctor to diagnose a blockage in the coronary arteries very quickly. On the contrary, the diagnosis of silent ischemia is more difficult to establish. For people with silent ischemia who don’t show any obvious symptoms, if they are men with age over 40 years or women over 50, or if they have jobs related to public safety it is recommended they should start an adequate exercise program.

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There are several causes for the development of Ischaemic heart disease. Among them we can count: diabetes, cholesterol level, smoking, obesity, hypertension (high blood pressure), emotional stress, high-fat diet, lack of exercise, abnormal heart valve function, abnormal heart rhythm, genetic and hereditary factors (Ischaemic heart disease runs in the family). Some heart diseases such as congenital heart disease are present at birth.

For example people with a high blood level of cholesterol are inclined to develop ischemia. Males are more exposed to ischaemic heart disease, but women after the menopause are as exposed as men are.

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