It is not easy to diagnose CHD in women who develop chest pain more often than men. The chances for these chest pains to progress to heart attack are rare. In one study, half of the women undergoing coronary angiography did not have significant heart artery blockage. But, women with classical angina symptoms had a 71 percent probability of having diseased coronary arteries. Nearly 90 percent of women suffering from heart attack had chest pains as the initial clinical presentation. This is similar to what men have experienced. Nevertheless, females are more likely to exhibit symptoms such as breathlessness, fatigue, nausea, or upper abdominal pain.
Diagnosis of CHD among women has often been a challenging task for doctors. Resting electrocardiogram (ECG) frequently shows non-specific abnormalities in women, regardless of whether there is underlying CHD. The conventional treadmill stress test also does not help much as a diagnosing tool for women. Non-invasive tests such as myocardial perfusion stress imaging and stress echocardiography may improve the sensitivity and specificity over the treadmill stress tests in the female population.