Thanks for your health concerns. It is reasonable to manage obstructive chronic coronary artery
disease with medications, but not all the time we can take away symptoms completely; it seems that many of the medications she is taking could use an increased dose at the discretion of your senior cardiologist (I recommend talking to him to see if some can be increased) to try to control symptoms; if after 1.5 months of being on maximal medical therapy she is still having chest pain
symptoms, then an angioplasty
would give her better chances of making her pain free.
Dr Brenes-Salazar MD
Mayo Clinic MN