HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Had Chest Pain, Undergone Angiogram Last Week. No BP, ECG And ECHO Normal. Suggest?

I am 40 years old. undergone angiogram last week. Doctor has advised me to angiogram. I had chest pain and admitted in hospital. I have no BP, ECG normal, 2D Echo normal. Tryglyserides 600 and HDL 23 in the last year. I have not undergone any test before angiogram. Is it correct to go for angiogram by the doctor. My father hypertension patient. My maternal uncle undergone by-pass surgery.
Thu, 12 Sep 2013
Report Abuse
Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

Angiogram is an investigation. The aim of any investigation is to modify the treatment, based on the result.
Usually, stress ECG is done in case of doubt... If the symptom is typical and if there are definite risk factors, angogram may be done directly, though it is not common.
     If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     If there is a suggestion, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. If positive, you will need catheterisation, anyway. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.

Take care     
Wishing speedy recovery
God bless
Good luck
I find this answer helpful

2 Doctors agree with this answer

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Cardiac electrophysiology


Loading Online Doctors....
Had Chest Pain, Undergone Angiogram Last Week. No BP, ECG And ECHO Normal. Suggest?

Hi friend, Welcome to Health Care Magic Angiogram is an investigation. The aim of any investigation is to modify the treatment, based on the result. Usually, stress ECG is done in case of doubt... If the symptom is typical and if there are definite risk factors, angogram may be done directly, though it is not common. If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If there is a suggestion, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. If positive, you will need catheterisation, anyway. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. Take care Wishing speedy recovery God bless Good luck