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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Opt Angiography Or Stress Thallium Test For Mother S Treatment?

Sir, my mother is 68 yrs old. She sweats very much as goes for a walk. I consulted Dr. he after getting report of Echo suggested for Angiography but as my mother is not prepared for Angiography then Dr. advised for Stress thallium test unwillingly. Will you guide me which option should i opt for her treatment?
Wed, 29 Jul 2015
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Cardiologist,  's  Response
Hi friend
Welcome to Health Care Magic

Coronary arteriography is invasive but it is the gold standard. It is the only way to directly ‘see’ Anatomy – the block, if any, its location, extent, severity and so on.
CT ANGIO IS NON-INVASIVE study for the anatomy. If positive, she will need catheterisation, anyway

TMT with thallium isotope, is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.

To summarise - if not willing, go for TMT / if suggestive do CT angio / If suggestive, she WILL NEED angio

Good luck
God bless
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Should I Opt Angiography Or Stress Thallium Test For Mother S Treatment?

Hi friend Welcome to Health Care Magic Coronary arteriography is invasive but it is the gold standard. It is the only way to directly ‘see’ Anatomy – the block, if any, its location, extent, severity and so on. CT ANGIO IS NON-INVASIVE study for the anatomy. If positive, she will need catheterisation, anyway TMT with thallium isotope, is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. To summarise - if not willing, go for TMT / if suggestive do CT angio / If suggestive, she WILL NEED angio Good luck God bless