
Is Heart Catheterization Necessary For Ischemic Myocardial Damage?

Following answer to your queries...
Detailed Answer:
Hi and thank you for asking to HCM!
Yes heart catheterization (coronary angiography) is the proper protocol in your case. Based on the data you provided there is a strong evidence of ischemic myocardial damage (abnormal myocardial segment movement or hypokinesias).
So I recommend running coronary angiography in order to determine the cause of myocardial ischemia. In most of the cases ischemia is due to atherosclerosis plaques which are best seen on angiography. Moreover angiography will also determine the proper way of treating atherosclerotic plaque (coronary stenting or bypass surgery).
Hope this answer all your queries!
Dr. Benard
p.s: If you have more queries about your disease don't hesitate to ask me again.


Rare cases for false results...
Detailed Answer:
Hi back,
As mentioned earlier, based on medical data you provided, there is a strong evidence for ischemic myocardial damage (abnormal myocardial segment movement/hypokinesis). The most common cause is atherosclerotic plaque.
In rare cases, this might be caused due to coronary spasms. It rarely occurs to have false positive results.
Unfortunately angiography is the golden standard test in these cases (in order to determine the exact cause).
All the best!
Dr.Benard

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