Dear patient,
Thanks for your health concerns. To address each one of the questions:
1) Inducible ischemia carries a higher risk of cardiovascular events, including
heart attack,
sudden cardiac death, thus it should be investigated further to see if there are blockages that correlate with her symptoms
2) An angiogram if required, is nowadays a routine procedure with 1/1000 risk of complications and 1/10000 risk of fatality, usually safe in experienced centers. It may prove valuable, as if there are severe blockages in the arteries they could be treated with catheters
3) Medications are nowadays also very effective for treating patients with
heart disease. She definitely should follow the prescription medications suggested by her cardiologist in the meantime
4) The elevation in blood pressure with exercise is a normal response; a proportion of patients do have "white coat"
high blood pressure, thus the current gold standard for diagnosis is an
ambulatory blood pressure monitor, that records BP during the patients usual activities.
Hope htis is helpful, wish you and your mother the best health,
Dr Brenes Salazar MD
Mayo Clinic MN
Cardiovascular Diseases