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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Is Angiography Required For High BP And Shortness Of Breath?

Hi, may I answer your health queries right now ? Please type your query here... My brother is 55 yrs old. For the last 2 months, he is suffering from breatlessness when he walks 100 ft. Then he has to take rest for 5 mts and walk again. This has to be repeated every 100 ft. He has a little high BP now. He never had BP problem earlier. He is taking medicine for that.One cardiologist has advised him to go for angio.Is it necessary                                                                  
Tue, 12 Mar 2019
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Cardiologist 's  Response
Hello,

An exercise cardiac stress test would be a less invasive test to help investigate for possible coronary artery disease.

If this test results abnormal, you can proceed to cardiac angiography, which is a more invasive and expensive test.

I would also recommend checking the complete blood count for anemia and pulmonary function tests in order to exclude a lung disorder, which could mimic this clinical situation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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Cardiologist Dr. Ilir Sharka's  Response
Hi,

Regarding your concern, I would explain that his symptoms could be related to coronary artery disease or heart failure. A lung disorder or metabolic disorder can not be excluded either.

For this reason, I would recommend performing some tests:
- a chest X-ray study and pulmonary function tests
- complete blood count for anemia
- thyroid hormone levels for possible thyroid gland dysfunction
- a resting ECG and cardiac ultrasound.

An exercise cardiac stress test would help investigate for possible coronary artery disease, before deciding to go for the angiography.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka,
Cardiologist
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Is Angiography Required For High BP And Shortness Of Breath?

Hello, An exercise cardiac stress test would be a less invasive test to help investigate for possible coronary artery disease. If this test results abnormal, you can proceed to cardiac angiography, which is a more invasive and expensive test. I would also recommend checking the complete blood count for anemia and pulmonary function tests in order to exclude a lung disorder, which could mimic this clinical situation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist