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

Is It Required To Have Angiography For A Past Pain In Chest?

I am a dibetic since last 20 years at present say on 17.6.11 the fasting was 87 and after food it was 135 .the bp was 80/140 due to pain in my chest and uneasiness i was hospitalised i was put on tmt test on 26.6.11 and it was positive i have been asked to go for anjiography at present i dont have pain or heviness etc should i go for the anjiography if so what is your opinion the ecg xray and blood report are normal
Wed, 16 Jul 2014
Report Abuse
Internal Medicine Specialist,  's  Response
Thank you for the query.
I would like to enquire about your age and gender and whether you suffer from any other associated comorbidities (apart from diabetes and hypertension) like thyroid dysfunction and dyslipidemia.
You have been diabetic for a long term (approx 20 yrs), and though it seems to be well controlled (as per reports on 17.6.11), coronary artery disease is a very common macrovascular complication of long term diabetes. You have a history of probable stable angina and tested positive on TMT (26.6.11). A coronary angiography (CAG), shall reveal the exact status of your coronary arteries (blood vessels supplying the heart muscles). If there is no stenosis, one can continue with medications and conservative management. However, in case a significant stenosis is detected, a stent (or in multivessel disease- surgery) may be needed, to prevent further complications. CAG is a minor procedure done in the cardiac cath-lab and associated with minimal complications.
You need to get some investigations done recently (the information you have provided are almost 3 yrs old). If you have not done yet, it is advisable to get your lipid profile checked. Also a recent record of your blood sugar is needed. A 12 lead ECG, usually reveals coronary abnormalities, but may not do so always. I presume that you have already undergone an echocardiography.
Since, you have two risk factors (diabetes mellitus and hypertension) and a history of a probable cardiac event, angiography may be done in your case.
Please do consult your cardiologist for a plan of management. You may need to start on certain medications.
Hope this helps you out.
I find this answer helpful
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
 

Recent questions on Electrocardiography


Loading Online Doctors....
Is It Required To Have Angiography For A Past Pain In Chest?

Thank you for the query. I would like to enquire about your age and gender and whether you suffer from any other associated comorbidities (apart from diabetes and hypertension) like thyroid dysfunction and dyslipidemia. You have been diabetic for a long term (approx 20 yrs), and though it seems to be well controlled (as per reports on 17.6.11), coronary artery disease is a very common macrovascular complication of long term diabetes. You have a history of probable stable angina and tested positive on TMT (26.6.11). A coronary angiography (CAG), shall reveal the exact status of your coronary arteries (blood vessels supplying the heart muscles). If there is no stenosis, one can continue with medications and conservative management. However, in case a significant stenosis is detected, a stent (or in multivessel disease- surgery) may be needed, to prevent further complications. CAG is a minor procedure done in the cardiac cath-lab and associated with minimal complications. You need to get some investigations done recently (the information you have provided are almost 3 yrs old). If you have not done yet, it is advisable to get your lipid profile checked. Also a recent record of your blood sugar is needed. A 12 lead ECG, usually reveals coronary abnormalities, but may not do so always. I presume that you have already undergone an echocardiography. Since, you have two risk factors (diabetes mellitus and hypertension) and a history of a probable cardiac event, angiography may be done in your case. Please do consult your cardiologist for a plan of management. You may need to start on certain medications. Hope this helps you out.