HomeAnswersCardiologyangiogramDiagnosed with inducible ischemia and recommended to do coronary angiogram. Is that mandatory?

I was suggested to get coronary angiogram for inducible ischemia. What is your suggestion?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At August 9, 2019
Reviewed AtJune 19, 2023

Patient's Query

Hello doctor,

I am a 34-year-old male. I have recently done a master health check-up. One of the key observations of the checkup was TMT (stress test) is borderline positive for inducible ischemia. Upon consulting cardiologist and post-screening echo, he has suggested doing a coronary angiogram. Could you please assess the attached reports and provide a second opinion on the condition and the way forward. Kindly let me know if you need any further details on the same. Few pointers of the routine and habits. I do mild exercise. (Play badminton once in two weeks or one week). I do booze (beer) once in two weeks or once in a week. I do not smoke. But I used to smoke 10 years back. I eat non-vegetarian, once or twice in a week. No history of cardiac problems, nor in my family. No abnormal pain in the chest during TMT nor any time during physical activity. I get mild gastric pain once or twice in a week. This started about one to two weeks ago, probably due to outside food.

Hello,

Welcome to icliniq.com.

Although you do not have any symptoms, but your ECG (electrocardiogram) and TMT (treadmill test) shows changes. Your echo is also normal. But we cannot neglect your ECG changes which are striking. So it is better to undergo angiography and get it clarified. Also, sometimes such changes may be seen in hypertensive individuals, but you do not have such history. So, overall, in my opinion you should undergo coronary angiography to clear the picture. I hope this helps you and get back if you have any doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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