When should one repeat an angiogram for chest pain?

Hi,

Welcome to icliniq.com.

You need to lower risk factors such as blood pressure, diabetes, and blood cholesterol levels. Do regular exercise. If you feel chest pain, have TMT (treadmill test) done. If there are high-risk features in it then do angiography. No need for angiography otherwise.

Hi,

Welcome back to icliniq.com.

Sir, indications for angiography are that if one has a heart attack, then immediate angiography plus revascularization should be done. Other indication is when one has chest pain, and non-invasive study is done such as stress myocardial perfusion scan, stress echocardiography or treadmill test, if on these tests there are high-risk features then angiography is indicated. Another indication is that if on the previous angiography, there is moderate vessel(s) blockage such as 40 to 60 percent and chest pain is controlled on medicines, then if after a year chest pain becomes out of control despite maximum medicines then repeat angiography is done to see if there is significant blockage and if there is need for angioplasty or bypass. Once angiography is clear, no need to routinely repeat it. Any chest pain is not an indication for angiography.