Can angiography be done with a heart pumping at only 28 percent?

Question

Hi doctor,

My father is 58 years old. He got a second attack, and his heart is pumping at 28 percent. Now, one of the doctors says that for a month, he cannot perform angiography. The other doctor said that it was the right time for the test. He cannot get better than this point. Now we just want to know what we should do.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I went through the echo report of your father (attachment removed for patient identity protection), and it shows the cardiac chamber affected by the attack as thin and akinetic. I doubt whether an angiogram will be useful at all; it is better to do a myocardial viability study to see how the affected segments respond to stress. Only if there is significant viability present should you go ahead with the angiogram.

Thank you.