Is CT angiography a better option than traditional angiography?

Question

Hello doctor,

My mother is 65 years old and has been diabetic for the last 15 to 20 years. During her last blood and urine tests, there were some issues with her lipid profile, in addition to her fasting and postprandial blood sugar levels. When the doctor performed an ECG, there were also some abnormalities noted. The doctor has now recommended a coronary angiography (CAG).

My concerns are as follows: Does the report clearly indicate any heart issues? She does not complain of chest pain. Should we get either an echocardiogram or a treadmill test (TMT) before the CAG? Considering her age and diabetes, which type of angiography would be more appropriate: CT angiography or traditional angiography? Is there any reason to be alarmed in this situation?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Your mother's test results show abnormalities, which is why the doctor has recommended a coronary angiography (CAG). The ECG indicates the ST segment flattening at V, suggesting ischemia (reduced blood supply), which can lead to a heart attack and may occur in patients without chest pain. The choice of angiography type should be made by the attending physician, who is in the best position to decide what is appropriate for her based on their experience. There is no need to panic, as this is primarily due to the long-term effects of diabetes.

I hope this helps.

Thank you.