Is CT angiography better than traditional angiography?

Question

Hello doctor,

My father is 63 years old and had an angioplasty four years ago. For the past few days, he has been complaining of shortness of breath. I took him to a cardiologist, who measured his blood pressure and recommended admitting my father. The doctor stated that the previous angioplasty was ineffective and that he would perform an angiography again, and, if necessary, another angioplasty. To seek a second opinion, I consulted another cardiologist. He advised us to do an X-ray, ECG (electrocardiogram), and echocardiogram. According to his assessment, there is no need for another operation, and my father's current condition can be managed with medication alone.

Now, I am really confused and would appreciate your guidance on whether any further procedures are necessary. I have attached copies of the latest prescription, ECG, echocardiogram, and documents related to the previous angioplasty.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

After reviewing his case scenario and the reports(attachments removed to protect the patient’s identity), I would initially suggest continuing with medical management. If this approach fails and he remains symptomatic, I would recommend a CT (computed tomography) angiography instead of traditional invasive angiography. CT angiography is non-invasive; it only requires an IV (intravenous) cannula and does not necessitate admission for the procedure. Based on the available reports, we can discuss the need for angioplasty if necessary.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

No specific treatment is required for valve leakage, as it is a part of cardiac issues. The prescribed medications are appropriate, and since he is showing improvement with them, you can wait before considering angiography.

I hope this helps.

Thank you.