Does my mother need angiogram based on the ECG reports?

Hello,

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Firstly, you take a pic of ECG and upload. Whatever you have mentioned is machine generated report and frequently inaccurate. This is not suitable for opinion. However, from the mentioned report (attachment removed to protect patient identity), it appears that ECG has changes. However these changes may be due to hypertension alone. So she should get echo done, which will clarify the need for angiography. Next thing, if echo is abnormal and suggesting blockages then she will need angiography. If it is normal then she should get stress thallium done, which is a noninvasive test for blockages, to rule out the possibility of blockages. So overall, upload the ECG and get an echo done if not done.

Hello,

Welcome back to icliniq.com.

You have not uploaded the ECG. Anyway, I have seen ECG interpretation by your doctor on case summary. So according to me, getting an angiography done is not a bad option but it is not absolutely necessary because there is a strong possibility that the ECG changes are due to hypertension or hypertrophic cardiomyopathy. But, we should also rule out possibility of blockages. So stress test like stress thallium or CT coronary angiography should be done, which will help to asses blockages. Continue medicines prescribed till diagnosis is confirmed. Another thing, the diagnosis mentioned on echo (attachment removed to protect patient identity) is hypertrophic cardiomyopathy which is a different spectrum of disease, which is usually not worrisome. For that, should visit a higher center to confirm the diagnosis and management. So visit nearby tertiary centre.