HomeAnswersCardiologyheart blockKindly explain my cardio report taken to assess the health of my heart.

Is coronary angiography required for minor blockage in arteries?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 27, 2021
Reviewed AtJuly 4, 2023

Patient's Query

Hello doctor,

Kindly explian my cardio reports.


Welcome to icliniq.com.

Your reports are overall fine (attachment removed to protect patient identity) with some age-related and nonsignificant changes. ECG (electrocardiography) is fine, and echo shows some minor leakages, which are fine to have in this age group. So no significant abnormalities. TMT (treadmill test) is also normal, and Doppler shows some changes, but again not significant. Normal TMT means there are no significant or severe blockages, but minor blockages (as seen on arterial lower limb doppler) might be there in heart arteries. So one should be on low dose medications to prevent worsening. So, in a nutshell, no significant abnormalities on the available cardiac test. I hope this helps.

Patient's Query

Thank you doctor,

Is CT coronary angiography required?


Welcome back to icliniq.com.

No, CT coronary angiography is not routinely indicated if TMT is negative. However, TMT cannot rule out the possibility of minor blockages, which CT coronary angiography can rule out. Such minor blockages require medication. So if risk factors like hypertension, dyslipidemia, family history of heart disease are there or even otherwise as preventive measures in elders, one should be on Aspirin and statin, if not contraindicated.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode


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