Is angiography a must in case of cough and fast breathing?

Question

Hi doctor,

My mother is 62 years old. She is under regular medicine for BP. For five years she has been taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from a prolonged cough and fast breathing after long walks and climbing stairs. I am attaching her recent ECG, echo, and x-ray reports. Please suggest whether she needs angiography as a further investigation. Her doctor advised Ecosprin 150 and GTN 2.6, which she has been taking since yesterday.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Your mother is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain-like symptoms on exertion or at rest? If no then no need for GTN (Nitroglycerine). Check her cholesterol and also check whether she is diabetic or not.

Current reports are not suggestive of an angiogram. Do a TMT (treadmill test) if possible. If the breathing symptoms are more then can go for an angiogram. Better continue with previous medicines and take tablet Ecosprin AV (Aspirin and Atorvastatin) 75 once daily.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.