Is coronary angiography necessary for chronic stable angina?

Question

Hello doctor,

My mother is 56 years old and has hypertension, diabetes, and mild nephropathy. Her blood pressure is 140/80 mmHg, pulse is 96 beats per minute, creatinine is 1.3 mg/dL, fasting blood sugar is 125 mg/dL, and postprandial blood sugar is 157 mg/dL.

For the past few months, she has been experiencing chest pain, which her doctor diagnosed as chronic stable angina. She has undergone all other tests, including sodium, potassium, hemoglobin, urea, and uric acid, and those results are within normal ranges. Our family doctor has recommended an angiography. She is currently taking the following medications: Aciloc RD, Glimmy 2, Nexovas, Telmikaa 40, Febugood 40, Lipikind 10, and Glypten 20.

Could you advise on the next steps?

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on her kidney function test results, she is able to undergo coronary angiography. I agree with her doctor’s recommendation, as this procedure can help identify any potential coronary artery stenosis and allow for angioplasty if needed.

Another test that can help assess for coronary ischemia is the Dobutamine cardiac stress test. If this test is positive, the next step would be to proceed with coronary angiography.

I hope this helps you.

Thank you.