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Is coronary angiography required in chronic stable angina?

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

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. K. Shobana

Published At March 4, 2018
Reviewed AtJune 13, 2023

Patient's Query

Hello doctor,

My mom is 56 years old. She is a patient with hypertension, diabetes, and mild nephropathy. Her BP is 140/80 mmHg, pulse is 96 beats per minute, creatinine is 1.3 mg/dL, fasting sugar is 125 mg/dL, postprandial is 157 mg/dL. For a few months, my mother has been suffering from chest pain. The doctor said it is chronic stable angina. All other tests are done, like Na, K, hemoglobin, urea, and uric acid. The reports are quite fine. Our family doctor suggests I get an angiography. So, what should I do now? Please suggest. She takes the following medicines such as Aciloc RD, Glimmy 2, Nexovas, Telmikaa 40, Febugood 40, Lipikind 10, and Glypten 20.

Answered by Dr. Ilir Sharka

Hi,

Welcome to icliniq.com.

I understand your concern. With these kidney function tests, she can perform coronary angiography. I agree with her doctor's recommendation because this would help identify possible coronary artery stenosis and perform angioplasty, if necessary. Another test that can help investigate the presence of coronary ischemia is Dobutamine cardiac stress test. If this test results positive, the next step would be performing a coronary angiography.

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

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

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