Angiogram necessary?

My annual physical showed a normal EKG but my dr. ordered a stress echo saying I had chest pains.  Echo was normal in all aspects but post exercise showed:"left ventricular response to be hyperdynamic with hypokinesis of the mid to distal inferior wall consistent with stress induced myocardial ischemia." The appointment with a cardiologist, he did no further testing, has now produced an angiogram scheduled with possible angioplasty.  I feel at least a second opinion is needed before a cath.  I am a healthy 61 year old with no former health problems of any kind. Am I being railroaded into an unnecessary procedure?

[Cleveland Clinic, MD]

Not necessarily.  You are by virtue of your age and sex in a high risk group for coronary disease.  Your symptoms are consistent with heart problems and a noninvasive diagnostic test indicates that a blockage is present.  The only way to be certain is to proceed with the angiogram and then treat based on the findings.  Of course a second opinion is always a good idea if you don't feel confident in the doctor you have been seeing.  Hope this helps.  Let us know if there is anything else we can do.