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Heart Disease  (Expert Forum)
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Angiogram necessary?
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This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Angiogram necessary?

by vag, Sep 23, 1999 12:00AM
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?

by Cleveland Clinic, MD, Sep 23, 1999 12:00AM
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.
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