I had two stents place in right coronary artery about 5 months ago just after a mild MI. Three other coronary arteries show 20 to 30% blockage and carotids are 20% blocked Am on meds ( coreg 6.25, lipitor 5, effient 10, and 2 81 mg aspirin, bu ttaken off lisinopril due to side effects), and on a self imposed strict and very nutritious plant based diet - no animal products. Had no problem with basic stress test a couple of months ago. Walk briskly a mile a day and do a light 10 min workout with 5 pound weights most days I am on no physical restrictions. Am normal weight. Total Chol is about 110, and LDL at about 55, HDL at 35 but has always been low.
I would like to be checked for progression and whether stent is becoming blocked, assuming I have no issues in the interim, at 18 to 24 months.
If there are no good tests for this other than an angiogram? what is the risk of the angiogram?
Having a repeat coronary angiogram to assess for progression is not typically performed and not within the recommended guidelines from the American Heart Association and American College of Cardiology. Patients with known coronary disease (with and without previous stenting) are usually assessed initially with non-invasive measures such as stress testing (which you reported was normal). If there are no further symptoms or indication from your stress testing that there is evidence of ischemia, coronary angiogram is usually not recommended.
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