What should a heart patient choose, angiography or medication?

Hello,

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I went through your query and understood your concern. I have gone through your reports (the attachments were removed to protect the patient's identity). Your treadmill test shows mild changes. Now, considering these minor changes in the treadmill test, diabetic status (that is too uncontrolled), and deranged lipid profile, I suggest you go for angiography to rule out the possibility of coronary artery disease (CAD). Diabetic patients are at risk of CAD and also frequently asymptomatic, so angiography can provide the exact status of arteries, and further treatment can be planned accordingly. So, I suggest it is better to go ahead with coronary angiography. I hope this has helped you. Thanks and regards.

Hello,

Welcome back to icliniq.com.

Yes, mild changes are visible on ECG (electrocardiogram), although not very prominent. Monitor your blood sugar levels regularly because medication modifications will be required if your blood sugar remains elevated. Angiography does not have serious side effects in most individuals, and the risk of serious side effects is extremely low. Minor issues like pain and allergies can occur. Waiting for three months will not change anything. Blockages due to cholesterol deposits will remain even after three months if they are there. Medicines are given to slow the progression of blockages and prevent the development of heart attacks in those blockages.

If you are too concerned about angiography, I suggest an alternative CT (computerized tomography) coronary angiography. It is less invasive but less accurate. It has a good negative predictive value, which means if it is negative, then it reliably rules out the possibility of coronary artery disease. But if it is positive, we only have to go ahead with angiography.

I hope this has helped you. Thanks and regards.