HomeAnswersCardiologyheart attackIs angiography necessary for an inferior heart attack?

Does inferior heart attack require angiography?

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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.

Medically reviewed by

Dr. K. Shobana

Published At December 6, 2022
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

My 63-year-old father's ECG (electrocardiogram) and echocardiogram report shows that he got an inferior heart attack. Does it require angiography?

Hello,

Welcome to icliniq.com.

It depends upon symptoms and when the attack occurred. Send me his ECG (electrocardiogram) and echocardiography. What were his symptoms? Also, details of his medications. Thank you.

Patient's Query

Hello doctor,

The heart attack happened at the end of the last month. I am attaching his reports for your reference.

Hello,

Welcome back to icliniq.com.

ECG (electrocardiography) and echocardiography reports attached (attachment removed to protect the patient's identity) show changes in the inferior wall of the heart. Now, it depends upon when this occurred. If it occurred recently, then angiography should be done. If time is not known, and symptoms of chest pain occur, angiography should be done. If there is no chest pain, even on moderate exertion, a stress test should be done to see inducible ischemia and assess prognosis. If high-risk features are present on the stress test or ischemia is inducible, angiography should be done again. If severe stenosis of the coronary blood vessels is present on the angiography reports, then angioplasty needs to be done. Thank you.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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