A member asked:

My dad is 80, and doesn't want to get a heart cath to detr if he has clogged arteries. what could the repercussions be of not doing the procedure?

5 doctors weighed in across 2 answers

Discuss w doctor: That is certainly his right. Many patients with CAD can be managed effectively w conservative strategies. Lack of even a confirmatory diagnostic heart cath might lead to a path of medication choices based on presumption rather than a confirmed diagnosis. This exposes him to potential side effects as well. Regardless, current data suggests that these procedures can be done safely in the elderly.

Answered 6/10/2014

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Cad: At 80 he likely has abnormal coronaries. If he is not symptomatic on coronary artery therapy like aspirin, beta blocker, statin and maybe other, and is satisfied with his functional capacity, i wouldn't bug him. If he gets symptomatic on therapy the angio is important to see what additional therapy is possible to improve his quality of life.

Answered 3/30/2013

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