A member asked:

79yo w/worsening angina during exertion.normal stress test/echo 6mo ago.on beta blocker/nitro.whats next step?could an episode cause heart attack?

4 doctors weighed in across 3 answers

Cardiac Cath: Patient should get definitive study to find source of chest pain as well as possibly treat it with intervention if suitable. Unless other factors or conditions preclude it should go to Cath lab soon.

Answered 5/15/2018

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Dr. Hunter Handsfield answered

Specializes in Infectious Disease

More info needed: This is not something any distant expert on this forum can answer: it depends entirely on additional details of his cardiac evaluation and his cardologist's diagnosis and advice. If you want to sign up for HealthTap's concierge service and the personal care of a cardiologist, that might be possible (at some expense). In the meantime, ask his doctor either directly or for referral for 2nd opinion.

Answered 5/12/2018

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Dr. David Leszkowitz answered

Specializes in Family Medicine

Stress test/ct : Needs further testing like stress test or ct chest to Bette’s asses coronary arteries

Answered 5/12/2018

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