Progression has happened during that period of more than 10 years. If treadmill stress test is positive, repeat coronary angiogram is reasonable although you do not have a typical chest pain. So if you have risk factors for CAD such as smoking, diabetes mellitus & hyperlipidemia, you should go for it if there is no contraindication. If you are still hesitated, I suggest a nuclear stress test.
Answered 2/8/2023
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