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Doctor insights on: What Does An Inconclusive Angiogram Test Mean

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Dr. Louis Grenzer Dr. Grenzer
Internal Medicine - Cardiology
51 years in practice
University of Maryland School of Medicine
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What does an inconclusive angiogram test mean?

What does an inconclusive angiogram test mean?

Borderline: Not everythng is black or white. You could have a blockage in an artery which is not severe so that maybe it has nothing to do with your symptoms. The result then would be inconlusive. The test is not totally normal but the problem may not be severe enough to cause symptoms or require treatment.

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Dr. Neigatha Graney
1 Doctor shared a insight

Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more


Dr. Pareena Bilkoo Dr. Bilkoo
Internal Medicine - Cardiology
18 years in practice
Bangalore University, M. S. Ramaiah Medical College
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My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?

My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?

Angioangiogram: Usually calcification and coronary artery blockages go hand in hand. You have already had the gold standard test-the angiogram. There are less invasive tests e.g. Coronary ct scan, which usually shows calcium but not as sensitive or specfic as a angiogram.

Dr. Jeffrey Webber Dr. Webber
Internal Medicine - Cardiology
28 years in practice
Weill Cornell Medical College of Cornell University
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Subsequent to doing angiogram also is epsrfa test necessary?

Subsequent to doing angiogram also is epsrfa test necessary?

Question unclear...: I am not sure what your question is because I don't know the context. Angiograms are done to look at the heart vessels, the plumbing so to speak of the heart. This analyzes the blood flow to the heart muscle. EPS/RFA refers to procedures that are done to analyze and treat electrical functions/problems of the heart. Usually angiograms and EPS are not discussed in the same breath-different topics.

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Dr. Alan Heldman Dr. Heldman
Internal Medicine - Cardiology
29 years in practice
University of Alabama School of Medicine
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Back from angiogram really normal, but with borderline 1 degree block what does this mean and advise accordingly please.

1st degree block: Atrioventricular (AV) block refers to the conduction of the cardiac electrical activity through the AV node. Borderline 1st degree block is usually a minor finding, but the meaning for a particular patient would depend on your age, symptoms, medicines, and other factors.

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Dr. Ronald Dreifuss Dr. Dreifuss
Radiology
30 years in practice
Mount Sinai School of Medicine
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What does an angiogram test for?

What does an angiogram test for?

Invasive exam: It is a minimally invasive exam that evaluates blood vessels. There can be various indications for the exam and may be proceeded by noninvasive exams such as ct, MRI or ultrasound.

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Dr. Ronald Dreifuss Dr. Dreifuss
Radiology
30 years in practice
Mount Sinai School of Medicine
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Are there age restrictions for an angiogram test?

Are there age restrictions for an angiogram test?

No: An angiogram is a minimally invasive examination of the blood vessesl used to make a diagnosis or treat a problem diagnosed by prior noninvasive studies. It can be performed on any age as long as there are indication and the risks of the procedure outweigh any the risks.

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Dr. Mathew Chengot Dr. Chengot
Internal Medicine - Cardiology
39 years in practice
University of Kerala, Kottayam Medical College
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I had an angiogram and have been told I have stiff ventricles. What does that mean?

What is hypertrophy: When heart is stiff it doesn't relax to function at the full capacity. You might have long standing hypertension or other reasons to have stiff heart muscle. Your risk is high if BP is not well controlled and will need close monitoring with specialist in the field of hypertrophy cardiomyopathy specialist consult with your cardiologist who you are being cared by. I am glad to be helpful.

Dr. Mark Stern Dr. Stern
Internal Medicine - Cardiology
42 years in practice
Mount Sinai School of Medicine
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What is an angiogram test for?

To see blood flow: To get a road MAP of the inside of an artery to see the blood flow to an organ.

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Angiogram test showed 2 blocks of 90% blockage which needs to be treated by angioplast. Is it necessary to do urgently? Or can it be treated by med?

Angiogram test showed 2 blocks of 90% blockage which needs to be treated by angioplast. Is it necessary to do urgently? Or can it be treated by med?

Angioplasties: These procedures are indicated when the symptoms are not controlled by medical therapy. If it's indicated, the symptoms severity would dictate the acuity of the procedure.

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Dr. Charles Jost Dr. Jost
Internal Medicine - Cardiology
32 years in practice
University Medical Center of Geneva Faculty of Medicine
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What does a renal angiogram test for?

Renal Arteries: A renal angiogram is a diagnostic test in which contrast is injected through the renal arteries to allow the cardiologist to visualize the renal arteries looking for blockages and good blood flow.

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Dr. Jean Jeudy Dr. Jeudy
Radiology
13 years in practice
University of Maryland School of Medicine
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Which test is more conclusive: an mra of the brain or an angiogram?

Which test is more conclusive: an mra of the brain or an angiogram?

Brain angio: An MRA of the brain is very robust. With MR you can have a 3-dimensional picture of the vascular anatomy. MR does not have any radiation, the contrast less commonly has adverse reaction and is noninvasive. The only compelling reason not to do MR is if you have other contraindications or need actual intervention (ex. embolization)

Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
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If a percentage could be assigned, how accurate are coronary angiograms and nuclear stress tests? Strengths and weaknesses of both?

Gold standard: Nuclear stress tests in experienced hands have a sensitivity of 80-85% and specificity around 90%. If done with exercise (as opposed to pharmacological), the sensitivity and specificity are a bit better, worse without exercise. Angiograms are the gold standard and rarely miss significant disease - accuracy is 99%. Angios are invasive with mortality of 0.1% Mortality w stress is. 01%.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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Scared of heart attack shall I go an ER or should I go for an angiogram test?

Scared of heart attack shall I go an ER or should I go for an angiogram test?

Acute symptoms?: Heart attack symptoms can include: chest pressure, pain or tightness that can radiate to arms, neck, jaw or back; nausea, shortness of breath, sweating, lightheadedness, dizziness, fatigue, anxiety or a sense of impending doom. Some heart attacks can be silent. Seek urgent medical evaluation if you think you may be having a heart attack.

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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20 months ago coiled aneurysm. I am worried about electrodes being placed on my head for retina angiogram test incase it affects my platinum coils.?

20 months ago coiled aneurysm. I am worried about electrodes being placed on my head for retina angiogram test incase it affects my platinum coils.?

No effect: I am guessing you are being tested for retinal function. This will involve flashing lights and electrodes to pick up the signal. An alternative test is for nerve transmission with flashing lights and electrodes on the back of the head. Neither of these tests will interact with your platinum coils. Enjoy the flashing lights.

Dr. Danny Westmoreland Dr. Westmoreland
Family Medicine
32 years in practice
West Virginia School of Osteopathic Medicine
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I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?

I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?

Answering why: Most doctors rule out or ensure the absence of life threatening events. A typical problem with a tumor that is cancerous is "angiogenesis" which is developement of new blood vessels. It does not mean that a cancer is there. It means that bads things are ensured to not be there.

Dr. Jeffrey Webber Dr. Webber
Internal Medicine - Cardiology
28 years in practice
Weill Cornell Medical College of Cornell University
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I had an echo twice. A CT heart angiogram. Stress test. And a chest CT with double contrast. Could all of this miss a artery that is, blocked or partially blocked? Chest pain is bad so I am not sure why?

I had an echo twice. A CT heart angiogram. Stress test. And a chest CT with double contrast. Could all of this miss a artery that is, blocked or partially blocked? Chest pain is bad so I am not sure why?

Highly doubtful: You have had many high tech procedures aimed at evaluating your chest pain: ct angiogram, stress test, and double contrast ct. If looking for a coronary artery obstruction, these should be sufficient. The likelihood of finding a blockage in a person this age range is already exceptionally low, for heart vessel blockages don't occur in this age gp. Must be some other process causing the pain.

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Dr. Carlos Satulovsky Dr. Satulovsky
Psychiatry
24 years in practice
National University of La Plata Faculty of Medicine
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What does angiogram report mean by there is a duplicate communicating artery seen in 3d?

What does angiogram report mean by there is a duplicate communicating artery seen in 3d?

Just that: I assume it is the anterior communicating (posterior duplications are very rare). This may represent just an incidental finding, a normal anatomic variation. Lots of people may have this and live a perfectly normal life without ever knowing it. Your neurologist or general dr will explain the implications, correlating it with your individual case and clinical presentation / symptoms.

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Dr. Mark Rasak Dr. Rasak
Internal Medicine - Cardiology
29 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
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Could a person request an angiogram without a specific referral from the physician if he/she agrees to pay for the test?

Could a person request an angiogram without a specific referral from the physician if he/she agrees to pay for the test?

No: No reputable doctor would perform an invasive test that carries a small but measurable mortality risk without a proper indication. (ability to pay does not constitute a proper indication).