9 doctors weighed in:
When is a coronary angiogram necessary?
9 doctors weighed in

Dr. Liviu Klein
Internal Medicine - Cardiology
7 doctors agree
In brief: Heart attack
Coronary angiogram is needed in case of acute myocardial infarction, or to diagnose the severity of coronary disease after a positive stress test.

In brief: Heart attack
Coronary angiogram is needed in case of acute myocardial infarction, or to diagnose the severity of coronary disease after a positive stress test.
Dr. Liviu Klein
Dr. Liviu Klein
Thank
Dr. Milton Alvis Jr
Preventive Medicine
In brief: Complex - Judgement
Necessity, like many other issues, in the eye of the beholder; no absolute.
Usual focus: money vs. Risk vs. Possible benefits. Main benefits: best (of current methods) image accuracy of artery opening & flow + option to hydraulically expand +/- stent of any marked narrowing. Vastly better than any stress test (only detect complications advanced ds). Downside: does not show disease in artery walls.

In brief: Complex - Judgement
Necessity, like many other issues, in the eye of the beholder; no absolute.
Usual focus: money vs. Risk vs. Possible benefits. Main benefits: best (of current methods) image accuracy of artery opening & flow + option to hydraulically expand +/- stent of any marked narrowing. Vastly better than any stress test (only detect complications advanced ds). Downside: does not show disease in artery walls.
Dr. Milton Alvis Jr
Dr. Milton Alvis Jr
Thank
Dr. Bennett Werner
Internal Medicine - Cardiology
In brief: Excellent question!
(do you work for the government?) seriously, it should be done to stratify risk and plan further treatment by either percutaneous intervention or surgery in patients with known or suspected coronary disease.
Common scenarios are: during a heart attack, to investigate new or unstable anginal symptoms, following an abnormal stress test or prior to planned valvular or other heart surgery.

In brief: Excellent question!
(do you work for the government?) seriously, it should be done to stratify risk and plan further treatment by either percutaneous intervention or surgery in patients with known or suspected coronary disease.
Common scenarios are: during a heart attack, to investigate new or unstable anginal symptoms, following an abnormal stress test or prior to planned valvular or other heart surgery.
Dr. Bennett Werner
Dr. Bennett Werner
Thank
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