Should An Angiogram Be Done When My CSA Is Positive For Indivisible Myocardial Ischemia?

Posted on Wed, 16 May 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 16 May 2018 Answered on

Tue, 7 Nov 2023 Last reviewed on

Question : Hi sir,

My CSA is positive for indivisible myocardial ischemia..my doctor says that to do Angiogram under benefit of doubtmoreover my family doesn't have any hear problems. My existence tolerance is good. HRR is 85%. Should I still do Angiogram and check whether blocks are there moreover is don't have any chest pain or etc. Attached my reports for your response.

Answered by Dr. Dr.Arnab (-1 hours later)

Brief Answer:
The CSA is positive for Inducible Myocardial Ischemia...

Detailed Answer:

Hello,

I've gone through your query and understand your concerns...

Yes, I've reviewed both the attached reports (the uploaded CSA report is extremely blurred, kindly always check the image quality before uploading)...However, it is positive for Inducible Myocardial Ischemia...

Although your resting HR, BP and resting ECG all were within normal limits, such positive findings should not be ignored. Hence, I totally agree with your doctor for undergoing Coronary Angiogram. It's the standard protocol followed universally, and it's basically just a Check angiogram to see if at all there's any blockage (which should always be checked in such scenario).

It's good that there's no family history of heart problems, but still, in my opinion, you should go for it (just a few minutes procedure done under local anesthesia and done routinely, so nothing to worry).

Let me know if there're any further doubts/queries...

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee