Can coronary angiography detect heart disease?

Patient's question:

Cannot walk briskly, cannot climb uphill. Chest feels tight and painful due to congestion.
History of previous treatment and effectiveness: No tests, examination results: ECG shows low T-wave. Cardiac coronary angiography was performed but no issues were found, only mild coronary atherosclerosis.

Doctor's answer:

According to your description, the patient is a 55-year-old elderly woman with a history of hypertension for 10 years. The current symptoms are chest tightness and pain after brisk walking or climbing uphill. Both the electrocardiogram and coronary angiography show no significant abnormalities, and the patient wants to consult on how to diagnose the condition. Based on the patient's gender and age, the following diagnoses are considered possible: 1. Heart disease, such as coronary heart disease or angina, but coronary angiography has largely ruled out this diagnosis.

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