Does angina require coronary angiography?

Patient's question:

How is it necessary to have a coronary angiography for angina pectoris? The symptoms are a feeling of tightness and slight pain in the chest during exertion, occasional chest tightness during long-distance walking, and no symptoms at rest. After a thorough examination at a secondary hospital, it was diagnosed as coronary heart disease and angina pectoris. The doctor recommended going to a tertiary hospital for a coronary angiography. It is said that coronary angiography has certain risks. I would like to consult whether these symptoms urgently require a coronary angiography examination for further help: Do I need to have a coronary angiography immediately now?

Doctor's answer:

According to your condition, it is necessary to have a contrast examination. The main purpose is to check if your coronary arteries are narrowed and to what extent. Then, based on your condition, a treatment plan will be formulated. It is recommended that you have it done as soon as possible. This can prevent acute myocardial infarction from occurring again in your daily life, which may lead to life-threatening situations. Contrast examination does cause some harm to the body, but compared to life, it is insignificant.

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