Do you need a coronary angiography if you have heart problems?

Patient's question:

My uncle has always had heart problems and often feels that the two parts of his heart door are blocked. Later, after a thorough examination at the hospital, it was diagnosed as heart disease, and he cannot engage in strenuous exercise. He should also pay attention to rest and avoid overexertion. Hello, do you need to undergo coronary angiography or a heart stent?

Doctor's answer:

There are situations requiring coronary angiography or stent placement:
1. Middle-aged and elderly individuals with high-risk factors for coronary heart disease (e.g., abnormal blood lipids, diabetes, hypertension, smoking), who frequently experience chest pain or shortness of breath.
2. Patients with unstable angina, who experience recurrent angina without obvious triggers, even at rest. The recurrence interval shortens over time, the frequency increases, and sublingual nitroglycerin is ineffective. Suspected as a precursor to myocardial infarction.
3. Patients with acute myocardial infarction, who have typical symptoms, severe chest pain lasting less than 30 minutes, accompanied by profuse sweating, impending sense of death, etc. Coronary angiography and interventional procedures should be performed promptly to restore the occluded coronary arteries and salvage the dying myocardium.

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