Is it necessary to do CT angiogram with normal echo and stress test?
Patient: Hello Sir, I am Nikhil Gandhi, age 49 years, Male from mumbai. My HDL chol. is 30.3 and LDL chol. is 110.3. My 2d echo is normal and stress test of 7.15mts. is also okay. my cardiologist has suggested to do CTangio of heart. Is it necessary? He has prescribed  me Ecosprin AV 75mg. also. Pl. advise. Thank you. Doctor: Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that it is important correlating your tests with your clinical symptomatology. If you have typical chest pain which raises high suspicions of coronary artery disease, or changes in your cardiac enzymes, or wellknown coronary risk factors (smoking, hypertension, diabetes, obesity, etc.)  further tests like coronary angio CT scan or coronary angiography may be needed. Otherwise, considering your normal cardiac tests, no further tests are needed. Hope you will find this answer helpful!Kind regards, Dr. Iliri