My father aged 78 years had some breathing problem with chest heaviness for last 2-3 nights. His ECG report was not very good and he was advised to meet a cardiologist. Echo test confirmed some blockages in the arteries leading to heart. But his serum creatinine level is hovering between 1.7-2.1. In this situation, doctors are unwilling to go for an angiography to check the blockage level percentage. They say that angiography can only be done if the creatinine level is below 1.2. What to do at the moment in case of any emergency, please suggest.
Ans: Irrespective of the creatinine value, if there is strong suspicion of blockage in the heart, it is better to go ahead with the angiogram as the benefit is more than the risk of worsening of kidney injury.