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Dec 20, 2017 · When is an angiogram called for? in Hypertrophic Cardiomyopathy (HCM)

I am female, 68 with HCM, diabetes, HTN, hyperlipidemia,unable to take statins or Beta blockers….So high risk for Coronary Disease. I do take calcium channel-blockers and baby aspirin. Chest pain is common with HCM…. The only reason I know I have coronary artery disease is that I had a coronary angiogram 5 years ago before open heart surgery for a septal myectomy. I have a 40% lesion in RCA and 20% lesion in LAD ( 5 years ago anyway)… which do not qualify for stenting. . Since I still get chest pain on and off I had a pharmacological stress test recently and it was negative. I still have this eery feeling that they are missing something and would like to get a stent before a heart attack rather than after……but my cardiologist doesn’t feel an angiogram is warranted with a negative stress test. Has anyone been in this position? The doc says the danger is plaque breaking off not that the blockage will increase…. and that there is no test to really predict when a piece of placque might break off.
Look forward to any insights