Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor my friends dad has been advised to under go angiogram because his tmt test should a little positive is there any alternative to regular angiogram done by inserting a tube from the thigh his age is 60 years height is 5.4 having sugar hbc of 7.2 and bp of 130/90 on losacar,for sugar he is not taking any tablets
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! A TMT positive tests indicates possible coronary artery disease. In such case coronary angiogram would be the golden standard test to examine the blood flow in the coronary arteries and also possibly treat coronary artery disease (with stent implantation). Anyway, if your friend does not want to take the risks of this miniinvasive procedure, he can perform a nuclear stress test or coronary Anglo CT scan, which are not as exact as coronary angiogram, but are less invasive. But, you should know that if these tests result abnormal, the next step would be coronary angiogram. Hope you will find this answer helpful! Kind regards,