Conversation: The conversation between human and AI assistant.
[|Human|] Hi my husband who is 42 yrs old went for a routine check up yesterday. His echo report shows trivial Mr. He has high blood pressure and his cholesterol is also high. He is a smoker. Please let me know if angiography is required. Is there a chance that he may have a blockage?
[|AI|]  Hi, This trivial MR on echo is a normal finding. Doing an angiography depends on the symptoms of the patient and associated ECG changes. Your husband has many risks factors for heart disease like male gender, smoker, hypertension and high cholesterol. If he has symptoms like chest heaviness on exertion or has ECG changes than angiography is advised. Alternative to it is a stress Echo or CT Coronary Angiography. If any of them shows problem than also he has to undergo angiography. As per me if he is not having any acute heart event than its better to do stress echo first. Hope it was helpful. Let me know if I can assist you further.