Age is not a hard and fast condition limiting cardiac angiography; it depends mainly on whether the diagnosis of the condition requires it and whether it can be tolerated by a seventy year old.
At present, selective coronary angiography is the gold standard for the diagnosis of coronary heart disease. However, the operation is traumatic and the indications should be strictly controlled.
1. Diagnosed coronary artery disease, to be performed coronary artery bypass grafting (CABG) or stenting (PCI).
2. Atypical angina and suspected coronary artery disease.
3. Have atypical chest pain and need to exclude coronary heart disease.
4. Exercise test etc. suggesting evidence of ischemia without symptoms.
5. Unexplained cardiac enlargement, cardiac insufficiency or ventricular arrhythmia.
6. Recurrence of angina pectoris after CABG, etc., except for restenosis or transplantation or neovascularization.
7. Health screening for those engaged in special occupations (e.g., pilots or working at heights).
8. Consider emergency coronary angiography: acute myocardial infarction within 12 hours of onset; emergency myocardial infarction complicated by cardiogenic shock that does not respond well to antihypertensive medications; internal infarction within 36 hours, with hemodialysis available within 18 hours of shock.
Anterior wall or large acute myocardial infarction after thrombolytic therapy still have chest pain, elevated ST segment is not significantly reduced, proposed remedial PCI; cardiogenic shock or acute pulmonary edema after active medical treatment hemodynamic instability, consider emergency surgical treatment; the emergence of post-infarction angina pectoris.
9. Unstable angina pectoris cannot be controlled by conventional drug systemic therapy.
10. Coronary angiography prior to major surgery for non-coronary artery lesions to assess the risk of surgery.
If the patient does have the need for imaging, 70 years of age is not a contraindication factor, and there are precedents of imaging and stenting in people over 90 years of age, whether or not to perform a cardiac imaging examination needs to be evaluated by a specialized physician.