It is not advisable to have an angiogram without preceding chest pains because of the unnecessary risk of the procedure that you would be put through (artery damage, bleeding, infection etc.). There are other less invasive tests that could be considered (such as an exercise ECG) that may show up some heart strain but generally these tests are only useful if heart disease is already suspected. Whatever tests are done, the outcome will only be the same; you need to take these medications daily to prevent heart disease developing in the future. You could stop smoking completely and this would be the single most effective thing you can do now to protect your heart from future damage (no angiogram results are needed to prove that stopping smoking could possibly save your life).
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