<s>[INST] ecg showed 1st degree blocked,,,can do angriogram for this patient?age 54 yrs old,,,weight 90 kg,,,,,case hypertesion on treatment 6 years,,,,,,patient in metapolol 100mg bd and adalat 10mg tds. nearly 1 years having pitting edeoma on both legs,,,last week did echo showed some blocked,,,,doctor started with t. fresumide 10mg od,,,t.slow k 600mg od,,,t. aspirin 75mg od,,,t.peridopril 2md od and cont t. metoprolol 100mg bd,,,doctor stopped t.adalat. [/INST] Hi,First degree AV block is not dangerous. It is neither a contraindication nor an indication for angiography. Everything depends on patient complaints and underlying heart disease. From the medication you mentioned I could conclude that the patient has an underlying heart disease, which is more important that the block. So the further decision depends on that disease and not the block, which is not dangerous.Take careCome back if you have any further questions </s>