Coronary angiogram

From WikiMD's Wellness Encyclopedia

Coronary Angiogram[edit | edit source]

A coronary angiogram is a diagnostic procedure that uses X-ray imaging to see the heart's blood vessels. It is part of a general group of procedures known as cardiac catheterization. This test is often done to see if there's a restriction in blood flow going to the heart.

Indications[edit | edit source]

Coronary angiograms are used to diagnose and evaluate several heart conditions, including:

Procedure[edit | edit source]

The procedure involves inserting a catheter into a blood vessel in the arm or groin and threading it to the heart. A special dye (contrast material) is injected through the catheter, and X-ray images are taken to see how the dye moves through the coronary arteries.

Preparation[edit | edit source]

Before the procedure, patients may be asked to:

  • Avoid eating or drinking for several hours.
  • Inform the doctor of any medications or allergies.
  • Arrange for someone to drive them home after the procedure.

During the Procedure[edit | edit source]

  • The patient is awake but sedated.
  • A local anesthetic is applied to the insertion site.
  • The catheter is guided to the coronary arteries.
  • Contrast dye is injected, and X-ray images are taken.

After the Procedure[edit | edit source]

  • The catheter is removed, and pressure is applied to the insertion site to prevent bleeding.
  • Patients are monitored for a few hours before being discharged.
  • Instructions are given for care at home, including avoiding strenuous activities for a short period.

Risks[edit | edit source]

While generally safe, coronary angiograms carry some risks, including:

Alternatives[edit | edit source]

Other tests that may be used to evaluate coronary artery disease include:

See Also[edit | edit source]

References[edit | edit source]

  • American Heart Association. "Understanding Coronary Angiography." Retrieved from [1]
  • Mayo Clinic. "Coronary Angiogram." Retrieved from [2]

External Links[edit | edit source]

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Contributors: Prab R. Tumpati, MD