Coronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through your heart.

Cardiac angiography; Angiography - heart; Angiogram - coronary

Coronary angiography is usually done along with cardiac catheterization.

Before the test starts, you will be given a mild sedative to help you relax.

An area of your body, usually the arm or groin, is cleaned and numbed with a local numbing medicine (anesthetic). The cardiologist passes a thin hollow tube, called a catheter, through an artery and carefully moves it up into the heart. X-ray images help the doctor position the catheter.

Once the catheter is in place, dye (contrast material) is injected into the catheter. X-ray images are taken to see how the dye moves through the artery. The dye helps highlight any blockages in blood flow.

The procedure may last 30 to 60 minutes.

You should not eat or drink anything for 8 hours before the test starts. You may need to stay in the hospital the night before the test. Otherwise, you will check in to the hospital the morning of the test.

You will wear a hospital gown. You must sign a consent form before the test. Your health care provider will explain the procedure and its risks.

Tell your doctor if you are allergic to seafood, if you have had a bad reaction to contrast material in the past, if you are taking Viagra, or if you might be pregnant.

You are awake during the test. You may feel some pressure at the site where the catheter is inserted.

Occasionally, a flushing sensation occurs after the dye is injected.

After the test, the catheter is removed. You might feel a firm pressure at the insertion site, used to prevent bleeding. If the catheter is placed in your groin, you will usually be asked to lie flat on your back for a few hours after the test to avoid bleeding. This may cause some mild back discomfort.

Coronary angiography may be done if you have:

• Angina for the first time
• Angina that is becoming worse, not going away as fast, occurring more often, or happening at rest (called unstable angina,)
• Aortic stenosis
• Atypical chest pain, when other tests are normal
• Heart failure
• Recent heart attack

Images

Coronary angiography

Review Date: 05/23/2011
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)