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What To Expect Before Coronary Angiography

Before having coronary angiography, talk to your doctor about:

 

  • • How the test is done and how to prepare for it

 

  • • Any medicines you're taking, and whether you should stop taking them before the test

 

  • • Whether you have diabetes, kidney disease, or other conditions that may require taking extra steps during or after the test to avoid complications

 

Your doctor will tell you exactly which procedures will be done. For example, your doctor may recommend angioplasty if the angiography shows a blocked artery.

 

You will have the chance to ask questions about the procedure. Also, you'll be asked to provide written informed consent to have the procedures done.

 

It may not be safe to drive after having cardiac catheterization, which is part of coronary angiography, so you must arrange for a ride home.

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During coronary angiography, you're kept on your back and awake. That way, you can follow your doctor's instructions during the test. You'll be given medicine to help you relax. The medicine may make you sleepy.

Your doctor will numb the area where the catheter (a small plastic tube) will enter the blood vessel through a small cut in the arm, groin (upper thigh), or neck.

 

The doctor then threads the catheter through the vessel up to the opening of the coronary arteries. Special x-ray movies are taken of the catheter as it's moved up into the heart. The movies help your doctor see where to position the tip of the catheter.

 

Your doctor will put special dye in the catheter when it reaches the correct spot. This dye will flow through your coronary arteries and make them show up on an x ray. This x ray is called an angiogram. If the angiogram reveals blocked arteries, your doctor may use angioplasty to restore blood flow to your heart.

 

After your doctor completes the angiography, or the angiography and angioplasty, he or she will remove the catheter from your body. The opening left in the blood vessel will then be closed up and bandaged.

 

A small sandbag or other type of weight may be put on top of the bandage to apply pressure. This will help prevent major bleeding from the site.