Who needs coronary angiography ?

Coronary angiography is typically recommended for individuals who are suspected or known to have coronary artery disease (CAD) or related heart conditions. Here are some situations where coronary angiography may be indicated:

1. Symptoms of Coronary Artery Disease (CAD):

   - Chest pain (angina) that is not well controlled with medications.

   - Symptoms of unstable angina, such as chest pain at rest or increasing frequency and severity of angina.

   - Shortness of breath or fatigue that may indicate reduced blood flow to the heart muscle.

2. Diagnostic Confirmation:

   - To confirm the presence and severity of coronary artery disease if non-invasive tests (such as stress tests or CT coronary angiography) suggest significant blockages or if the diagnosis is uncertain.

3. Prior to Coronary Artery Bypass Grafting (CABG) or Other Heart Surgeries:

   - To assess the location and severity of coronary artery blockages before planning surgical intervention.

4. Following a Heart Attack (Myocardial Infarction):

   - To identify the extent and location of coronary artery blockages that may have contributed to the heart attack.

5. Evaluation of Coronary Anomalies or Structural Heart Conditions:

   - To assess congenital abnormalities of the coronary arteries.

   - To evaluate complications related to previous heart procedures or interventions.

6. Monitoring of Coronary Artery Disease Progression:

   - In individuals with known coronary artery disease who have worsening symptoms or who may require reassessment of their treatment plan.

7. Assessment of Cardiac Function and Viability:

   - To determine if areas of the heart muscle are still viable or functioning adequately, particularly if considering interventions such as angioplasty or stent placement.

8. Evaluation of Cardiac Transplant Candidates:

   - To assess coronary artery disease severity and anatomy in individuals being considered for heart transplantation.

The decision to undergo coronary angiography is based on individual patient factors, symptoms, medical history, and results of non-invasive tests. Your healthcare provider will discuss the potential benefits and risks of the procedure with you and determine if it is appropriate based on your specific situation.