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Dr. Paritosh Kumar Rajput( MBBS, MD,DM) is a Interventional Cardiologist from Indore extending his expertise in treating cardiovascular illness through catheter based/percutaneous approach. 

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Coronary Angiography

Our heart is more than just a pumping organ – It stores our most intense feelings during life’s journey. However, it falters occasionally, raising red flags. At that point, medical professionals step in, offering Coronary Angiography to understand and treat it.

If you’re searching for the Coronary Angiography Hospital in Indore, trust experienced professionals who can compassionately guide you through your heart’s journey.

What is a Coronary Angiography?

Coronary Angiography is like embarking on a unique journey deep within the heart; it’s more than just a medical examination. Doctors examine the coronary arteries—the lifelines of the heart—using X-rays and dye. Consider it an important journey to the heart’s safety, led by the sure hands of knowledgeable healers. It’s a path full of promise that provides understanding and a means of regaining vitality and health.

When is a Coronary Angiography Performed?

A coronary angiography is done when your doctor suspects there might be a problem with your heart, like coronary artery disease (CAD) or other heart issues. It’s like a detective tool used in different situations, such as when your stress tests or Electrocardiograms (ECG) show irregularities, when you experience sudden chest pain before heart surgery, or when you have ongoing symptoms like chest pain or fatigue. It helps your medical team get a clear picture of your heart’s health and decide on the best course of action to keep you well.

Who Performs a Coronary Angiogram?

A coronary angiogram is typically conducted by an interventional cardiologist, a specialized physician adept at diagnosing and managing coronary artery disease and related cardiovascular conditions. These professionals possess the necessary expertise and precision to navigate the complex network of coronary arteries with accuracy.

At reputable coronary angiography center in Indore, heart specialist doctors provide comprehensive care, delivering precise diagnostics and personalized treatment plans to promote optimal heart health.

How does a Coronary Angiogram Work?

Imagine a tiny, flexible tube called a catheter, like a super-sleek straw, gently placed into an artery in your groin or wrist. With the help of special X-ray guidance, this catheter is carefully moved through your arteries until it reaches your heart’s blood vessels, called the coronary arteries.

Once the catheter is in position, a special dye is injected through it. This dye acts like a highlighter, making your coronary arteries show up clearly on X-ray images. This allows the doctors to see if there are any problems, like blockages caused by fatty deposits called plaques, which can make it harder for blood to flow through your arteries and reach your heart muscles.

How Do I Prepare for a Coronary Angiogram?

Preparing for a coronary angiogram involves several steps to ensure the procedure goes smoothly:
Fasting: Patients are usually instructed to fast for several hours before the procedure to minimize the risk of complications.
Medication Adjustments: Certain medications, such as anticoagulants and diabetes medications, may need to be adjusted or temporarily discontinued before the procedure.
Medical History Review: Patients should provide detailed information about their medical history, including any allergies, previous reactions to contrast dye, and current medications.

What to Anticipate During Your Scheduled Coronary Angiogram Appointment:

Duration: The coronary angiogram typically lasts 30 minutes to an hour, but it varies for each person. The medical team ensures your comfort throughout the procedure.
Hospital Visit: If you’re not already at the hospital, you’ll need to come in for your appointment. It’s wise to plan for extra time just in case of unexpected delays.
Potential Overnight Stay: While many can head home the same day, some might need to stay overnight for observation, especially if it’s later in the day.
Preparation: Upon arrival, you’ll change into a comfy hospital gown and have a friendly chat with the medical team. They’ll ask about any past reactions to dye or medications you’re taking, ensuring your comfort and safety.
Hygiene Consideration: Before the procedure begins, it’s best to use the restroom to avoid any discomfort during the angiogram. Your comfort matters to them.

What to Prepare for Throughout Your Coronary Angiogram Procedure:

Positioning: As you prepare for the coronary angiogram, you’ll find yourself lying on your back, made as comfortable as possible by the medical team. They’ll ensure you receive medication to help you relax, allowing you to remain conscious throughout the procedure.
Pain Management: The healthcare provider overseeing your angiogram will be vigilant about minimizing any discomfort you might experience during catheter insertion.

Catheter Insertion: With gentle care and precision, a thin tube will be guided into your artery, granting access to your coronary arteries. This step is crucial for obtaining the necessary images and information about the health of your heart.
Contrast Dye Injection: Through the catheter, contrast dye will be injected into your bloodstream. This dye plays a vital role in making your coronary arteries visible on X-ray images, allowing the medical team to assess any blockages or narrowing.
Monitoring: Throughout the procedure, your heart rhythm will be closely monitored using an electrocardiogram (ECG). This ensures that any irregularities or changes can be promptly addressed by the medical team.
X-Ray Imaging: As the contrast dye travels through your arteries, X-ray images will be taken to provide a clear picture of your coronary arteries. These images are instrumental in identifying any blockages or narrowings that may be affecting your heart health. Rest assured, the medical team will guide you through each step with compassion and expertise, prioritizing your well-being every step of the way.

What to Look Forward to After Completing Your Coronary Angiogram Examination:

Catheter Removal: After the coronary angiogram, the medical team removes the catheter and applies pressure to prevent bleeding, ensuring your safety.
Observation Period: Depending on where the catheter was inserted, you may lie on your back for a few hours for monitoring and potential complication prevention.
Discharge: Most patients can go home the same day, but some may stay overnight, especially if a stent was placed. Your provider decides based on your needs.
Recovery: You may feel tired and sore at the insertion site, but these symptoms typically resolve within a week as your body heals.
Activity Limitations: Your provider may suggest limiting activities for a couple of days post-procedure to aid in recovery.

Risks of a Coronary Angiogram:
While serious complications are rare, there are potential risks associated with the procedure, including low blood pressure, heart attack, stroke, and others. The best heart specialist doctor in Indore will discuss these risks with you beforehand.

By understanding what to expect and following your heart specialist’s instructions, you can prepare effectively for your coronary angiogram and ensure a safe and successful experience.

Understanding Your Coronary Angiogram Results:

After undergoing a coronary angiogram, the results can vary, impacting your heart health journey. Here’s a heart specialist, Dr. Indore, providing situations that you might encounter:

Normal Results:
If your coronary angiogram shows no significant blockages or abnormalities in your coronary arteries, your healthcare provider will likely deem the results as normal. This means your heart is receiving adequate blood flow without any major obstructions.
Abnormal Results:
Conversely, abnormal findings could indicate the presence of blockages, narrowing, or other issues within your coronary arteries. Your healthcare provider will carefully discuss these findings with you and suggest suitable treatment options based on the severity of the condition.

The Importance of Follow-Up Care:
Staying connected with your heart specialist doctor in Indore through regular follow-up appointments after a coronary angiogram is crucial for maintaining optimal heart health. These appointments provide valuable opportunities for your doctor to monitor your progress closely, adjust treatment plans as needed, and offer personalized guidance on lifestyle modifications to support your heart health journey.

By maintaining open communication and actively participating in your care, you can work collaboratively with your heart specialist doctor to address any concerns and ensure the best possible outcomes for your heart health.

Contact Us:

For Expert Coronary Angiography services in Indore, visit our state-of-the-art Coronary Angiography Center. Our experienced team provides comprehensive care and specialized treatment options tailored to your needs. Your heart’s health is our priority. Contact us today to schedule your consultation and experience unparalleled cardiac care.

Coronary Angiogram

A coronary angiogram can help your cardiologist look for blockages in your coronary arteries. X-ray images from your procedure will help your cardiologist  make a diagnosis and decide if you need medicine, a stent or surgery. Plan on spending a few hours at the hospital for the procedure and recovery.

What is a coronary angiogram?

A coronary angiogram is a test that uses X-rays to show how well your blood is moving in your heart’s arteries (coronary arteries), and to look for clogs in them. Your coronary arteries are important because they get blood to your heart’s muscle. A blocked coronary artery can lead to a heart attack, which is when heart muscle dies.

When is a coronary angiogram performed?

Your provider may do coronary angiography when deciding if you need:

  • Medicine and a healthier lifestyle.
  • Angioplasty or stenting (PTCA)
  • Coronary artery bypass surgery (CABG).
When would a coronary angiogram be needed?

You may need a coronary angiogram when:

  • Your stress test or electrocardiogram (ECG) wasn’t normal.
  • You are  diagnosed with a heart attack, a problem with a heart valve, or heart failure.
  • You have heart surgery coming up and your doctor thinks you may have coronary artery disease.
  • You have chest pain (angina) that recently started or has changed in some way.
  • You’re having unusual chest discomfort or shortness of breath, but other tests don’t show anything wrong.

Who performs a coronary angiogram?

A healthcare provider who’s a heart expert ― an interventional cardiologist ― will perform your coronary angiogram.

angiogram for heart blockage indore

How does a coronary angiogram work?

Contrast dye that’s injected into your coronary arteries through a small catheter via hand (radial artery) or groin (femoaral artery)  allows your cardiologist to see (through X-ray images) if there is blockage of your coronary arteries. The most common cause of narrowing of the coronary arteries is cholesterol plaque (atherosclerosis).

 How do I prepare for a coronary angiogram?

Your provider will most likely tell you not to eat or drink anything for eight hours before your coronary angiogram procedure. If your provider tells you to do so, you may need to avoid these medicines for at least one day before your procedure:

  • Anticoagulants.
  • Diabetes medications.
  • Diuretics.

What to expect on the date of a coronary angiogram

  • A coronary angiogram will take between a half-hour and an hour.
  • If you’re not already an inpatient in the hospital, you’ll need to go there for your appointment.
  • While most people are able to go home the same day (two to four hours after their procedure), you should be prepared to stay the night in the hospital for recovery.
  • You’ll change into a hospital gown for your test.
  • Your provider will want to know if you’ve had a reaction to the dye or if you’re taking sildenafil (Viagra® or Revatio®) or are pregnant.
  • You may want to pee before having your coronary angiogram because it can make you feel like you need to pee.
  • For your safety, you won’t be allowed to drive yourself home on the same day of your procedure. You should make arrangements for transportation from the hospital after your procedure if you’re discharged the same day.

 What to expect during a coronary angiogram

You’ll lie on your back for the procedure. Your healthcare provider will give you medicine that makes you feel relaxed, but you’ll still be awake enough to follow their instructions. An electrocardiogram (ECG) will monitor your heart rhythm during your procedure.
They’ll use medicine to keep you from feeling pain at the place on your groin or arm where your provider accesses your artery. You may feel pressure, but should not feel pain. Your cardiologist will place a sheath (or tube) in your artery. This tube serves as a small port through which they will pass wires and catheters to find your coronary arteries on the surface of your heart. An X-ray machine will rotate around you (called fluoroscopy), which will allow your provider to see where the catheter is going from all angles. You won’t feel the tube going through your blood vessels.
After your provider gets the catheter into your heart or aorta, they’ll put dye into the tube and look at X-rays to watch the dye go through your artery. You might feel warm when the dye goes into your body. Rarely, your chest may feel uncomfortable as the dye is going into it.
Your provider will be able to see if anything (like cholesterol or plaque) is getting in the way of blood going through your coronary arteries. If they see something blocking your blood flow, they may be able to clear the blockage with a balloon (a procedure called angioplasty), and then place a stent (a metal scaffold usually coated with a drug), to keep your artery open. Angioplasty and stenting are types of percutaneous coronary intervention (or PCI). This can be performed right then, or staged for a later time.
Occasionally, your provider will recommend coronary artery bypass grafting (CABG). If this is the case, they won’t do PCI. Instead, they’ll stop the procedure and consult a surgeon. The timing of surgery will depend on the person and situation. Your provider could arrange this before you go home or electively on an outpatient basis.
What to expect after a coronary angiogram
When your coronary angiogram is done, your healthcare provider will take out the catheter. Since the place where the tube went into your body may bleed, you might feel someone pressing a bandage on it for at least 15 minutes to prevent or stop bleeding. You might feel some soreness there afterward. If the catheter was in your arm, your provider will put on a tight bandage there.
You may need to lie on your back for a few hours if the catheter was in your groin. You can usually go home the same day as your coronary angiogram. While many people who have a stent placed can still go home the same day, if your procedure was complex or performed in the afternoon, you should be prepared to stay the night.
Because you had anesthesia, you’ll need someone to drive you home after your provider discharges you on the same day. For your safety, you should have someone drive you home even if you’re sent home the next day.
You may feel tired after your coronary angiogram and your wound may be sensitive or bruised for a week or more. Your provider may tell you to limit your activities for a couple of days after you get home.

What are the risks of a coronary angiogram?

An experienced healthcare provider can do coronary angiography safely. Serious complications are rare. People who are older or who have diabetes or kidney disease are more likely to have complications. The risks of a coronary angiogram include:

  • Low blood pressure.
  • Heart attack.
  • An injured blood vessel.
  • Stroke.
  • Blood clots.
  • Abnormal heartbeats.
  • Kidney damage, including the need for dialysis.
  • Pain, bleeding or infection where a needle or catheter broke your skin.
  • A reaction to the dye or anesthetic.
  • Cardiac tamponade (pressure on your heart from fluid building up around it).

RESULTS AND   FOLLOW-UP

 What type of results do you get and what do the results mean?

  • Normal results: Your provider may tell you that you don’t have anything blocking your blood vessels and your heart’s getting enough blood.
  • Abnormal results: Something may be blocking your coronary artery or arteries. Your provider can tell you which arteries have a block in them and where, as well as how bad they are.

 When should I know the results of my coronary angiogram?

You may be able to see your X-rays while your provider is doing the test or after it’s done. Your provider will share the results with you after your coronary angiogram is over.

When should I call my doctor?

Contact your healthcare provider if you have a lot of bleeding or swelling at the place where your provider put in the catheter. You should also tell your provider if you’re having difficulty with circulation in your arms or legs.

Feel free to contact us if you are facing any related problem.