British Heart Foundation – Your guide to a Coronary Angiogram, a test for heart disease

British Heart Foundation – Your guide to a Coronary Angiogram, a test for heart disease

August 17, 2019 3 By Bertrand Dibbert


This film will show you what to expect
if you are having a coronary angiogram sometimes called a cardiac
catheterization my name is Alan Price and I’m from Derbyshire and I’m here today for a
cardiac angiogram The procedure today is
straightforward and will explain in a little more detail about what
happens next. It’s a straightforward operation,
no reason to worry at all. I’m Jaydeep Sarma, I’m a consultant interventional cardiologist at the Northwest heart center, in Wythenshawe hospital in South
Manchester So a coronary angiogram is an X-ray based set of pictures that we take of the heart and in particular the coronary arteries. the procedure is done under local anaesthetic either into the skin around the wrist artery, or sometimes into the skin around the top of the groin. depending on which artery we need to use. we do more and more of these procedures
using the wrist artery these days because we want to get people up and about, it adds convenience for the patients. What we’ll do is we’ll let that work its way in while we’re setting all our other equipment up. When you have
coronary heart disease fatty deposits build up on the inner walls of your coronary arteries causing narrowing or blockages which
restrict blood flow to your heart. a coronary angiogram helps identify if you have these narrowings and shows how severe it is A catheter (thin flexible tube) is passed into your artery through your groin or arm and then up to your heart.
A special dye called contrast will then be passed through the catheter
so that your arteries show on the X-ray. A series of x-rays will
then be taken to locate any narrowing in your
arteries. We put a very small needle into the artery again, either the groin or the wrist, and
use that needle to feed a tiny wire into the artery. That allows us to put a
plastic tube over the wire, removing the needles and then that plastic tube allows us to inject
liquid dye into the arteries allowing us to see the course of
the arteries on the x-ray machine What we’re doing now is just manipulating the catheter into the right position, to take a picture of the right coronary artery People generally feel a little bit
of pressure but not discomfort when the tubing is being moved inside the
arteries often with the arm sometimes around the leg area.
Some people complain of feeling hot or flushed when the
dye is being injected but generally speaking most people
aren’t aware of the fact that their heart arteries are being filmed and
the x-rays are actually being taken. Very good indeed there are a
few irregularities but nothing untoward A diagnostic angiogram is
generally very straightforward very well organised procedure and
normally it would take in the region of 10 to 15
minutes to get the pictures most people who have a diagnostic procedure do so as a day case so they can go home that afternoon or evening. The main complication people suffer from is bruising or bleeding
from the point of access either into the wrist or groin
where the tubing’s inserted. So overall the risk of any major
complications is extremely low. Having had the angiogram I’m sitting
here now feeling no bad ill effects whatsoever. I could go home two hours
after it, it’s as simple as that. My hopes for
the future are to return to the outdoor
lifestyle I led, which will be walking in the
hills and I see no reason why that’s not achievable. Heart disease is
still the single biggest killer in the UK but for over 50 years we’ve tirelessly
pioneered research that has helped transform the lives of people living
with heart and circulatory conditions. Join our fight for every heartbeat in
the UK every pound raised every minute of your
time and every donation to our shops will help make a difference.