A coronary angiogram is a procedure to thoroughly investigate your coronary arteries. These are the arteries that supply the heart muscle and thus are extremely important to the heart’s function. It is usually done to investigate and treat patients with chest pain or breathlessness after initial tests, such as a cardiac CT or a stress test, have shown some areas of concern. If a blockage from plaque is discovered, an angioplasty- otherwise known as a stent, will be placed into the vessel to improve blood flow in the vessel. This reopening would then improve the blood flow to the cardiac muscle.
Dr Hilling-Smith is highly experienced, and his calm decisive nature will ensure you are thoroughly cared for as well as educated about the results of this investigation.
Most people are admitted to the hospital that morning, however some people are asked to come in the night before the procedure for various reasons. You will be given clear instructions about where and when to arrive.
Some people are asked to stop medications a couple of days before the angiogram – most commonly powerful blood thinners and diabetic medications. We will tell you if you are required to cease any medications, but if you have any questions, please ask. Aspirin and clopidogrel (despite being gentle blood thinners) do not need to be stopped and should be taken every day, including the day of procedure with a glass of water.
You will be looked after by our friendly team. Most patients are awake for the procedure, but there is an anaesthetist present, and we give everyone some medication to help you relax. The procedure is done through a 2mm tube in the wrist (most common) or groin. If you have any concerns or discomfort, you can speak to us at any time, and we can give more medication if necessary.
• You should expect a small bruise at the wrist or groin insertion site.
• If you require a stent, you will usually be admitted to hospital overnight.
• If a stent is not required, most patients are able to return home the same day
.• You should not drive for at least 2 days after the procedure, or longer if advised by Dr Hilling-Smith.
• You should limit activities to gentle exercise, such as walking, for the first 2 weeks. After this time, you may gradually return to your normal activities unless otherwise advised.
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