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Coronary angiography is a test that uses
dye and special x rays to show the insides of
your coronary arteries. The coronary arteries supply oxygen-rich blood to your heart.
A waxy substance called plaque can build
up inside the coronary arteries. The buildup of plaque in the coronary arteries is called coronary heart disease (CHD). Over time, plaque can harden or rupture (break open). Hardened plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart. This can cause chest pain or discomfort called angina.
If the plaque ruptures, a blood clot can form
on its surface. A large blood clot can mostly or completely block blood flow through a coronary artery. This is the most common cause of a heart attack. Over time, ruptured plaque also hardens and narrows the coronary arteries. During coronary angiography, special dye is released into the bloodstream. The dye makes the coronary arteries visible on x-ray pictures. This helps doctors see blockages in the arteries. A procedure called cardiac catheterization is used to get the dye into the coronary arteries. For this procedure, a thin, flexible tube called a catheter is put into a blood vessel in your arm, groin (upper thigh), or neck. The tube is threaded into coronary arteries, and the dye is released into bloodstream. X-ray pictures are taken while the dye is flowing through the coronary arteries. Symptoms of coronary artery disease, such as chest pain (angina) Pain in your chest, jaw, neck or arm that can't be explained by other tests New or increasing chest pain (unstable angina) A heart defect you were born with (congenital heart disease) Heart failure Other blood vessel problems or a chest injury A heart valve problem that requires surgery Surgery unrelated to the heart, but the patients at high risk of having a heart problem during that surgery. Because there's a small risk of complications, angiograms are usually done after noninvasive heart tests have been performed, such as an electrocardiogram, an echocardiogram or a stress test. As with most procedures done on heart and blood vessels, a coronary angiogram has some risks. Major complications are rare, though. Potential risks and complications include: Heart attack Stroke Injury to the catheterized artery Irregular heart rhythms (arrhythmias) Allergic reactions to the dye or medications used during the procedure A tear in the heart or artery Kidney damage Excessive bleeding Infection Radiation exposure from the X-rays