How It Is Done continued...
You may be asked to hold your breath
or move your head slightly to provide clear views of the heart and its blood
During an angiogram, a small amount of dye (contrast material) will be
injected through the catheter into your coronary
arteries. Pictures show the arteries as the dye moves through them. You may be
asked to cough to help clear the contrast material out of your heart. Or you may be asked to take a deep breath and hold it.
It is important to lie as still as
possible, since motion can make the images blurry or hard to interpret. A
health professional will help you stay comfortable and will help you resist the
urge to move around. Be careful not to touch the sheets or the area where the catheter is inserted because you may contaminate the sterile areas and increase the risk of
Your doctor may allow you to watch the video monitor so
you can see the images of your heart and coronary arteries.
may be given nitroglycerin to help open up your coronary arteries. Or you may
be given an injection of a medicine that causes the coronary arteries to
You may be asked to breathe into a special mouthpiece
to help measure the flow of oxygen in your circulating blood.
After the test
The catheter will be removed from
the insertion site. To prevent bleeding, the site may need to be closed using
pressure, stitches, or a special seal. For example, if the catheter was
inserted in your wrist or groin, firm pressure will be applied to the area for
about 10 minutes to stop the bleeding. Then a pressure dressing will be placed
over the area. If the catheter was inserted in your elbow, a few stitches will
be used to close the wound.
The test takes about 30 minutes. But you need time to get ready for it and time to recover. It can take up to 6 hours total. The
length of the test is not an indication of the seriousness of your condition.
After the test, you will be taken to an observation room, and a health
professional will periodically monitor your heart rate, blood pressure, and
temperature and check for signs of bleeding at the insertion site. The pulse,
color, and temperature of the arm or leg in which the catheter was inserted
will also be checked periodically. You may be given medicine to relieve pain.
If the catheter was inserted in
your groin, you may have to lie in bed with your leg extended for several hours
(such as 1 to 4 hours), depending on the exact procedure used and your medical
condition. After that, you can move about freely. If the catheter was inserted in your arm, you can sit up and get out of bed right away. But you will need to keep your arm still for several hours.