Your guide to a coronary angiogram 

Do you have a coronary angiogram coming up? Watch this video to find out what to expect.

How to treat heart disease

Transcript of Your guide to a coronary angiogram

BRITISH HEART FOUNDATION THE ROAD AHEAD: YOUR GUIDETO CORONARY ANGIOGRAM This film will show you what to expectif you are having a coronary angiogram, sometimes calleda cardiac catheterisation. My name is Alan Price,I'm from Derbyshire. ALAN, 71KEEN RAMBLER I'm here today for a cardiac angiogram. The procedure today is straightforward and will explain in a little more detailabout what happens next. It is a straightforward operationand no reason to worry at all. I'm Jaydeep Sarma, I'ma consultant interventional cardiologist at the North West Heart Centre in the Wythenshawe Hospitalin south Manchester. So, a coronary angiogram isan X-ray-based set of pictures that we take of the heart and,in particular, the coronary arteries. The procedure is doneunder local anaesthetic, either into the skinaround the wrist artery or sometimes into the skinaround the top of the groin, depending on which arterywe need to use. Sharp scratch now, sir. We do more of these proceduresusing the wrist artery these days because we want to get peopleup and about. It adds convenience for the patients. We'll let that work its way in while we're settingall our other equipment up. (narrator) When you havecoronary heart disease, fatty deposits build up on the innerwalls of your coronary arteries causing narrowing or blockageswhich restrict blood flow to your heart. A coronary angiogram helps identifyif you have these narrowings and shows how severe it is. A catheter, thin flexible tube, is passed into your arterythrough your groin or arm and then up to your heart. A special dye called contrastwill 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 narrowingin your arteries. (Jaydeep) We put a very small needleinto the artery, again, either the groan or the wrist, and use that needle to feeda tiny wire into the artery. That allows us to puta plastic tube over the wire, removing the needles,and then that plastic tube allows us to inject liquid dyeinto the arteries, allowing us to see the course ofthe arteries on the X-ray machine. What we're doing now is manipulatingthe catheter into the right position to take a picture ofthe right coronary artery. People generally feela little bit of pressure but not discomfort when the tubingis being moved inside the arteries, often within the arm,sometimes around the leg area. Some people complain offeeling hot or flushed when the dye is being injected, but generally speaking,most people aren't aware of the fact thattheir heart arteries are being filmed and the X-rays are actually being taken. There are a few irregularitiesbut nothing untoward. Diagnostic angiogramis a very straightforward and very well-organised procedure. And normally it would take in the regionof 10 to 15 minutes to get the pictures. Most people who have a diagnosticprocedure do so as a day-case so they can go home that afternoonor that evening. The main complicationpeople suffer from is bruising or bleeding fromthe point of access, the wrist or the groin,where the tubing is inserted. So overall, the risk of any majorcomplications is extremely low. Having had the angiogram, I'm sitting here now feelingno 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 returnto the outdoor lifestyle I led, which will be walking in the hills. And I see no reasonwhy that's not achievable. (narrator) Heart disease is stillthe 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 withheart and circulatory conditions. Join our fight forevery heartbeat in the UK. Every pound raised,every minute of your time and every donation to our shopswill help make a difference. BHF THANKS UNIVERSITY HOSPITALOF SOUTH MANCHESTER FOR HELP WITH THIS FILM FIGHT FOR EVERY BRITISH HEART FOUNDATION


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