✍️ Written by the MedTestBD Editorial Team · Last reviewed: July 2026
What is a Coronary Angiogram?
A coronary angiogram is an imaging procedure that examines the blood vessels supplying the heart. A thin flexible tube (catheter) is guided through a blood vessel in the wrist or groin to the heart, and a special contrast dye is injected. X-ray images then reveal whether any coronary arteries are narrowed or blocked. It is considered the gold standard test for diagnosing coronary artery disease.
Why is a Coronary Angiogram Done?
- To investigate chest pain (angina) that has not been explained by other tests like ECG or stress test
- To evaluate the severity of coronary artery disease before deciding on treatment
- To plan coronary angioplasty (stent placement) or bypass surgery
- After a heart attack, to identify which artery was blocked and whether a stent is needed
- To investigate abnormal results on a non-invasive test such as an ETT or stress echocardiogram
What the Results Mean
| Finding | Meaning |
|---|---|
| Normal coronary arteries | No significant blockage — symptoms may have another cause |
| Mild narrowing (below 50%) | Usually managed with medication |
| Significant narrowing (50–70%) | May need stent or medication depending on symptoms |
| Severe narrowing or blockage (above 70%) | Usually requires stent (angioplasty) or bypass surgery |
The cardiologist interprets findings alongside symptoms, heart function, and the number of vessels affected to recommend the best treatment plan.
How to Prepare for a Coronary Angiogram
- Fast for 6–8 hours before the procedure — no food or drink except small sips of water
- Inform your doctor about all medications, especially blood thinners, diabetes medicines, and kidney medicines — some may need to be paused
- Tell your doctor if you have any allergy to contrast dye, iodine, or seafood
- Remove all jewellery, metal objects, and contact lenses before the procedure
- Bring all previous medical records, ECG reports, and echocardiogram results
- Arrange for someone to accompany you — you will need rest and observation after the procedure
Coronary Angiogram Price in Bangladesh
Coronary angiogram prices vary between cardiac centers and hospitals across Bangladesh. Compare coronary angiogram prices on MedTestBD →
⚠️ This information is for general reference only. Always consult a qualified physician before undergoing any medical test.
