Coronary artery angiography (CAG)

Coronary Artery Angiography (CAG) is a diagnostic procedure used to visualise the coronary arteries—the vessels supplying blood to the heart. It helps doctors detect blockages, narrowing, or abnormalities that may lead to coronary artery disease (CAD).

Cost

Approximately USD 1,363 – 2,500

Prices may vary depending on hospital, technique used, patient condition.

Purpose of CAG

Identify blockages or narrowing in coronary arteries.
Evaluate the severity of coronary artery disease.
Guide doctors in planning the next steps (medical therapy, angioplasty, or surgery).

Procedure

A thin catheter is inserted into a blood vessel (usually wrist or groin).
Contrast dye is injected, making arteries visible on X-ray imaging.
Real-time images help locate blockages or narrowed segments.
Often takes less than 30 minutes.

Benefits

Provides clear, detailed images of the heart’s arteries.
Helps doctors plan targeted treatments.
Can be followed immediately by other procedures like angioplasty if needed.
Recovery

Usually a same-day discharge.
Short observation period post-procedure.
Follow-up consultations are essential for treatment planning.

Diagnosis for Coronary Artery Angiography (CAG) Before recommending CAG, doctors typically perform several preliminary tests to assess heart health: Electrocardiogram (ECG): Records the electrical activity of the heart can detect signs of heart strain or previous heart attacks. Echocardiogram: Uses ultrasound waves to create detailed images of the heart's structure function. Stress Test: Evaluates how the heart performs under physical stress, often using a treadmill or medication. Blood Tests: Check for markers of heart damage, cholesterol levels, other risk factors. CT Coronary Angiography: A non-invasive scan that may be done before a traditional CAG to screen for blockages. Medical History & Physical Exam: Evaluation of symptoms, family history, lifestyle, risk factors. If these tests suggest significant coronary artery disease or if symptoms are severe, a Coronary Artery Angiography (CAG) is performed as the definitive diagnostic procedure.
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