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TMU Hospital, Moradabad, Uttar Pradesh

Coronary Angiography & Cardiac Catheterization in Moradabad

Advanced Diagnosis of Heart Blockages with Dr. Shalabh Kumar Agarwal

Coronary angiography is an important diagnostic procedure used to examine the coronary arteries and identify narrowing or blockages that may reduce blood flow to the heart. It helps cardiologists understand the location and severity of coronary artery disease and determine an appropriate treatment plan.

Dr. Shalabh Kumar Agarwal, Senior Interventional Cardiologist at TMU Hospital, Moradabad, provides coronary angiography and interventional cardiac care for patients with suspected or established heart disease. His current website lists coronary angiography, angioplasty and complex coronary procedures among his areas of expertise.

What Is Coronary Angiography?

Coronary angiography is a procedure that uses X-ray imaging and contrast dye to visualize the arteries supplying blood to the heart.

During the procedure, a thin flexible tube called a catheter is inserted through a blood vessel, commonly from the wrist or groin, and carefully guided toward the heart. Contrast dye is then injected into the coronary arteries so that narrowing or blockages can be seen on X-ray images.

The information obtained from an angiogram can help the cardiologist decide whether a patient may benefit from medicines, angioplasty and stenting, bypass surgery, or another treatment approach.

Why Is Coronary Angiography Performed?

Your cardiologist may recommend coronary angiography when symptoms or diagnostic tests suggest reduced blood supply to the heart.

It may be considered in patients experiencing:

  • Recurrent or persistent chest pain (angina)
  • Suspected coronary artery disease
  • Symptoms suggestive of a heart attack
  • Abnormal or concerning cardiac test results
  • Unexplained symptoms where coronary disease needs evaluation
  • Known coronary artery disease requiring further assessment
  • Need for planning certain cardiac interventions

The decision to perform angiography is based on the patient's symptoms, medical history, examination and results of other investigations.

Coronary Angiography vs Cardiac Catheterization

These terms are related but do not mean exactly the same thing.

Cardiac catheterization refers broadly to procedures in which a catheter is guided into or around the heart to obtain diagnostic information or perform treatment.

Coronary angiography is a specific type of catheter-based test in which contrast dye and X-ray imaging are used to visualize the coronary arteries.

In clinical practice, coronary angiography is commonly performed as part of cardiac catheterization.

What Happens During Coronary Angiography?

Before the procedure, the medical team reviews your health history, current medicines and relevant investigations.

The access area is cleaned and numbed with local anaesthetic. A catheter is then introduced through an artery and guided toward the coronary arteries. Contrast dye is injected while X-ray images are recorded.

These images allow the cardiologist to evaluate whether significant narrowing or blockage is present and where it is located.

If an important blockage is detected, the cardiologist will determine the appropriate next step based on the patient's clinical condition and coronary anatomy.

What Can Coronary Angiography Detect?

Coronary angiography can provide detailed information about:

  • Location of coronary artery narrowing
  • Severity of a blockage
  • Number of coronary arteries affected
  • Pattern and complexity of coronary artery disease
  • Blood flow through coronary arteries
  • Information needed to plan further cardiac treatment

This makes angiography an important tool for planning treatment in selected patients with coronary artery disease.

Is Coronary Angiography Safe?

Coronary angiography is an established invasive cardiac procedure. However, as with any invasive procedure, it has potential risks and is not appropriate for every patient.

Possible complications can include bleeding or bruising at the catheter insertion site, allergic reactions to contrast material, kidney problems related to contrast, blood-vessel complications, abnormal heart rhythms and, rarely, more serious complications.

Your cardiologist will assess the expected benefits and potential risks based on your individual medical condition before recommending the procedure.

What Happens If a Blockage Is Found?

Finding a coronary blockage does not automatically mean that every patient needs angioplasty.

Treatment depends on factors such as the severity and location of the blockage, number of arteries affected, symptoms, heart function, other medical conditions and the overall clinical picture.

Treatment may include medications and risk-factor management, coronary angioplasty with stent placement, bypass surgery, or another individualized strategy.

Dr. Shalabh Agarwal’s website also lists coronary angioplasty and complex coronary interventions—including bifurcation, CTO and rotablation procedures—among his areas of expertise.

Preparing for Coronary Angiography

Before undergoing the procedure, inform your cardiologist about all medicines you take, any known allergies, kidney problems, diabetes, previous reactions to contrast dye and other significant medical conditions.

Follow the hospital team's specific instructions regarding fasting and medicines. Do not stop prescribed heart medicines or blood thinners on your own unless your treating doctor specifically advises you to do so.

Coronary Angiography with Dr. Shalabh Agarwal in Moradabad

Dr. Shalabh Kumar Agarwal is a Senior Interventional Cardiologist providing cardiac care at TMU Hospital, Moradabad, Uttar Pradesh. His website lists coronary angiography along with angioplasty, complex coronary procedures, intracoronary imaging, peripheral interventions and other interventional procedures among his areas of expertise.

Patients who have chest discomfort, suspected coronary artery disease or abnormal cardiac investigations can consult Dr. Agarwal for an individualized cardiac assessment and to determine whether coronary angiography is appropriate.

Book a Cardiology Consultation in Moradabad

If you have symptoms or investigations suggesting coronary artery disease, consult a cardiologist rather than deciding on an invasive test based only on symptoms.