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Indications

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • in coronary artery disease
    • should be performed on all patients at risk of coronary disease before they undergo heart surgery.
    • may be used in diagnosis, assessment of severity of lesions, and treatment (stent insertion, angioplasty)
    • possible indications for coronary angiography include:
      • more than 2 mm ST depression on an exercise ECG
      • angina or ST depression in a patient who is recovering from an MI
      • unstable angina - i.e. chest pain which results in an admission to a cardiac care unit, but with no cardiac enzyme rise
      • a sudden worsening of the angina
      • angina resistant to medical treatment
  • in congenital heart disease - diagnosis, assessment and treatment (e.g. septostomy, balloon dilatation)
  • valvular heart disease - diagnosis and assessment; cardiac catheterization offers a treatment option in valvuloplasty if patient unfit for (or declines) surgical intervention
  • other conditions where cardiac catheterization may be used include pericardial disease, cardiomyopathy; also for performing endomyocardial biopsy

 

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