Cost of CT Coronary Angiography in India
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What is CT Coronary Angiography?
A Computerized Tomography (CT) Coronary Angiography is a non-invasive medical imaging test used to detect the major blood vessels and the blood supply to/from the heart. The coronary angiogram also helps the cardiologists to detect the cause of persistent chest pain and other heart-related symptoms and disorders. The angiography uses strong X-rays to produce clear, detailed images of the heart and its blood vessels. The test is prescribed when the person is at risk of coronary heart disease. The coronary angiogram produces three-dimensional images of the heart and the surrounding arteries, giving an entire view of the organ and the defects present.
Why is the CT Coronary Angiography done?
Men and women of any age can get this test done if they experience discomfort in the chest or upper body region. The angiography test is prescribed to identify blocked arteries (atherosclerosis) due to plaque formation. The symptoms can be different in various individuals. Some people may experience
- frequent chest pains
- arrhythmias (irregular heart rhythm)
- inadequate blood supply to the heart
- breathing problems
- dizziness and fainting episodes
- upper body pain
- nausea
It is crucial to inform the doctor about the symptoms and get an appropriate prescription and/or treatment. It is also recommended to the patient who is a chain smoker, diabetic, or is undergoing heart surgeries.
Who should get the CT Coronary Angiography done?
From kids to adults, any person can get a CT Coronary Angiography done. Heart problems can affect anyone, irrespective of age and gender. The disorders can be due to congenital disabilities (birth defects), blocked arteries, valve defects, and many more. The 3D images of the heart and the major blood vessels can detect the specific issue in the patient.
Disclaimer: It is advised to always consult your doctor to interpret the test reports to avoid confusion and panic.
What precautions should I take?
- Please follow the instructions suggested by your doctor.
- Inform if you or the patient is under any medications or underlying illness.
- Show your old medical reports to the doctor (if any) before undergoing the CT Coronary Angiography.
- Inform the doctor if you are menstruating, pregnant, or breastfeeding before taking the angiography test.
What does the CT Coronary Angiography measure?
The X-rays used in the CT Coronary Angiography produce detailed images of the heart and the blood vessels that go to the heart, lungs, brain, neck, abdomen, and limbs. The test can detect the blocked blood vessels that hinder the blood flow and oxygen supply. The test can also identify the type of plaque in the blood vessels, the degree of coronary artery blockage, pulmonary embolism, aneurysm, arteriovenous malformation, etc.
What tests are included in the CT Coronary Angiography?
Coronary angiography consists of detailed imaging of the heart and the major blood vessels connected to it. The test makes use of contrast dye, which is iodine-based. Contrast dyes are injected intravenously into the patient’s arm before undergoing a scan. The test makes use of advanced computer software along with strong X-rays to create detailed images of the heart and the surrounding blood vessels connecting to major organs of the body.
CT Coronary Angiography Preparation
Before undergoing coronary angiography, make sure to remember certain instructions.
- It is crucial to inform the doctor if you are menstruating/pregnant/breastfeeding before undergoing the test.
- You must inform the doctor and staff at the center about any of your implants, internal splints, pacemaker devices, vascular stents, etc.
- You must remove all the jewelry and body piercings before undergoing the test.
- You will be asked to wear a hospital gown for the test.
- You will be injected with a contrast dye (intravenous) for detailed images of the heart and the arteries. It is essential to inform the doctor if you had any allergic reactions to contrast dye in the past or if you are suffering from kidney disease. If you are doubtful about the contrast dye, ask your cardiologist for the relevant suggestion.
- You must inform the authorities about other medications and underlying diseases (if any).
CT Coronary Angiography Procedure
- A licensed lab technician at the diagnostic center or hospital will guide you best for the test process.
- The entire angiography procedure takes around 30 to 60 minutes.
- An iodine-based contrast dye will be injected before the test.
- After wearing a hospital gown, you will be allowed to lie down on your back without any movement. If you are claustrophobic, kindly inform the doctor beforehand.
- The body movements can produce blurry images. Therefore, you must lie down still.
- If you feel discomfort during the procedure, you can press the emergency call button or intercom and speak to the person in charge of the test.
- If the patient is a kid, mild sedation might be given to make them sleep during the entire procedure.
What to expect after the CT Coronary Angiography is done?
- Once the CT coronary angiography is complete, you will be allowed to wear your everyday clothes and all your jewellery
- If the doctor sedates you during the scan, you will be shifted to a recovery room until you gain consciousness
- You may feel slight bruising or pain at the site of the injection. If you feel other discomforts, inform the authorities as soon as possible
- The angiography report is available soon after the test. Once you get your report, kindly consult a cardiologist for their expert opinion and treatment plans
- Avoid self-diagnosis to prevent confusion and panic
- Drink lots of liquids (water) to flush out the dye from your body
When will I get the CT Coronary Angiography report?
The CT Coronary Angiography results will be available soon after the test. It is mandatory to consult an expert doctor to diagnose your condition accurately and plan a treatment course accordingly.
How will I get the CT Coronary Angiography report?
The results will contain detailed images of the heart and the major blood vessels connecting various organs to the heart. Based on the CT images and the written report, the cardiologist will diagnose the condition and discuss the appropriate treatment plan with you.
How to interpret the CT Coronary Angiography report?
Once you get your CT Coronary Angiography test reports, please consult an expert doctor for their advice. The cardiologist will tell you what’s wrong with the test reports and accordingly plan the treatment for your illness. Based on the CT images and the written report, blocked arteries, the doctor may suggest a vascular stent to improve blood circulation and plaque removal. Do not self-diagnose or self-medicate under any circumstances.
Is there any risk involved?
The CT Coronary Angiography test can cause some side effects.
- The contrast dye used for the scanning can cause allergic reactions like nausea, headaches, and burning sensation.
- The angiography test uses X-ray radiation that can cause itchy eyes, redness, skin rashes, itchiness, and burn.
- The X-ray waves can harm the baby during the initial stages of pregnancy. So, to be safe, women during their pregnancy must consult a gynecologist or inform the cardiologist before undergoing a CT coronary angiogram.
What equipment or instruments are used for CT Coronary Angiography?
A CT Coronary Angiography produces images of the heart and the surrounding major arteries. The procedure uses
- X-rays radiation
- Catheter (if needed)
- Radiographic table
- Computer software
- Video monitor
The contrast dye converts the X-rays into live images on the video monitor. The catheter might be inserted intravenously into the area of interest. The contrast dye is injected through the catheter that produces clear images of the blood vessels and the heart. Once the procedure is complete, and all the necessary images are produced, the catheter is removed, and the incision site is closed by applying pressure.
How long does the CT Coronary Angiography take?
The CT coronary angiography takes typically around 30 to 60 minutes. The patient can be awake or be sedated during the imaging process. The results of the scan are also obtained immediately.
How do I book the CT Coronary Angiography through MFine?
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Frequently Asked Questions (FAQs) on CT Coronary Angiography
Is CT Coronary Angiography painful?
CT coronary angiography is a non-invasive procedure. However, certain people may show cross-reactions to the contrast dye and X-ray radiation. In case you are claustrophobic, it is better to keep the authorities informed.
What is the cost of CT coronary angiography?
The minimum cost of CT coronary angiography in India, starts from Rs. 9000/-. The price may be higher in private laboratories and hospitals compared to the government ones. There are several charitable trusts that perform the test at a lower price. If you have health insurance, inquire in the hospital or labs about the payment process for the same.
Which part of the body does angiography deal with?
The angiography deals with the heart and the surrounding blood vessels that connect major organs of the body. The defect in the heart and the blood vessels can be detected in the angiogram easily based on the images.
How do you overcome claustrophobia during coronary angiography?
If you are claustrophobic, inform your doctor beforehand. Request the authorities to play soft music in the background. Once you lie down, close your eyes, and breathe deeply. If your doctor prescribes any medicine, take it before the test. The doctor may suggest a mild sedative if you are too anxious or nervous.
Can coronary angiography detect cancer?
The CT coronary angiography might be able to detect blood vessels feeding the tumors lodged in the lungs, throat, or liver. To detect the prognosis of cancer, the doctor may propose a biopsy test. CT angiography will identify only the early stages of cancer cells.
Who is not eligible for CT coronary angiography?
If a patient has kidney disorders or reduced kidney functions, the contrast dye injected during the angiography may worsen their conditions. The doctors usually plan a different course of diagnosis and treatment for kidney patients. If you are severely allergic to the contrast dye, the doctor will prevent you from getting an angiography.
Can I eat or drink before the CT coronary angiography?
The doctor often recommends not eating anything at least 4 to 6 hours before undergoing an angiography. You should avoid alcohol and caffeinated drinks since they can increase your heart rate. Heavy eating and drinking fluids may cause nausea during the process and impact the test results.
Can I get an CT Coronary angiography without a referral?
It is better to consult a doctor if you experience any discomfort in the chest area. Only if it is necessary, the doctor will prescribe a CT coronary angiography for you or else other simple tests and medications. Angiography is not recommended to people with a low risk of heart issues. Discuss with your doctor before the test.
Should I stop any medicines before undergoing CT coronary angiography?
Consult your doctor about the medicines or other underlying health conditions. Your doctor may ask you to stop medication like aspirin two or three days before the test. Aspirin is considered a blood-thinner and might interfere with your angiography report. Before you stop or start the medicines, ask your cardiologist for their expert opinion and clear your doubts.
Is CT coronary angiography safe for kids? 
CT coronary angiography is considered a safe procedure. However, some kids may show severe side effects like excessive bleeding at the site of injection, infection, allergic reactions to local anesthesia, contrast dye, and X-ray radiation. It is best to consult a pediatrician for an expert opinion and risks involved before subjecting your child to CT coronary angiography.
Can CT coronary angiography miss to detect an artery blockage?
CT coronary angiography is a highly advanced imaging technique and reliable. It can accurately detect artery blockages and coronary heart diseases or rule out the blockages in more than 90% of the patients. The test makes it possible for timely treatment and medication.
Who should consider going for a coronary angiography?
If you have a family history of early heart diseases, hypertension, diabetes, stroke, and cholesterol abnormality, it is best to consult a doctor for coronary angiography and get a timely diagnosis and treatment.
What happens after CT coronary angiography? 
Once you complete the CT coronary angiography test, the reports will be accessed by the cardiologist. If you have any artery blockages, they may suggest balloon angioplasty and stenting restore the blood flow and remove the clots or plaque deposits. By-pass surgery is also an option if you have valve deformities and other heart disorders.
Is CT coronary angiography safe during pregnancy?
The CT coronary angiography uses high doses of X-ray radiation, which might have teratogenic effects during the early stages of pregnancy. It may cause miscarriage and other defects in the growing fetus. It is best to consult your gynecologist before undergoing the angiography.
Is CT coronary angiography better than invasive coronary angiography?
CT coronary angiography is less invasive, cost-effective, and quick. In invasive coronary angiography, a catheter is inserted from the groin area that causes bleeding and bruising. Both tests are reliable and show valid results. The recovery time for catheter-based angiography is long compared to CT coronary angiography. It is best to take an expert opinion before undergoing the tests.
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