Before the day
- Bring all your previous reports: ECG, echo, TMT, blood tests and any earlier angiogram CDs.
- Tell the team if you have kidney disease, are allergic to iodine/contrast dye, or have had a reaction to any medicine.
- Ask specifically about diabetes medicines such as metformin, and blood thinners such as warfarin — you may need to stop or adjust them. Never stop medicines on your own.
- Arrange for a family member to accompany you and take you home.
On the day
- Usually you will be asked not to eat for 4–6 hours before. Sips of water with your morning medicines are generally allowed — follow the exact instructions given to you.
- Wear loose, comfortable clothing and remove jewellery, bangles and rings from the hand that may be used.
- Blood tests, an ECG and an IV line will be done before the procedure.
During the procedure
You remain awake. The wrist or groin is numbed, so you should feel only a small prick. You may feel a warm sensation when the dye is injected — this is normal and passes in seconds. Tell the team at once if you feel chest pain or discomfort.
Questions worth asking
- What did the angiogram show, and how severe are the blockages?
- Do I need a stent, bypass surgery, or can this be treated with medicines?
- Will FFR or intracoronary imaging be used to guide the decision?
- How long will I stay in hospital, and when can I return to work?
This article is for general awareness and does not replace personal medical advice. Please consult your cardiologist before changing any medicine. In an emergency, call 108.