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Coronary Angiogram Singapore - How Long does it Take?

  Coronary Angiogram Singapore: How Long does it Take? A coronary angiogram is used to visualize the blood vessels that supply the heart. ...

 


Coronary Angiogram Singapore: How Long does it Take?

A coronary angiogram is used to visualize the blood vessels that supply the heart. It's commonly performed to diagnose and assess the severity of heart conditions like the coronary artery disease.

During the procedure, a contrast dye is injected into your coronary arteries, and X-ray images are taken to detect any blockages or abnormalities. The primary reason why you may be recommended a coronary angiogram in Singapore is to gather detailed information about your heart's blood vessels.

The information gathered from the coronary angiogram can help your doctor determine the best treatment approach for you. This procedure can guide interventions like angioplasty or coronary artery bypass surgery.

But, how long does the procedure itself take, and how exactly do you prepare? Stay on this page to find out;


What should I do to Prepare for an Angiogram?

To begin with, during an angiogram, you'll be given intravenous sedation to help you relax. Your interventional radiologist will then proceed to clean the area where a catheter will be inserted.

Usually, this area is at the top of the leg or occasionally the upper arm. A local anesthetic will then be applied to numb the area. After that, a catheter is inserted into the artery and guided to the area being studied using an X-ray screen, similar to a TV. You won’t feel the catheter moving through your arteries.

Once the catheter is in place, contrast dye is injected through it. This dye makes the blood vessels visible on the X-ray images. You might feel a brief warm sensation when the dye is injected, but it's temporary.

Multiple injections of contrast and X-ray images might be taken during the procedure. Afterward, the catheter is removed, which is not painful. The area where the catheter was inserted will be pressed for 10 to 20 minutes to prevent bleeding.

This whole process may seem quite complex thus the frequently asked question; what should I do to prepare for an angiogram? Here's a quick summary;

  • Eating: Avoid solid food for 6 hours before your procedure. You can have clear liquids, such as water or apple juice, up to 2 hours prior. Note that orange juice and tea are not considered clear liquids.
  • Smoking: Smoking before an angiogram is discouraged as it can constrict blood vessels, affect blood flow, and make it harder for the catheter to move through your arteries. It also increases the likelihood of complications like bleeding and poor healing and can also impact how well your body responds to the procedure. What's more, the effects of contrast dye might be altered in smokers due to changes in blood vessel function and overall circulation.
  • Medications: Continue taking your prescribed medications unless advised otherwise. Diabetic patients on Glucophage, Glucovance, or Avandamet should not take these for two days after the exam and need a kidney function test before resuming. If you’re diabetic and on insulin, ask your doctor for specific instructions. Inform your doctor if you are on blood thinners like Coumadin, as you may need to stop taking them.
  • Allergies: Please inform your doctor about allergies to contrast dye or iodine to prevent severe allergic reactions during the procedure. A good provider will want to know about these allergies in advance so they're best prepared to take necessary precautions or choose alternative imaging methods to ensure your safety.


How long does a Coronary Angiogram Take from Start to Finish?

People frequently ask about the duration of a coronary angiogram to manage expectations, plan their days, and understand the time commitment involved in the procedure and recovery. If you're on the same boat, here is a simple answer;

The actual angiogram procedure typically takes between 30 minutes to two hours from start to finish. However, several factors contribute to the overall time commitment for this procedure.

·       Procedure Time: The angiogram itself involves threading a catheter through a blood vessel to the heart, injecting the contrast dye, and capturing X-ray images. This process usually takes about 30 minutes to two hours, depending on the complexity of the case and the number of images needed.

·       Pre-Procedure Time: Upon arrival at the hospital or clinic, you will go through a preparation phase. This includes registration, initial health checks, and possibly additional testing. This pre-procedure preparation can take about 1 to 2 hours.

·       Post-Procedure Time: After the angiogram, you'll be monitored in a recovery area for 1 to 2 hours. This monitoring ensures there are no immediate complications, such as bleeding or an adverse reaction to the contrast dye. The medical team will check your vital signs and the insertion site during this period.

Immediate recovery after a coronary angiogram involves close monitoring by the healthcare team. You may experience mild discomfort or bruising at the catheter insertion site. In some cases, patients can go home the same day, but this depends on individual circumstances and the healthcare provider's assessment.

Most patients are discharged within a few hours of the procedure, provided there are no complications. However, you will need someone to drive you home, as it's unsafe to drive yourself due to the sedation or anesthesia used during the angiogram.

Once home, you'll receive specific aftercare instructions, including activity restrictions and how to care for the insertion site. Avoid strenuous activities and heavy lifting for a few days to allow for proper healing. Follow your doctor's advice on medication adjustments and schedule any necessary follow-up appointments.

Seek help if you experience severe pain, bleeding, infection at the catheter site, or any unusual symptoms such as chest pain or shortness of breath. These could indicate complications that need prompt medical intervention. On the same note, be sure to follow your doctor's recommendations for follow-up appointments to ensure your heart health is closely monitored and managed appropriately.


Closing Thoughts

A coronary angiogram is a vital procedure for diagnosing and managing heart conditions. While it isn't as complex as it may sound, always consult with your heart doctor for personalized advice and to address any concerns you may have about the procedure.

Wish to learn more about CT coronary angiograms in Singapore? Drop us a line now to schedule an appointment and also have all your questions answered. Call or visit us at;

Cadence Heart Centre (Dr Devinder Singh) | Heart Screening, Heart Check Up

3 Mount Elizabeth, Medical Centre,

14-13, Singapore 228510

+65 6369 8789

https://cadenceheart.sg/