Your doctor may recommend that you have a coronary angiogram if you have:

  • Symptoms of coronary artery disease, such as chest pain (angina)
  • Pain in your chest, jaw, neck or arm that can't be explained by other tests
  • New or increasing chest pain (unstable angina)
  • A heart defect you were born with (congenital heart disease)
  • Heart failure
  • Other blood vessel problems or a chest injury
  • A heart valve problem that requires surgery

You may also need an angiogram if you're going to have surgery unrelated to your heart, but you're at high risk of having a heart problem during that surgery.

Because there's a small risk of complications, angiograms are usually done after noninvasive heart tests have been performed, such as an electrocardiogram, an echocardiogram or a stress test.

Mar. 06, 2014