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.