indications for catheterization in ishchaemic heart disease

Last reviewed 01/2018

Coronary angiography should be performed on all patients at risk of coronary disease before they undergo heart surgery.

In the patient with angina, indications may include:

  • more than 2 mm ST depression on an exercise ECG
  • angina or ST depression in a patient who is recovering from an MI
  • unstable angina - i.e. chest pain which results in an admission to a cardiac care unit, but with no cardiac enzyme rise
  • a sudden worsening of the angina
  • angina resistant to medical treatment