BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuLeft heart ventricular angiographyAngiography - left heart; Left ventriculographyLeft heart ventricular angiography is a procedure to look at the left-sided heart chambers and the function of the left-sided valves. It is sometimes combined with coronary angiography. How the Test is Performed Before the test, you will be given medicine to help you relax. You will be awake and able to follow instructions during the test.An intravenous line is placed in your arm. The health care provider cleans and numbs an area on your arm or groin. A cardiologist makes a small cut in the area, and inserts a thin flexible tube (catheter) into an artery. Using x-rays as a guide, the doctor carefully moves the thin tube (catheter) into your heart.IntravenousIntravenous means "within a vein. " Most often it refers to giving medicines or fluids through a needle or tube inserted into a vein. This allows th...Read Article Now Book Mark Article When the tube is in place, dye is injected through it. The dye flows through the blood vessels, making them easier to see. X-rays are taken as the dye moves through the blood vessels. These x-ray pictures create a "movie" of the left ventricle as it contracts rhythmically.The procedure may last from one to several hours. How to Prepare for the Test You will be told not to eat or drink for 6 to 8 hours before the test. The procedure takes place in the hospital. Some people may need to stay in the hospital the night before the test.A provider will explain the procedure and its risks. You must sign a consent form for the procedure. How the Test will Feel You will feel a sting and burn when the local anesthetic is injected. You may feel pressure when the catheter is inserted. Occasionally, a flushing sensation or a feeling that you need to urinate occurs when the dye is injected. Why the Test is Performed Left heart angiography is performed to assess the blood flow through the left side of the heart. Normal Results A normal result shows normal blood flow through the left side of the heart. Blood volumes and pressures are also normal. What Abnormal Results Mean Abnormal results may be due to:A hole in the heart (ventricular septal defect) Abnormalities of the left heart valves An aneurysm of the heart wall AneurysmAn aneurysm is an abnormal widening or ballooning of a part of an artery due to weakness in the wall of the blood vessel.Read Article Now Book Mark Article Areas of the heart are not contracting normally Blood flow problems on the left side of the heart Heart-related blockages Weakened pumping function of the left ventricleCoronary angiography may be needed when blockage of the coronary arteries is suspected.Coronary angiographyCoronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart....Read Article Now Book Mark Article Risks Risks associated with this procedure include:Abnormal heartbeats (arrhythmias) ArrhythmiasAn arrhythmia is a disorder of the heart rate (pulse) or heart rhythm. The heart can beat too fast (tachycardia), too slow (bradycardia), or irregul...Read Article Now Book Mark Article Allergic reaction to dye or sedating medicines Artery or vein damage Cardiac tamponade Cardiac tamponadeCardiac tamponade is pressure on the heart that occurs when blood or fluid builds up in the space between the heart muscle and the outer covering sac...Read Article Now Book Mark Article Embolism from blood clots at the tip of the catheter Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Heart failure due to the volume of the dye Infection Kidney failure from the dye Low blood pressure Heart attack Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...Read Article Now Book Mark Article Hemorrhage StrokeStrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...Read Article Now Book Mark Article Considerations Right heart catheterization may be combined with this procedure.Right heart catheterizationSwan-Ganz catheterization (also called right heart catheterization or pulmonary artery catheterization) is the passing of a thin tube (catheter) into...Read Article Now Book Mark Article Left heart ventricular angiography has some risk because it is an invasive procedure. Other imaging techniques may carry less risk, such as:CT scans CT scansA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...Read Article Now Book Mark Article Echocardiography Magnetic resonance imaging (MRI) of the heart Magnetic resonance imaging (MRI) of the...Heart magnetic resonance imaging is an imaging method that uses powerful magnets and radio waves to create pictures of the heart. It does not use ra...Read Article Now Book Mark Article Radionuclide ventriculographyRadionuclide ventriculographyNuclear ventriculography is a test that uses radioactive materials called tracers to show the heart chambers. The procedure is noninvasive. The ins...Read Article Now Book Mark Article Your provider may decide to perform one of these procedures instead of left heart ventricular angiography.Open ReferencesReferencesHermann J. Cardiac catheterization. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 19.Patel MR, Bailey SR, Bonow RO, et al. ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2012;59(22):1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925/.Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital heart disease in the adult and pediatric patient. In: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 75.AllVideoImagesTogA Closer Look Heart failure(In-Depth)Myocardial infarction(Alt. Medicine)Heart attack and acute coronary syndrome(In-Depth)Coronary artery disease(In-Depth)Atherosclerosis(Alt. Medicine)Stroke(In-Depth) Tests for Left heart ventricular angiography Left heart ventricular angiographyRight heart ventricular angiographyLeft heart catheterizationRelated Information Review Date: 12/7/2020 Reviewed By: Thomas S. Metkus, MD, Assistant Professor of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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Left heart ventricular angiographyAngiography - left heart; Left ventriculographyLeft heart ventricular angiography is a procedure to look at the left-sided heart chambers and the function of the left-sided valves. It is sometimes combined with coronary angiography. How the Test is Performed Before the test, you will be given medicine to help you relax. You will be awake and able to follow instructions during the test.An intravenous line is placed in your arm. The health care provider cleans and numbs an area on your arm or groin. A cardiologist makes a small cut in the area, and inserts a thin flexible tube (catheter) into an artery. Using x-rays as a guide, the doctor carefully moves the thin tube (catheter) into your heart.IntravenousIntravenous means "within a vein. " Most often it refers to giving medicines or fluids through a needle or tube inserted into a vein. This allows th...Read Article Now Book Mark Article When the tube is in place, dye is injected through it. The dye flows through the blood vessels, making them easier to see. X-rays are taken as the dye moves through the blood vessels. These x-ray pictures create a "movie" of the left ventricle as it contracts rhythmically.The procedure may last from one to several hours. How to Prepare for the Test You will be told not to eat or drink for 6 to 8 hours before the test. The procedure takes place in the hospital. Some people may need to stay in the hospital the night before the test.A provider will explain the procedure and its risks. You must sign a consent form for the procedure. How the Test will Feel You will feel a sting and burn when the local anesthetic is injected. You may feel pressure when the catheter is inserted. Occasionally, a flushing sensation or a feeling that you need to urinate occurs when the dye is injected. Why the Test is Performed Left heart angiography is performed to assess the blood flow through the left side of the heart. Normal Results A normal result shows normal blood flow through the left side of the heart. Blood volumes and pressures are also normal. What Abnormal Results Mean Abnormal results may be due to:A hole in the heart (ventricular septal defect) Abnormalities of the left heart valves An aneurysm of the heart wall AneurysmAn aneurysm is an abnormal widening or ballooning of a part of an artery due to weakness in the wall of the blood vessel.Read Article Now Book Mark Article Areas of the heart are not contracting normally Blood flow problems on the left side of the heart Heart-related blockages Weakened pumping function of the left ventricleCoronary angiography may be needed when blockage of the coronary arteries is suspected.Coronary angiographyCoronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart....Read Article Now Book Mark Article Risks Risks associated with this procedure include:Abnormal heartbeats (arrhythmias) ArrhythmiasAn arrhythmia is a disorder of the heart rate (pulse) or heart rhythm. The heart can beat too fast (tachycardia), too slow (bradycardia), or irregul...Read Article Now Book Mark Article Allergic reaction to dye or sedating medicines Artery or vein damage Cardiac tamponade Cardiac tamponadeCardiac tamponade is pressure on the heart that occurs when blood or fluid builds up in the space between the heart muscle and the outer covering sac...Read Article Now Book Mark Article Embolism from blood clots at the tip of the catheter Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Heart failure due to the volume of the dye Infection Kidney failure from the dye Low blood pressure Heart attack Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...Read Article Now Book Mark Article Hemorrhage StrokeStrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...Read Article Now Book Mark Article Considerations Right heart catheterization may be combined with this procedure.Right heart catheterizationSwan-Ganz catheterization (also called right heart catheterization or pulmonary artery catheterization) is the passing of a thin tube (catheter) into...Read Article Now Book Mark Article Left heart ventricular angiography has some risk because it is an invasive procedure. Other imaging techniques may carry less risk, such as:CT scans CT scansA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...Read Article Now Book Mark Article Echocardiography Magnetic resonance imaging (MRI) of the heart Magnetic resonance imaging (MRI) of the...Heart magnetic resonance imaging is an imaging method that uses powerful magnets and radio waves to create pictures of the heart. It does not use ra...Read Article Now Book Mark Article Radionuclide ventriculographyRadionuclide ventriculographyNuclear ventriculography is a test that uses radioactive materials called tracers to show the heart chambers. The procedure is noninvasive. The ins...Read Article Now Book Mark Article Your provider may decide to perform one of these procedures instead of left heart ventricular angiography.Open ReferencesReferencesHermann J. Cardiac catheterization. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 19.Patel MR, Bailey SR, Bonow RO, et al. ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2012;59(22):1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925/.Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital heart disease in the adult and pediatric patient. In: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 75.
