$Unique_ID{BRK00279} $Pretitle{} $Title{Why Have Your Heart Arteries X-Rayed?} $Subject{coronary angiography silent attack Special Procedures procedure coronary heart arteries blocked plaques fatty material calcium chest pain angina disease artery bypass surgery surgeries X-Ray} $Volume{P-3, P-4} $Log{ The Heart's Blood Supply*0008901.scf Atherosclerosis of Arteries*0009301.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Why Have Your Heart Arteries X-Rayed? ------------------------------------------------------------------------------ QUESTION: With several bouts of chest pain in my history, but no diagnosis of heart attack, I am now on my way to having my heart arteries x-rayed. I know what the test (coronary angiography) is all about, but wonder what they are looking for. Are they trying to find a "silent" heart attack? What should I be on the alert for? ------------------------------------------------------------------------------ ANSWER: There are many excellent reasons for undergoing this test, which will show your physicians the state of your coronary (heart) arteries, and how well they are performing their job of bringing the flow of blood to your heart muscles. When these arteries are blocked with plaques of fatty material and calcium, blood flow is reduced or cut off completely, and chest pain (angina) may result. But not all chest pain may be caused by coronary artery disease, and so the first fact your physician is seeking is whether or not your chest pain is coming from artery trouble. There will be evidence for or against the diagnosis of any so called "silent" heart attack, and that question will be answered for you. More important, a definitive diagnosis may be reached, which can help direct the type of therapy necessary to help stop these chest pains and get you back to normal. The treatments can range from diet and exercise programs, a variety of medications, to surgery (by pass) to get the blood flowing around any blockages that may be found. At any rate, I think you will be relieved to finally know what is going on, and you can look to your physician for a complete explanation of the findings. You may wish to ask to see the x-rays, and to trace the path of your coronary arteries (with the guidance of your doctor) so that you will understand the causes of the pain, and dedicate your efforts to their correction. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.