CT Coronary Angiography (CCTA) examines the blockage and abnormalities in the blood supplying arteries of the heart. It may diagnose the cause of chest pain or other symptoms. Its full form is Coronary (heart-related) computed tomography (CT) angiography. It is a non-invasive and painless CT Scan which takes less than 30 minutes. Its price in India ranges from Rs 9000 to Rs 15000.
This technique uses a powerful X-ray machine to produce images of the heart and blood vessels. The procedure does not involve cuts as well as incisions and doesn’t require recovery time. It consists of injecting iodine-based contrast liquid and CT scanning to check the arteries supplying blood to the heart and determine whether they have been narrowed. The final result images can be converted into 3D (three-dimensional) images viewed on a monitor/electronic media/printout. A Doctor can recommend it for
| Also known as | Angiography heart, CT Coronary Angiogram, CT Scan heart. |
| Purpose | For identifying blockages or abnormalities in blood vessels connected with the heart. |
| Preparation | Avoid smoking and drinking. |
| Fasting | 4 hours of Fasting is required. |
| Reporting time | 8 to 24 hours. |
| Cost | Rs 9000 to Rs Rs 15000 |
CT Coronary angiography requires a multi-slice CT Scan machine with a minimum of 64 slices, a cardiologist and the latest software. Very few diagnostic centres satisfy these conditions, thus this test has limited availability. Therefore, it is comparatively an expensive test. CT Coronary angiography test cost ranges from Rs 9000 to Rs 15000 in India.
However, the actual cost would depend on Hospital or diagnostic centre, CT scan machine quality and city.
The table below list the prices at some of the popular diagnostic centres in India.
| Diagnostic Centre | Indicative price |
|---|---|
| City X-ray | Rs 12000 |
| Janta X-ray | Rs 7700 |
| Apollo Hospital | Rs 14000 Onwards |
| Max Hospital | Rs 13500 Onwards |
| Mahajan imaging | Rs 13950 |
| Fortis Hospital | Rs 15000 Onwards |
| Manipal Hospital | Rs 15000 |
Prices tend to vary from one city to another. Usually, metro cities have higher prices, whereas tier 2 or tier 3 cities have lower prices. You can click on the city name to get the list of ultrasound centres with their prices and discount for CT coronary angiography.
| City | Indicative price |
|---|---|
| CT Coronary angiography test cost in Delhi | Rs 7700 to 13950 |
| CT Coronary angiography test cost in Hyderabad | Rs 10480 |
| CT Coronary angiography test cost in Mumbai | Rs 8400 to Rs 9000 |
| Mumbai | Rs 12000 Onwards |
| Bangalore | Rs 11500 Onwards |
| Kolkata | Rs 9500 Onwards |
| Chennai | Rs 10000 Onwards |
Below is the stepwise procedure of how CT coronary angiography is done. It is preferable to do this test on a 128 or higher slice CT scanner. 64 Slice is the minimum requirement.
After completing the procedure, the result in the form of an angiogram would be given to the patients.
No Surgery Needed: There is no need for any surgery, no catheters nor any other form of surgery; the scan is painless and straightforward.
Early Detection: Allows for the detection of blocked or narrowed arteries well before major complications develop.
Short Scan Time: The scan is quick and is done within 15 to 30 minutes.
Accurate Results: Provides high-detail images of your arteries, as well as of plaques and calcium deposits.
Treatment Planning: Enables physicians to prescribe the best medicines, and lifestyle, as well as the most appropriate invasive procedures.
Lower Risk of Invasive Complications: Reduces the likelihood of IP unless absolutely necessary.
Checkups for Heart Problems: Can be used for patients with chest discomfort, elevated cholesterol, or a heart disease family background.
Safe And Easy: No hospitalization is required and patients can get back to their daily activities immediately.
Radiation Exposure: Because CT angiography uses x-ray based imaging, doses of radiation are required for this imaging modality. These doses expose the patient to some health risks, and x-ray based imaging is not ideal for adults and children, or women who are pregnant.
Allergic Reaction to Contrast Dye: The contrast dye can cause mild allergic reactions in certain individuals.
Kidney Concerns: Those with kidney problems or risk for kidney dysfunction (e.g., kidney failure) must be controlled for as the used dye poses possible impacts to the functioning of the kidney.
Narrow Imaging: It mainly imaging the arteries, but does not fully image valves or other heart structures.
Less reliable with heavy calcification: If there is a significant level of blood calcium in the arteries, it can make the imaging more difficult to capture.
More Screening May Be Required: MRI or invasive angiography might be needed to complete the final assessment.
Despite the limitations, CT angiography is still considered a safe, fast, and accessible way to assess the health of the heart and vascular beds.
As it is a quick, non-invasive and painless process, the test does not require any elaborate preparation. However, you should take care of the following before the test.
Due to its importance in identifying heart disease early, a preventive full body checkup can also include coronary angiography. Your doctor may recommend the test under the following conditions.
Generally, it is a risk-free test. The instances of severe reactions to contrast dye material are rare, but some possible risks are:
Conventional coronary angiography is an invasive procedure which requires hospital admission. Some of the important differences are between a conventional and CT angiography are:
| CT coronary angiography | Conventional Coronary Angiography |
|---|---|
| It is comparatively safer. | It has a higher risk (Blood loss, infection etc.) |
| It is not Invasive. | It is invasive. The doctor will make an incision |
| The patient can resume normal activity after 4 hours | Recovery time of up to 72 hours (3-4 Days) |
| No risk of death and stroke. | Risk of death and stroke. |
| Cost-effective (Rs 9000 Onwards) | Expensive (Cost more than Rs 30000) |
A calcium score is a numerical value indicating the calcium plaques deposited in coronary arteries. The calcium score presence increases the risk of coronary artery disease. The reason for this enhanced risk is that calcium plaques restrict the normal flexibility and movement of the coronary arteries.
There are the following ways of controlling your calcium score.
There are also other types of coronary artery disease tests:
If the coronary angiogram report is found normal, it signifies that there is no need to worry and
If the report of the coronary angiogram is abnormal, then it might indicate:
| Calcium Score | Coronary Artery Disease (CAD) presence |
|---|---|
| 1 to 10 | Minimal risk of Coronary Artery Disease. |
| 11 to 100 | Mild presence of calcium plaques. |
| 101 to 400 | Moderate level of calcium plaques. |
| more than 400 | High risk of Coronary Artery Disease. |
Every test has its limitations as per their no. of slices. 128 slices of CT Coronary Angiography provide more extensive coverage and shorter scanning time periods. This test also gives excellent image quality as compared to other tests. That does not mean that all other tests are inaccurate.
Below is a sample report of CT Coronary angiography from one of our partner diagnostic centres.
Bookmerilab provides CT Coronary angiography in Delhi, Mumbai, Bangalore, Hyderabad and Chennai.
CT Coronary Angiography is a non-invasive scan that visually represents the blood vessels of the heart and is very helpful in locating blockages at an early stage. In advance of your booking, verify and compare the prices of CT Coronary Angiography in the hospitals and diagnostic centres near you to ensure that you will not be taken aback by the cost. Find out if the contrast, the radiologist’s fees, and the report charges are included in the cost. Inform the staff about any allergies, medications, or if you are pregnant, and heed the prep instructions to get the best results. By selecting a skilled centre, you will be assured that your reports will be accurate and that you will receive good care. BookmeriLab is at your service to make a comparison of the real prices, check the reviews, and schedule an appointment at a trusted centre so that you can get the right test done at a reasonable price and make a saving.
The patient asked to lie flat on the back. In some cases, pillows or straps may be used to keep the area being examined from moving during the scan.
Plaque is an accumulated mass of various substances such as cholesterol, fat and calcium that deposit along the inner walls of the arteries. Plaque, which builds up over time, in some cases completely blocks blood flow.
The coronary CT calcium scan is a radiology based method of identifying calcium plaques in the inner cavity of coronary arteries. These calcium plaques get accumulate in the coronary arteries of the heart.
64 Slice CT Angiography is a non-invasive procedure. It detects minute and smallest blockages in the coronary arteries. It also determines the conditions of the stents(a tiny tube inserted into the artery), and the Coronary artery bypasses surgery grafts(CABG) of patients’.
No. The creatinine levels must be known before the invasive coronary angiography and not in CT Coronary angiography.
CT angiography is capable of identifying blocked or narrowed arteries in the heart or other parts of the body. This type of scan is useful for identifying and treating blockages at an early stage, thereby preventing more serious complications like heart attacks.
Prices tend to vary between ₹6,000 and ₹15,000 in India. Such variation in prices may be linked to the city, hospital, type of scanner, or the use of contrast dye.
The scan details the heart’s arteries as well as related blood vessels. The information obtained includes any arterial obstruction, the buildup of plaque and calcium, and any other issues that affect the heart.
The CT angiogram is non-invasive as it uses a CT scanner and contrast dye. On the other hand, a coronary angiogram is invasive as it requires a catheter and X-ray images inside the artery.
Dr Bhumika Rana is a Bachelor of Ayurvedic Medicine & Surgery (B.A.M.S.). Earlier She was an Operation Specialist at AIIMS Delhi & a Medical officer with the National health mission.
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I want to get the CT Angiogram done in Kolkata. Doctor simply prescribed for Angiogram
I want to get the CT Angiogram done in Kolkata. Doctor simply prescribed for Angiogram
it is CT coronery Anjiography
it is CT coronery Anjiography