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)
• Abnormal results on a noninvasive heart stress test
• Other blood vessel problems or a chest injury
• A heart valve problem that requires surgery

Because there’s a small risk of complications, angiograms aren’t usually done until after noninvasive heart tests have been performed, such as an electrocardiogram, an echocardiogram or a stress test.