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Cardiac imaging

CT Coronary Angiogram in Hyderabad

A CT coronary angiogram shows the arteries that supply your heart, without a catheter. Your doctor may advise it to look for narrowing or blockages when you have chest pain or other signs of possible heart disease.

  • NABL accredited
  • Reported by radiologists
  • Report in about 4 hours
  • Reports online

Quick answer

What is a CT coronary angiogram and how much does it cost in Hyderabad?

A CT coronary angiogram (also called CT coronary angiography or CCTA) is a CT scan of the heart taken while an iodine contrast dye flows through the coronary arteries. It shows whether these arteries are narrowed or blocked, without passing a catheter into the heart. At Focus Diagnostics in Hyderabad it costs ₹11,000, and it is done on a doctor's prescription.

Price
₹11,000
Report
About 4 hours
Fasting
About 4 hours
Prescription
Required

What a CT coronary angiogram shows

Three main coronary arteries and their branches carry blood to the heart muscle. When fatty plaque builds up inside them, they narrow, and the heart may not get enough blood during effort. This can cause chest pain, breathlessness or, if an artery becomes blocked, a heart attack.

In a CT coronary angiogram, a contrast dye is injected into a vein in your arm and the CT scanner takes pictures timed to your heartbeat as the dye passes through the coronary arteries. A radiologist then reviews the arteries in detail and reports any narrowing, how severe it appears, and whether the plaque is calcified or soft. It can also show how the arteries are laid out, which matters if your doctor suspects an unusual artery pattern you were born with.

A normal CT coronary angiogram makes significant coronary artery disease unlikely, which is why doctors use it to rule out the problem in people with symptoms. If it shows a significant blockage, your cardiologist may recommend a catheter (invasive) angiogram, which can measure the blockage directly and treat it with a stent in the same sitting.

Who may be advised a CT coronary angiogram

The decision is always your doctor's. Common reasons include:

  • Chest pain or discomfort where the cause is not clear
  • A treadmill (TMT) or other stress test that is borderline or inconclusive
  • Several risk factors, such as diabetes, high cholesterol, smoking, high blood pressure or a family history of heart disease, together with symptoms
  • Checking the coronary arteries before some heart-valve or other heart operations
  • Assessing bypass grafts after coronary bypass surgery
  • Suspected abnormal origin or course of a coronary artery

Before you book: who needs extra care

Tell the team when you book, and again on the day, if any of these apply. They do not always rule the test out, but they change how it is planned.

Kidney disease
Contrast is cleared by the kidneys. A recent creatinine (kidney function) result may be asked for before the scan.
Contrast or iodine allergy
A previous reaction to contrast dye needs to be discussed with your doctor beforehand.
Diabetes
Mention your diabetes medicines, especially metformin. Your doctor will tell you whether any change is needed around the scan.
Pregnancy
CT uses radiation. Tell the team if you are or might be pregnant.
Fast or irregular heartbeat
Atrial fibrillation or a very fast pulse can blur the images; your heart rate is checked before the scan.
Asthma
Some medicines used to slow the heart rate are not suitable with asthma, so the team needs to know.

How to prepare

  • Do not eat for about 4 hours before the scan; plain water is usually fine
  • You may be asked to avoid tea, coffee, energy drinks and smoking on the day
  • Take your usual medicines unless your doctor advises otherwise
  • Bring the prescription and previous heart reports (ECG, echo, TMT, earlier angiograms)
  • Bring a recent kidney function (creatinine) report if you have one
  • Wear comfortable clothes; you will remove metal items such as chains
  • If possible, come with someone, especially if you may be given heart-rate medicine

What happens on the day

  1. 1

    Check-in and safety questions

    The team confirms your prescription, allergies, kidney function, diabetes medicines and whether you could be pregnant.

  2. 2

    Heart rate and drip

    Your pulse and blood pressure are checked and a small drip (cannula) is placed in your arm. If your heart rate is fast, you may be given medicine to slow it.

  3. 3

    On the scanner

    You lie on your back with ECG stickers on your chest so the scan can follow your heartbeat. You may be given a tablet or spray under the tongue to widen the coronary arteries.

  4. 4

    Contrast and breath-hold

    The contrast is injected through the drip. It can cause a brief warm feeling. You hold your breath for a few seconds while the pictures are taken.

  5. 5

    Observation and report

    You rest for a short while before going home. A radiologist reviews the images and the report is usually ready in about 4 hours.

CT coronary angiogram, catheter angiogram and calcium score

These three tests are often confused. They answer different questions, and your doctor chooses between them.

CT coronary angiogramCatheter (invasive) angiogramCT calcium score
How it is doneCT scan with contrast through a drip in the armThin tube passed from the wrist or groin to the heart, in a cath labCT scan of the heart without contrast
What it showsNarrowing and plaque, both calcified and softNarrowing, measured directly; can be treated at the same timeOnly calcium in the artery walls, as a score
Treatment possible during the testNoYes, angioplasty and stentNo
Contrast dyeYesYesNo
Typical useRuling out or assessing coronary disease in people with symptomsConfirming and treating significant blockagesEstimating future heart risk in people without symptoms
At Focus Diagnostics₹11,000Not offered (done in hospitals)₹5,500

Read more about the CT cardiac calcium scoring test, or about CT scans in Hyderabad in general.

Frequently asked questions

What is the price of a CT coronary angiogram at Focus Diagnostics in Hyderabad?

A CT coronary angiogram at Focus Diagnostics costs ₹11,000. The price is shown on the test page when you book. If your doctor has also asked for a coronary calcium score, that is a separate scan (₹5,500).

Do I need a doctor's prescription for a CT coronary angiogram?

Yes. A CT coronary angiogram uses X-rays and an iodine contrast injection, so it is done when a doctor (usually a cardiologist or physician) has decided it is the right test for you. Please bring the prescription and any previous heart reports, such as ECG, echo or treadmill test results.

Is a CT coronary angiogram the same as a regular angiogram?

No. A regular (catheter or invasive) angiogram is done in a cardiac cath lab: a thin tube is passed through an artery in the wrist or groin up to the heart. A CT coronary angiogram takes pictures of the same arteries from outside the body, with contrast given through a drip in the arm. It cannot be used to place a stent; if a significant blockage is found, your doctor may advise a catheter angiogram.

How should I prepare for a CT coronary angiogram?

Do not eat for about 4 hours before the scan because contrast is used. Tell the team if you have a contrast or iodine allergy, diabetes, kidney problems or asthma, or if you might be pregnant. You may be asked to avoid tea, coffee and other caffeine on the day, since a slower heart rate gives clearer pictures. Continue your regular medicines unless your doctor tells you otherwise.

How long does the test take?

The scan itself lasts only a few seconds while you hold your breath, but plan for one to two hours at the centre. That time covers checking your details, placing a drip, steadying your heart rate if needed, the scan, and a short period of observation afterwards.

Why is my heart rate checked before the scan?

The heart is moving throughout the scan. A steady, slower heart rate gives sharper images of the small coronary arteries. If your heart rate is fast, you may be given a medicine to slow it before the scan, and sometimes a tablet or spray under the tongue to widen the coronary arteries. The radiology team will explain this on the day.

Can I drive home after the test?

If you were given medicine to slow your heart rate, it is sensible to have someone accompany you and not to drive straight after the test. Most people return to normal activity the same day. Drinking plenty of water afterwards helps clear the contrast, unless your doctor has restricted your fluids.

When will I get the report?

The report is usually ready in about 4 hours. It is prepared by a radiologist and can be downloaded from the Download Report page on our website. Your doctor will explain the findings and the next steps.

Is a CT coronary angiogram safe?

It is a widely used test, but like any CT it uses ionising radiation, and the iodine contrast can rarely cause an allergic reaction or affect the kidneys in people whose kidney function is already reduced. That is why it is done only when a doctor judges the benefit outweighs these risks, and why kidney function, allergies and pregnancy are checked before the scan.

Can a CT coronary angiogram be done if I already have a stent or had bypass surgery?

Sometimes. Bypass grafts can usually be assessed well. Metal stents can make the inside of the artery harder to see, so whether CT is suitable depends on the stent size and your situation. Your cardiologist will decide which test is most useful.

Book a CT coronary angiogram

Call or WhatsApp with your doctor's prescription. Our team will confirm the centre, a time and your preparation.

Sources and medical references

This page is written from the sources below. They are provided for transparency and further reading — they are not a substitute for advice from your own doctor.

  1. RadiologyInfo.org — RSNA & American College of Radiology. Coronary CTA (CCTA) (opens in a new tab)Supports: What a CT coronary angiogram shows, who it is used for, preparation, heart-rate control and what happens during the scan · Accessed 2026-10-03
  2. RadiologyInfo.org — RSNA & American College of Radiology. Cardiac CT for Calcium Scoring (opens in a new tab)Supports: How a coronary calcium score differs from a contrast CT coronary angiogram · Accessed 2026-10-03
  3. RadiologyInfo.org — RSNA & American College of Radiology. Patient Safety — Contrast Material (opens in a new tab)Supports: Iodine contrast precautions: allergy, kidney function and diabetes medicines · Accessed 2026-10-03
  4. RadiologyInfo.org — RSNA & American College of Radiology. Radiation Dose in X-Ray and CT Examinations (opens in a new tab)Supports: CT uses ionising radiation; dose considerations and justification · Accessed 2026-09-09
  5. Atomic Energy Regulatory Board (AERB), India. Atomic Energy Regulatory Board — radiation safety regulation (India) (opens in a new tab)Supports: Regulation of radiation-emitting diagnostic equipment in India · Accessed 2026-09-09