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Cochin Hospital โ€“ Port-Royal ยท AP-HP ยท Paris Citรฉ University
โ† Interventional Radiology
Interventional Radiology Cochin
Cochin Hospital AP-HP AP-HP
Radiology A: Imaging

Cochin Hospital ยท AP-HP ยท Paris Citรฉ University

Radiology A ยท Cardiac imaging

๐Ÿซ€ Coronary CT

Cardiac CT scan (CT of the coronary arteries): how is the examination performed?

Quick answer

Coronary CT (cardiac or coronary CT scan) shows the arteries of the heart without a probe or catheter. It is a non-invasive examination that allows coronary artery disease to be screened for or assessed accurately, after specific preparation (heart rate, fasting).

What is it?

Coronary CT, also called cardiac CT or coronary CT angiography, shows the coronary arteries (the arteries of the heart) without a probe or catheter. As a non-invasive examination, it allows coronary artery disease to be screened for or assessed accurately. Specific preparation is needed to slow the heart.

โฑ๏ธ Duration: 20 to 40 minutes (including preparation).

How to prepare

1

Fast for 4 hours before the examination.

2

Avoid caffeine (coffee, tea, energy drinks) for 12 hours beforehand.

3

If your heart rate is above 65 bpm, a beta-blocker will be prescribed: take it the day before and on the morning of the examination according to the instructions.

4

Bring your recent ECG if available, and the list of your medications.

5

Tell us about any allergy to iodinated contrast medium.

How does it go?

1

A continuous ECG is recorded during the acquisition.

2

A venous catheter is placed in your arm for the injection of contrast medium.

3

Sublingual nitroglycerin spray may be given to dilate the coronary arteries.

4

The acquisition lasts only a few seconds. A short breath-hold is requested. You will feel a sensation of warmth during the injection.

After the examination

1

You can resume your activities immediately.

2

Drink plenty of fluids to eliminate the contrast medium.

3

The report is sent to your cardiologist within 2 to 5 working days.

โœ… Often avoids the need for invasive coronary angiography. No excess fees.
โš ๏ธ Contraindicated in case of severe allergy to contrast medium, severe renal failure or uncontrolled arrhythmia.

Frequently asked questions

What is a coronary CT?
It is a CT scan of the coronary arteries after injection of contrast medium, used to look for a stenosis or atheromatous plaque without an invasive procedure, unlike coronary angiography.
Do I need to fast for a coronary CT?
Yes, fasting for a few hours is generally requested, along with avoiding caffeine, to allow good control of the heart rate during the examination.
Is a beta-blocker always necessary?
A medication that slows the heart rate may be given before the examination if your heart rate is too high, in order to obtain optimal image quality.

Do you have a question about your examination?

๏ธ rdv.radioa.cch@aphp.fr Contact us

Why you can trust this page

Written by the Radiology team at Cochin Hospital AP-HP, Paris Citรฉ University. Medical review by a radiologist of the department. Last updated: July 2026.

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