Like ECG, learning to interpret angiography takes study and repetition. This guide is meant to serve as an introduction to understanding angiographic anatomy and pathology. This is targeted at people with no prior exposure to coronary angiography.

Please note, this is a living document which I plan to continuously update with new films as I come across them. Please feel free to make any suggestions. You can find me on Twitter and Bluesky.

Sections

Image acquisition

Principles of 2D projection

Angulation

Standard views

Technical challenges

Pathology

TIMI flow

Terminology and semantics