Introduction
Coronary artery disease (CAD) remains among the leading causes of premature death in the UK, as well as the leading cause of death worldwide. In the UK, one in seven men and one in 11 women will die from CAD, which, on average, is one death every eight minutes.1 Despite advances in non-invasive diagnostic tools,2,3 invasive coronary angiography remains the gold-standard test for diagnosing CAD.4 Angiography is performed and learned by doctors in a cardiac catheterisation laboratory, or cath lab. Advanced nursing roles, supported by competency-based training, have been pioneered over the last 25 years, with emphasis on the develo