OBJECTIVES: The importance of avoiding unnecessary diagnostic invasive angiography is emphasized based on risks associated with test and costs. At the same time, early interventions are important to reduce negative outcomes of coronary artery disease (CAD). Objective of this study was to analyze the characteristics and outcomes of cases with possible CAD that underwent coronary angiography catheterization (CAG) from December 2006 to February 2007 consecutively in Nork Marash Medical Center (NMMC).  METHODS: This was a retrospective study of newly admitted cohort. Predefined exclusion criteria were CAG in other clinic, CAG for other then CAD reasons and non Armenian residency.  RESULTS: Only 200 records were corresponding to the criteria. The mean age of cases was 52.91±10 years and 85% were males (RR=0.93). The mean age of women was higher (≈60 vs ≈50). Only 10.5% of participants had normal BMI. Current smokers comprised 60 %( RR=1.17), 74% had hypertension (RR=1.165), 30.5% hypercholesterolemia (RR=2.5) and 14.5% Diabetes Mellitus (RR=4.26). In 26(13%) cases catheterization detected no CAD at all and 13(6.5%) patients had stenosis<50%. Most catheterizations were elective (68%).There were 2 urgent admissions among patients with CAD<50%. Significantly diseased left anterior descending (LAD) proximal was detected most frequently (52%).Among patients with stenosis≥50% 24% of cases underwent PCI, 75% CABG, and 5% bridge to CABG procedure. Thirty two people (20%) were not treated with revascularization: among them 7 (21.9%) with multivessel disease. 15% of patients with indication to revascularization refused to be treated with any of procedures.  CONCLUSIONS: There is gender inequality in CAG utilization, early cholesterol control should be encouraged by primary care professionals, patient preferences play significant role in a treatment decision process in Armenia.