- Effort angina
- Stress test positive( TMT +ve)
- Acute MI
- Post angioplasty/bypass surgery, symptomatic patients
Indications of Angioplasty:
- Asymptomatic Critical Blockage>= 70%
- Symptomatic Blockage=60%
- Near Luminal Occlusion
contraindications of Angioplasty :
- Left Main Disease
- Calcific Lesions
- Long Segment Stenosis
- Severe Triple Vessel Disease
- Ostial LAD Lesion
- Allergy to Dye
Complications of Angiography/plasty :
- Local: hematoma, bleeding, dissection. General: Vasovagal shock, allergy to dye Mortality: 0.1%
FOLLOW UP & EMERGENCY INSTRUCTIONS ON DISCHARGE
POST CATHLAB PROCEDURE
(CARDIAC CATHETERIZATION / CORONARY ANGIOGRAM)
- Cardiac catheterization is performed to further diagnose coronary artery disease, valvular heart disease, congestive heart failure and/or certain congenital (present at birth) heart conditions such as Atrial Septal Defect or Ventricular Septal Defect, when other less invasive types of diagnostic tests indicate the presence of one of these conditions.
- In cardiac catheterization, a very small hollow tube (catheter) is advanced from a blood vessel in the groin or arm through the aorta into the heart. Once the catheter is in place, several diagnostic techniques may be used. The tip of the catheter can be placed into various parts of the heart to measure the pressure within the chambers. The catheter can be advanced into the coronary arteries and a contrast dye injected into the arteries.
- Take your medications as prescribed.
- Stick to diet as advised by your physician.
- Blood sugar and blood pressure checking as advised.
- The risk of stroke can be reduced through lifestyle changes as under:
- Quitting smoking
- Controlling blood pressure
- Getting regular exercise
- Keeping body weight down
- Avoiding excessive alcohol consumption
- Getting regular checkups and following the doctor’s advice regarding diet and medicines, particularly hormone replacement therapy.
- Keep a written list of the medicines you take, the amounts, and when and why you take them.
- After your angiogram, take it easy for the rest of the day. Keep your arm or leg straight as much as possible. If the angiogram catheter was put in your groin, avoid using stairs for a few days after your angiogram. When you must use stairs, step up with the leg that was not used for the angiogram. Straighten this leg to move the other leg up to the next step without putting stress on it. You may be told to avoid lifting more than 15 pounds for five days after your procedure.
- Bathing and wound care: You may need to keep the catheter wound area clean and dry for at least 24 hours after your angiogram. Ask your physician if you may shower 24 hours after your angiogram.
- It is normal to have a bruise and soreness where the angiogram catheter went in. Draw a line with a pen around the edges of the bruise. This can help you see if the bruise starts to get bigger. Gravity may cause the bruise color to spread down your leg. If this happens, call your physician.
- If thep lace where the catheter was put starts to bleed, use your hand to put pressure on the bandage. If you do not have a bandage, use a clean cloth to hold pressure over and just above the puncture site. It is better if someone else holds pressure for you. While holding pressure, call your physician. Hold the pressure for 30 minutes, even after the bleeding has stopped. After the bleeding has stopped, lie flat for at least an hour. If bleeding does not stop within 15 minutes of holding pressure, you will need to go to the nearest hospital or clinic. Do not walk, and do not drive yourself.