Heart catheterization pci
Common Questions and Answers about Heart catheterization pci
heart
The Holter came back normal. However the stress test revealed some ischemia to one lower part of my heart. The doctor suggested I have a catheterization,but since I do not have health insurance ( dropped by Humana ) he said we could wait and see how I do on the medication alone. And that I should look into trying to find some sort of medical insurance that would pay for it. I have had no chest pain, nor had any shortness of breath.
on march 16 he had and attach he had an angiograme done adn this is the result CAD-3 VESSEL DISEASE 100% OCCLUSION OF LAD , PCI DONE
There was better control of angina with PCI, but at 5 years 74% of the PCI patients and 72% of the medical patients were free of angina. These findings threaten the economic interests of the device manufacturers and the narrowly defined interests of some interventional cardiologists. Not surprisingly, efforts at spin control began even before the findings were presented at the late breaking trials session on Tuesday morning.
s clinic, I was given anti-hypertensive drugs, but BP refused to come down. At CCU in hospital, I was diagnosed with having had a minor heart attack. Angiography showed a 90% blockage in the right coronary artery. Two medicated stents were later inserted. Presently, I am regularly taking Asprin, Clopedogrel, Rosuvastatin, Atenolol and Amlodipine. My blood pressure, except for once shooting up to 170/110, remains around 125/85. I am now fully active. How this happened ?
She was at the hospital for 4 days the catheterization went fine she had no blockage in her heart arteries wich was good!! But..About 3days after being released from the hospital she started to have an allergic reaction to the dye! Which the dr.s thought was strange so they ran some blood tests etc. They gave her meds for it and sent her on her way. Now I have a question it’s probably common idk? After a week 1/2 of being out of hospital she still feels dizzy!
i had a heart catheterization done a week ago.. i have formed a knot in the area of the catheter and now it throbs at site around to my lower back.. is this normal ?
Finally, keep in mind, that most of these studies were done by experienced operators, so if no surgeon is willing to perform open heart surgery and no cardiologist is willing to perform PCI, then all you have left is medical therapy. Without LM disease and with no LV dysfunction, patient who are medically treated do as well as those that have either intervention. Usually, maximal medical therapy involves a high dose beta blocker, a high dose statin, ace, aspririn, plavix and a nitrate.
the Patient has continued smoking for the last 11 years and presented with abdominal pain raised enzymes and ST depression which resolved with nitroglycerin echocardiogram showed wall motion abnormalities in the lateral and posterior territory and was referred for cardiac catheterization
Reports:
1- Cathlab report: COR ANGIO–coronary angiogram(find the attached full and detailed report)
showed that Left main coronary artery, Left anterior descending artery, Left circumflex coronary immediate
He was rush to emergency department and a stent procedure was done. According to the doctor, he had at least 4 episode of heart attack in the middle of the night, his heart is only functioning at 20% now. He is now schedule for a second stent in one month times. His primary diagnosis is “ST elevation myocardial infraction, Anterior STEMI” and secondary diagnosis is “Two coronary vessel diseases, s/p PCI to LAD”. The proposed treatment is “For Staged PCI to RCA +/- mid-distal LAD”.
First treat with medication to control symptoms, if heart related symptoms continue, then a PCI with stent (s). If occluded locations are not suitable to stent, and/or size of lesion prohibits stenting, etc. then a bypass is the option. All three options are therapy for symptoms not a cure. Other posts on this thread have given good advice to prevent any progression of blocked coronary arteries.
The non-interventional cardiologist may proceed with CT scan 64 slice (angiogram) that provides an anatomy of the entrie vessel that will include any soft plaque between the layers of the vessel (it is the soft plaque that rutures causing a clot that leads to stroke or heart attack....the hard plaque seen by the cath usually causes ischemia not the heart attacks).
Also a non-interventional cardiologist will treat with medication, and if symptoms are relieved no further action required.
My personal opinion is that angiograms are great for treating emergencies and opening larger arteries which are occluded. However, there is a large proportion of people who still seem to suffer angina after having PCI treatment and this isn't a short term thing for recovery. I personally believe the problem is that the angiogram doesn't show the very small vessels in the heart tissue. If many of these are blocked then treating the larger vessels will have very little benefit.
I am puzzled why the doctor did not explain to you the reason for a heart catheterization. Of course it must be related to why your son needed to go to a cardiologist in the first place -- symptoms? Prior diagnoses?
Generally speaking, a heart catheterization is performed to assess coronary arteries (#, locations, any narrowing), heart valve (leakage or narrowing) or heart muscle (thickness, movement, or any holes where there shouldn’t be one).
my mother 65 years old had a heart attack 30th jan 2011 and she was admitted in the hospital and taken angiogram on 3rdh feb 2011 by 4pm having 2 blockages in 100% and 95% imediately the cardiologist asked me whether you want to do angioplasty or bypass surgery and i decided to do angioplasty the cardiologist did medicated angioplasty with 2 stem and she retured home on 5th evening and she did well in on 7th morning 1.
1- What was the reason for this raised enzymes that affect the cardiac for the next time
2- Is there any way to raise the Ejection fraction to be 50% or above
3- Can the Patient make another bypass surgery
4- Overall , what can be done with Patient to perform his cardiac activity
Description: the Patient IS 61 YEARS old , heavy smoker , who underwent a coronary artery bypass surgery in 2001 wherein he received one vein graft to diagonal, PDA and marginal and one LIMA to LAD
Current: the
Now her general condition is fair. Her BP is maintained at 110/80 mmHg and her heart rate is round about 65.She has no DM and Hypertension. But her cholesterol level was higher than normal. But now within normal limit.Now, cardiologist gave her metoprolol 100 mg bd , aspirin, clopilet, atovarstain 20 mg hs , ivabaradine 5mg half bd and monotrate bd and multivitamins.
Thank you. I think there is just posted elsewhere that the doctors have decided that I shouldn't have the catheterization. And, I'm not given a good enough reason for this sudden change of heart... except that, they've now decided - I haven't had any sudden changes.. And yet, my post stress echo ekg was a mess. I doubt that went away. I will give the CT radiation risks vs catheterization/angioplasty vs medication, exercise, a good deal more thought now.
The COURAGE results show that PCI should not be the treatment of choice for people with stable heart disease, says Dr. Peterson.
"We have justified angioplasty for years by saying it is of great benefit to patients," he says. "This study shows no survival benefit and shows that the benefit in regard to symptom relief is temporary. Medical therapy should be considered for all patients with stable angina, unless they have severe pain when diagnosed.
I had an heart attack in april 2009. PCI stent was put placed in RCA. I am feeling better but since then a very
uncomfortable pain just below or near the heart has been bothering me. It comes and goes. It is a pinching pain.
The doctor checked and told me that the location of the pain is away from the heart and gave me Ikorel 10 mg.
The tablet helped in the beginning but the pain has returned again. Today I took the spray and felt slightly releived.
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