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Cardiac Catheterization / Coronary Angiogram

Cardiac Catheterization - preparation

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  • Patients may be required to be admitted to the hospital the night before the procedure. For some patients, overnight stay is not required.
  • Nil per oral [NPO] or nothing to eat or drink by mouth 6-8 hours before the
test.
  • The cardiologist will explain the procedure and risks associated with it.
  • Consent form should be signed before the procedure.
  • Any questions or doubts should be asked and clarified with the doctor before surgery.
  • The doctor should be informed of allergies to medications, iodine or food. It should also be documented legibly in the patient’s chart.
  • Previous allergic reactions to contrast dyes must be mentioned.
  • Catheterization procedure requires X-ray fluoroscopy. Women patients in childbearing age can undergo pregnancy test to rule out pregnancy.
  • Medications that are taken on the day of cardiac catheterization should be discussed with the doctor. Some medicines taken for blood thinning (e.g., Aspirin), erectile dysfunction (Sildenafil or Tadalafil) or diabetic medication (metformin) needs to be stopped on the day or few days before the procedure.
  • Kidney disease should be assessed before, as contrast materials or dyes may not be used in patients with abnormal kidney function.
  • Some blood tests and electrocardiogram (ECG) will be performed before the procedure.
  • A mild sedative will be given orally or intravenously to comfort the patient and relieve anxiety.
  • All personal belongings and jewellery will be removed and patient will be dressed in a hospital gown before being transported to the catheterization laboratory.

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    Posted by:  drbhargavi  Posted on: 04/22/2012
    if the creatine level is 4.6 then can we go for angiogram.....if it is must and should then what will be the other alternative...please reply..



    Posted by:  doctorJ  Posted on: 11/15/2011
    What is the average time for patient to stay in hospital on observation after cardiac Catheterization that is paid and covered by Horizon Blue Cross and other commercial insurance companies? BCBS does even pay for 24 hours for patient stay after cardiac cath. What is medical view on the issue? Favour of your response is appreciated. Email: Doctorwellness@aol.com



    Posted by:  accountage  Posted on: 09/23/2011
    i am feeling leg pain and swelling on both the legs is it a symptom of heart patient ?



    Posted by:  tjavailable  Posted on: 01/15/2011
    gjjgg



    Posted by:  tjavailable  Posted on: 01/15/2011
    After a cardiac catheterization, the patient is asked to refrain from any exercise or exertion. They are not to lift heavy load or involve themselves in strenuous exercise. Care should be taken of the incision site so as to prevent a sore or swelling. It is also advisable that the patient does not drive for 24hours post procedure. heart-consult.com



    Posted by:  Heather1(Guest)  Posted on: 01/19/2010
    My mom thought she had blockage, and they did this test and it was negative, no blockage. She gets dizzy and lightheaded when doing housework and feels chest pain. COuld it be wrong? Is it worth a second opiion.



    Posted by:  sunny1  Posted on: 01/14/2008
    My dad had coronary angiogram for placement of a medicated stent. But apparently something went wrong and he required immediate Coronary By pass surgery. I wonder how often this happens? Currently he is re-couping and I hope he recovers fully. The doctors say the danger is over !! Not sure What they mean. He is still in the ICU very worried.



    Posted by:  guest  Posted on: 12/30/2007
    Very good Article.




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