Written by Padma Sundareson | 
Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Apr 05, 2018

Indications And Contraindications

Some of the indications for cardiac catheterization procedure are -

  • Unstable angina or Chest pain [uncontrolled with medications or after a heart attack]
  • Heart attack
  • Before a bypass surgery
  • Abnormal treadmill test results
  • Determine the extent of coronary artery disease
  • Disease of the heart valve causing symtpoms (syncope, shortness of breath)
  • To monitor rejection in heart transplant patients
  • Syncope or loss of consiousness in patients with aortic valve disease

Some of the relative contraindiciations for cardiac catheterization are -

  • Allergy to contrast (dye) medium
  • Uncontrolled Blood Pressure (Hypertension)
  • Problems with blood coagulation (Coagulopathy)
  • Kidney failure or dysfunction
  • Severe anemia
  • Electrolyte imbalance
  • Fever
  • Active systemic infection
  • Uncontrolled rhythm disturbances (arrhythmias)
  • Uncompensated heart failure
  • Transient Ischemic attack

References:

  1. Effect of Transradial Access on Quality of Life and Cost of Cardiac Catheterization: A randomized Comparison. Christopher J. Cooper, MD, Reda A. El-Shiekh, MD, David J. Cohen, MD, MSc, Linda Blaesing, RN, Mark W. Burket, MD, Asish Basu, MD, etal. Am Heart J 138(3):430-436, 1999.
  2. The effect of early education on patient anxiety while waiting for elective cardiac catheterization. Harkness K, Morrow L, Smith K, Kiczula M, Arthur HM. European journal of cardiovascular nursing: journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2003 July.
  3. Indications for and objectives of cardiac catheterization in aortic valve disease. A D Johnson. West J Med. 1977 June; 126(6): 471473. - (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1237633)
  4. Information About Cardiac catheterization - (http://www.nlm.nih.gov/medlineplus/ency/article/003419.htm)
  5. Cardiac Catheterization and Coronary Angiogram - (http://www.cpmc.org/services/cardiac/card-cath.html)
  6. http://www.clevelandclinic.org/heartcenter/pub/guide/webchat/ellis052507.htm - (Interventional Procedures - Questions and Answers about Stents, Angioplasty and New Approaches to Treat Heart Disease May 25, 2007)
  7. Cardiac Catheterization FAQs - (http://www.hfmhealth.org/card-cath-faq.htm)

Comments

vaishali9524 Wednesday, July 2, 2014

What are the complications occurred during Cardiac catheterization?

agila5 Monday, November 18, 2013

nice

drbhargavi Sunday, April 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..

doctorJ Tuesday, November 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

accountage Friday, September 23, 2011

i am feeling leg pain and swelling on both the legs is it a symptom of heart patient ?

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