Doctor insights on:
When Should Someone Stop Consuming Alcohol Before Cardiac Catheterization
Long before: Alcohol is a toxin to the heart and more than two drinks a day has been associated with arrhythmias and heavy drinking can lead to weakening of the heart. Alcohol in moderation is good for the heart up to 2 glasses of red wine daily. Since, alcohol can interact with medications, one should not consume alcohol for at least 24 hours prior to angiography. Chronic drinkers, are a risk for withdrawl. ...Read moreSee 1 more doctor answer
This is a procedure where narrow, flexible tubes are inserted into a peripheral artery through a cut in the skin, and advanced to the heart. Dye can be injected through the catheters into the arteries of the heart to look for blockages ("angiogram"), or to measure pressure within the cardiac chambers ("right heart cath"). Arteries can be opened with balloons/stents at the ...Read more
Cardiac cath: One drink the nite before should be fine but not within 12 hours of the procedure however. ...Read more
Not consent: If you don't want a cardiac catheterization, you simply don't consent to it being scheduled. However, this may be a very bad idea; if you have indications for a cardiac cath, you probably need that level of diagnostic imaging. Speak with your cardiologist and make sure you understand the risks of not doing the test. Be careful. ...Read moreSee 1 more doctor answer
Depends: The length of time to perform a cardiac catheterization depends on many variables. Often, for a straightforward case, the waiting and preparation take longer than the diagnostic procedure - which can take as little as 15 minutes. If access is difficult or the anatomy tortuous, it can take much longer. ...Read moreSee 1 more doctor answer
By closing entry: Cardiac catheterization is the procedure where a plastic tube is placed in an artery in the groin or wrist and under xray guidance dye is injected to visualize the coronary arteries and see if blockages are present. At the end of the procedure the catheter is removed from the entry point and pressure is held to stop bleeding, a closing device may place a plug or a stitch may be placed. ...Read moreSee 1 more doctor answer
Stroke or Bleeding: A cardiac catheterization is when a tube is inserted into the artery of the arm or leg and advanced to the heart to inject iodinated dye into the coronary arteries. Risks include bleeding, stroke, heart attack, rhythm disturbances, and even death. Overall risk of a major problem is 1:1000. Poorer health, older age, severe hardening of the arteries, diabetes and renal failure increase the risk. ...Read moreSee 1 more doctor answer
Depends: Depends on what was done (ie just pictures or how many stents), was it done for a heart attack or electively, how was it done (groin or wrist), were there any complications, what type of work do you do, etc. Having said that, for routine procedures, i usually let patients with sedentary jobs return to work in 24-48 h or for heavy labor 48-72 hours. ...Read moreSee 1 more doctor answer
Different settings: There are different settings for this. The most appropriate is when a patient comes to the hospital with a heart attack in progress, under those circumstances, angioplasty (opening the occluded artery) saves lives. Cardiac catheterization is also indicated in patients with chest pain or shortness of breath with a positive stress test or high risk. Your doctor should decide. ...Read moreSee 1 more doctor answer
Usually right away: In general, your cardiologist will speak to you (and perhaps your family members) right after your angiogram. But of course, everything is individualised to the patient and the situation so speak to your cardiologist beforehand to ask when you can expect to discuss what is seen during the procedure with her/him. ...Read moreSee 1 more doctor answer
Unknown: I have been performing cardiac catheterizations since my fellowship in 1990-1993 and I have never heard of a 'double' cardiac catheterization. It is possible to perform angiograms of other parts of the anatomy during a cardiac catheterizaiton but you only have one heart. However the cardiologist can perform a right and left heart catheterization instead of just a left heart which is more common. ...Read moreSee 1 more doctor answer
Chest pain / SOB: Cardiac cath is performed for a variety of reasons, but most typically to investigate possibility of plugging of vessels that feed the heart. This is usually manifested by symptoms that suggest a mismatch between oxygen demand of the heart and oxygen supply via the vessels. Chest pain, shortness of breath, intolerance of exertion are the most common symptoms that buy you a ticket to the lab. ...Read moreSee 1 more doctor answer
Pressures: In addition to coronary anatomy and evaluation of the valves and the heart muscle, cardiac catheterization allows measurements to be obtained inside the heart chambers to determine how well the heart pumps and fills, as well as the blood pressure in the lungs. More advanced evaluation may include an intracoronary (inside the blood vessel) ultrasound to see and measure blockages (plaques). ...Read moreSee 1 more doctor answer
Rest and fluids: Post cardiac cath. Pts should rest and not lift greater than ten pounds or drive for 48 hrs. Drink plenty of water to flush out the dye and keep an eye on the access site for pain or color change. After 48 hrs if no isues are noted patient can resume normal activities. Meds such as glucophage or Coumadin (warfarin) special instructions for restarting will be given. Notify your dr if pain fever numbness etc. ...Read moreSee 1 more doctor answer
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