Doctor in Manasa Trinity Hospital
Cardiac Ablation Procedure
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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Our survival is solely reliant on the working of the heart. It is this that makes the prospect of a heart failure so fatal and so terrifying. Notwithstanding what the heart evokes, a heart failure is not indicative of a defunct heart; but only a situation when the heart pumps weaker than what is generally deemed as natural.
Consequently, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. The oxygen that is produced by the heart in such a scenario is scanty and insufficient for the body.
body responds with its own defense mechanism, as the heart, in an attempt to hold more blood, stretches its chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body.
These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This very condition in medical terminology is referred to as congestive heart failure.
Different causes can contribute to the onset of such a fatal condition. Some of them are:
- Coronary artery disease: In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.
- Heart attack: The sudden, unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning.
- Diseases: Though the term may be generic and over expansive, most of the ailments which people suffer from tend to manifest themselves by posing a potential threat to the functioning of the heart. A high blood pressure, kidney disease, even a thyroid disease can cause congestive heart failure.
Every disorder is preceded by certain symptoms, and congestive heart failure is no different. Some of them are
- Fatigue: This is one of the most perceptible symptoms of congestive heart failure. One of the earliest premonitions of an impending heart failure is a nagging sense of weariness and lethargy.
- Swelling: As the condition is characterized by accumulation and build-up of fluids in various part of the body, swelling is an inevitable symptom of this condition and a clear indication of the ailment.
While heart attacks are commonly experienced by men and women, the symptoms experienced by them are different. Symptoms of a heart attack in women are much more subtle as compared to signs of a heart attack when experienced by men.
Many women even compare the symptoms of a heart attack to the flu or acid reflux. Hence it is important to be able to recognize the symptoms of a heart attack and be able to distinguish them from symptoms of other less fatal conditions.
Some of the characteristic symptoms of a heart attack that a woman should look out for are:
- Discomfort or chest pain: Chest pain is one the characteristic symptoms of a heart attack but this is not experienced in the same way by me and women. While men may feel pain in the left side of their chest, women can feel pain in any part of their chest. This may be accompanied by a feeling of the chest being squeezed in a vise.
- Pain in the jaw, neck, arms and back: Men consider pain in the chest and left arm to be a symptom of a heart attack but women can experience this pain in their jaw and back as well. This pain can develop gradually or come on suddenly. It may also wax and wane before it becomes intense. In some cases, this pain can even wake you up from a deep sleep. Hence, do not ignore any unexplained pains in the upper part of your body.
- Stomach ache: A stomach ache is one of the most subtle signs of a heart ache. This may feel similar to that caused by heartburn or a stomach ulcer. It may also feel like a great weight is on your stomach.
- Shortness of breath: Feeling lightheaded or having trouble breathing even when you are not exerting yourself could be a sign of a heart attack. At times this could also make you feel like throwing up. This symptom is usually also accompanied by one of the other more characteristic symptoms of a heart attack.
- Excessive sweating: Perspiration as a symptom of a heart attack is not the same as perspiration caused by exercise. When sweat is a symptom of a heart attack, it is more of a cold sweat that can be compared to the sweat caused by stress. If you do not sweat heavily but suddenly find yourself sweating excessively, you should not ignore it but consult a cardiologist immediately.
- Tiredness: Feeling tired even when you haven’t exerted any energy can be a sign of a heart attack. Sometimes, this fatigue can be so much that it can keep a woman from even moving from the chair to the bed.
It is, therefore, advised to not ignore any above-mentioned symptoms and see a doctor immediately; stay healthy and stay happy!
Open heart surgery is a complicated heart procedure. Although the number of open heart surgeries performed over the past has decade has reduced significantly, howeevr, it is still an important surgical procedure to fix critical heart ailments.
Here is a quick fact-checker about this procedure:
- The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
- Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
- This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
- The patient is hooked to a heart-lung machine before the proceedings begin. This machine pushes blood to the body. It helps the doctor to stop the heart and perform the procedure. Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Then the surgeon gives a minor electric shock to the patient to restart the heart. Subsequently, the patient is taken off from the heart-lung machine.
- The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
- It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg. However, recent studies have shown that veins can be extracted from the internal chest wall. This results in a speedy recovery for the patient.
- The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
- One has to usually deal with heightened emotions after an open-heart surgery. Studies have shown that over 20 percent of the CABG patients suffer from depression, anger, and other emotional problems. This typically lasts for a year till everything becomes normal.
Angioplasty is referred to as a cardiac procedure, which involves widening the narrowed section of a coronary artery. Usually performed by an interventional cardiologist, this procedure is performed in a cardiac catheterization lab, short for a cath lab. An interventional cardiologist takes extra care to review the risks, in addition to obtaining your counsel prior to preparing you for the procedure. The physician also refers to your medical history in order to determine the amount of anesthesia that should be used.
What happens during the procedure?
Although mild sedatives will be administered to help you relax, the process requires you to remain awake throughout the procedure. The procedure of angioplasty involves cardiac catheterization. The doctor numbs the intended site through medications and inserts the catheter. Following such the doctor inserts a thin sheath in your artery, oftentimes in your groin or arm. A long, narrow, empty tube known as a catheter, is then carefully guided through the sheath, through the blood vessels and into the arteries near the heart.
A little amount of liquid is then injected through the catheter, which is moved through the chambers, valves and vessels of the heart. This movement is then pictured with the help of X-rays, with which the doctors can diagnose the condition and working of the coronary arteries and the heart valve.
The surgical procedure lasts for around 1.5 - 2.5 hours, but the preparation and post - surgical procedures may take several hours. A patient is usually made to stay overnight to be monitored by medical personnel.
What to expect before an Angioplasty?
Most people are made to undergo a blood test and electrocardiogram before having an angioplasty. Usually scheduled a day before the procedure, such tests usually require separate appointments. Usually patients are restricted to eat since 12 hours before the exam.
What happens post-procedure?
After the procedure, you will be instructed to remain flat for 5-6 hours without bending your legs, so as to prevent bleeding. The nurse will instruct you as to when you can get up from your bed. You may not be permitted to drink or eat until the groin sheath is removed as such can cause nausea.
According to the procedure, the doctor will provide you with adequate after care advice.