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Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
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Excessive premature atrial contractions (pacs) have been shown to result in atrial fibrillation, stroke and death while excessive premature ventricular contractions (pvcs) have been shown to result in increased heart failure, coronary artery disease and death
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. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.
I am having higher than normal triglycerides level in blood along with raised ldl fraction of cholesterol in blood. My uric acid is marginally higher than normal. Kindly advise what to take or do?
Omega 3 pills
If you have a heart disease, high cholesterol or a family history of heart problems, then you need to increase your intake of foods rich in omega-3 fatty acids.
These healthy fatty acids help lower triglycerides (fats in the blood) and prevent angina. Plus, due to their antioxidant and anti-inflammatory properties, omega-3 fats have a profound effect on heart health.
Hi, I feel acute pain just below my right rib cage Everytime after running for a while. What's the problem?
I drunk alcohol few days before from that day my chest and lungs is not having problem (jalan ) when ever I eat any thing weather It is hot or cold. What should I do?
Hello I'm 22, years old. When I walk and do hard work then my heartbeats missing. But this happen once or two in a week. Many time I feel pain in left arm and shoulder and right hand also. Echo cardiograph, stress test, holter, lipid profile are normal. So what can I do?
She had high blood pressure 220-130. Her 2d echo test revealed as under:- E.A ratio reversed LVEF 65% Evidence of concentric left ventricular hypertrophy noted Evidence of Diastolic dysfunction present Please advise what it means and how serious it is?
She is a heart patient operation done for valve replacement in 2009. Just 3 days back she start vomiting and little amount of blood was coming every time. So we consulted a cardiologist and got admitted in hospital. Her inr was 5.28 at that time so doctor said 2 units if blood have to be arranged . Her infection level is 17000 at present so he started antibiotics. We have done sonography in that it has written Ascites is seen, no fluid is seen in pleural recess of either side. No SOL is seen in right Iliad fossa. Now the problem is he is asking to Do C.t Scan and we don't think its necessary. Please suggest what to do ?
Study shows reasons why chinese and japanese are more healthy inspite if they having weaker genes than indians.
This is a very good article. Not only about the warm water after your meal,
But about heart attack's. The chinese and japanese drink hot tea with their
Meals, not cold water, maybe it is time we adopt
Their drinking habit while
Eating. For those who like to drink cold water, this
Article is applicable to
You. It is very harmful to have cold drink/water during a meal. Because,
The cold water will solidify the oily stuff that you
Have just consumed. It will
Slow down the digestion. Once this'sludge'
Reacts with the acid, it will break down and be
Absorbed by the intestine faster than the solid food. It will line the intestine. Very soon, this will turn into fats
And lead to cancer. It is best to drink hot soup
Or warm water after a meal.
French fries and burgers
Are the biggest enemy of heart health. A coke after that gives more power to
This demon. Avoid them for
Your heart's & health.
Drink one glass of warm water just when you are about to go to bed to avoid clotting of the blood at night to avoid heart attacks or strokes.