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Balloon Angioplasty Health Feed

Coronary Angiography And Angioplasty - An Insight On It!

Dr. Tejas V Patel 95% (12 ratings)
DM - Cardiology, MD - Medicine, MBBS, Observership
Cardiologist, Ahmedabad
Coronary Angiography And Angioplasty - An Insight On It!

Sedentary lifestyle and unhealthy food habits result in many lifestyle diseases, coronary heart diseases being one among them. One of the top 10 leading causes of death, heart attack might scare you, and it is necessary to know the facts to avoid risk factors and seek the best treatment.

The coronary arteries supply blood to your heart muscle. But at times, they can become blocked owing to the buildup of cholesterol and other substances known as plaque. It can reduce the flow of blood to the heart. When the blood flow is entirely restricted, it may result in a heart attack.

Doctors typically recommend angiography during or after a heart attack or in the case of angina to find out about the condition of the heart and proceed accordingly. If any blockages are observed, angioplasty would be advised to improve the blood flow to the heart by widening the narrowed arteries. Read on to know further details regarding this.

What is coronary angiogram?
A coronary angiogram is a special X-ray test which helps in detecting if any of the coronary arteries are narrowed or blocked, hindering the optimal flow of blood. It can help your cardiologist understand whether you need any treatment such as stent or angioplasty or simple medical therapy. 

During the process of angiography, your doctor would numb a spot in the arm or groin for inserting a thin catheter into the artery. You will get the feeling of a pinprick, and x-rays would be taken as the fluid goes through the coronary artery. After the process is completed, your doctor would discuss the results of the test with you and determine whether you need to undergo angioplasty.

What is coronary angioplasty?
A coronary angioplasty is a process which is used for widening blocked or narrowed blood vessels that supply blood to the heart. The term angioplasty entails using a balloon for stretching open the blocked artery. But the modern approaches to angioplasty procedures involve insertion of a short-wire mesh tube known as a stent. This stent is permanently left alone in the deployed state to allow free flow of blood to the heart. 

Coronary angioplasty is often referred to as percutaneous transluminal coronary angioplasty or PTCA. The combination of angioplasty together with stenting is known as a percutaneous coronary intervention. Even though angina can be easily treated with the help of medicine and some lifestyle changes, a coronary angioplasty may be required for restoring the flow of blood to the heart. Doctors recommend undergoing coronary angioplasty as an emergency treatment after a heart attack. 

What are the benefits of coronary angioplasty?
The flow of blood through the coronary arteries is massively improved after the coronary angioplasty. Many people find that the symptoms and discomfort are improved after undergoing this treatment. For individuals who have suffered a heart attack, angioplasty can significantly improve the chances of survival.

So, with this awareness, follow the doctor’s advice for a complete recovery from a heart attack. In case you have a concern or query you can always consult an expert & get answers to your questions!

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AV FISTULA Surgery And Alternate Access Options For Dialysis Patients

Dr. Apurva Srivastava 92% (74 ratings)
DNB (Vascular & Endovascular Surgery), MS - General Surgery, MBBS
Vascular Surgeon, Delhi
AV FISTULA Surgery And Alternate Access Options For Dialysis Patients

An AV Fistula  is the term used for a surgically created connection between an artery and a vein, usually on the arm or forearm.

Vascular Surgeon is the specialist for creating an AV Fistula, which serves as a lifeline for patients with end-stage disease of the kidneys requiring dialysis.

     A surgically created AV Fistula for dialysis

There are many options of the combination of artery and vein to be used for AV fistula on both arms. A good ultrasound doppler of the arm veins helps us to decide which is the best site for an AV Fistula surgery.

After an AV fistula is surgically created,  it needs a maturation time of about 4 - 6 weeks, after which it may be used for dialysis access.

  A fully matured AV Fistula, ready for dialysis access

The biggest advantage of an AV fistula is that it is a permanent solution for Dialysis throughout the lifetime of a patient, and carries minimal chances of failure and infection as it does not involve any artificial tube or graft to be placed inside the body.

If an AV fistula surgery is not possible due to unsuitable veins on the arms, a synthetic tube graft known as an AV graft may be surgically placed on the arm.

A surgically placed AV Graft for dialysis access

If an AV Fistula is failing, does not mature or gets blocked, there are many options for salvage of the fistula both surgically (thrombus removal) and endovascularly (Balloon angioplasty), to make it functional again.

A temporary venous access using different types of catheters may also be attained for dialysis, and involves placement of simple (Temporary) as well as complex (Permanent) catheters such as the PERMACATH for dialysis patients.

3 people found this helpful

My husband is 39 suffering from Cardio problem.He Had angioplasty 3 years back.Please suggest me something.

Dr. Paramjeet Singh 94% (965 ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My husband is 39 suffering from Cardio problem.He Had angioplasty 3 years back.Please suggest me something.
To prevent future heart attacks Live a Healthy Lifestyle Eat a healthy diet. Choosing healthful meal and snack options can help you avoid heart disease and its complications. Be sure to eat plenty of fresh fruits and vegetables. Eating foods low in saturated fat and cholesterol and high in fiber can help prevent high blood cholesterol. Limiting salt or sodium in your diet can also lower your blood pressure. Maintain a healthy weight. Being overweight or obese can increase your risk for heart disease. To determine whether your weight is in a healthy range, doctors often calculate a number called the body mass index (BMI). Exercise regularly. Physical activity can help you maintain a healthy weight and lower cholesterol and blood pressure. Don't smoke. Cigarette smoking greatly increases your risk for heart disease. So, if you don't smoke, don't start. If you do smoke, quitting will lower your risk for heart disease. Your doctor can suggest ways to help you quit. Limit alcohol use. Avoid drinking too much alcohol, which causes high blood pressure. If you have high cholesterol, high blood pressure, or diabetes, there are steps you can take to lower your risk for heart disease. Have your cholesterol checked. Your health care provider should test your cholesterol levels at least once every five years. Talk with your doctor about this simple blood test. Monitor your blood pressure. High blood pressure has no symptoms, so be sure to have it checked on a regular basis. Manage your diabetes. If you have diabetes, closely monitor your blood sugar levels. Talk with your health care provider about treatment options. Take your medicine. If you're taking medication to treat high cholesterol, high blood pressure, or diabetes, follow your doctor's instructions carefully. Always ask questions if you don't understand something. Talk with your health care provider. You and your doctor can work together to prevent or treat the medical conditions that lead to heart disease. Discuss your treatment plan regularly and bring a list of questions to your appointments.
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I am suffering from diabetic from last 2 years morning diabetes is 200 n after meal 230 n am also heart patient I have gone in for angioplasty surgery also in 2009 so please advice me.

Dr. Bhagyesh Patel 93% (3949 ratings)
FMAS, MS
General Surgeon, Gandhinagar
I am suffering from diabetic from last 2 years
morning diabetes is 200 n after meal 230 n am also heart patient I hav...
Dear Dipak , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * Guidelines for better recovery - Discuss with your doctor about the change of the molecule . - Strict dietary control . - Regular walking , exercises , YOGA help great . - Avoidance of stress , anxiety . - Manage to have regular sound sleep of 8 hours . - Avoid smoking , alcohol if using . Hope this clears your query . Wishing you fine health ahead . Regards dear take care .
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I am 67 years old, diabetic (hbs a1 level 6.9). I had angioplasty (1 stent) in May 2017. I am fond of exercise & yoga. Can I do Kapalbhati? Can I do asanas? Running? I do feel a little breathless while walking briskly or climbing stairs.

Dr. Sameer Mehrotra 89% (1118 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am 67 years old, diabetic (hbs a1 level 6.9).
I had angioplasty (1 stent) in May 2017.
I am fond of exercise & yoga...
1) Keep your diabetes well-controlled. 2) You can do any exercise or yoga asanas etc that you feel comfortable about doing. In fact exercising and yoga is great for you. 3) If breathlessness on walking or climbing stairs is new then please consult your treating cardiologist for evaluation.
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I am 65 years old I have done an angioplasty for one block my question is can I use any sexual booster tablets is it advisable.

Dr. Tejas V Patel 95% (12 ratings)
DM - Cardiology, MD - Medicine, MBBS, Observership
Cardiologist, Ahmedabad
I am 65 years old I have done an angioplasty for one block my question is can I use any sexual booster tablets is it ...
Don't take sexual booster tablets like Viagra with cardiac drugs containing Nitrates, its dangerous and contraindicated.
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My husband suffered severe heart attack on 21st and angioplasty done with 3 stents, Dr. said there is one more blockage. Im worried for his diet and also is there any chances of getting heart attack after angioplasty? What kind of food should I give him.

Dr. S.K. Tandon 96% (11961 ratings)
Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
My husband suffered severe heart attack on 21st and angioplasty done with 3 stents, Dr. said there is one more blocka...
Foods to Include in a Heart-Healthy Diet. Whole grains. Fruits and vegetables. Healthy fats. Nuts, beans, and seeds. Dark chocolate. Fresh-brewed tea.
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My grandmother had an heart attack a week ago. She was admitted in the hospital within couple of hours. She's still under the treatment. Doctor has recommended to do the angioplasty, could you please suggest if it's necessary to do the angioplasty?

Dr. Jayvirsinh Chauhan 95% (6084 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
My grandmother had an heart attack a week ago. She was admitted in the hospital within couple of hours. She's still u...
Hi Kundan... No doctor will say that it is not necessary.. But if she is stable and you decide not to take it then I won't oppose for that, but I will surely tell you to start homoeoapthic treatment for that.. You may give her Crataegus Q 10 drops tds in water... and other medicines can be prescribed after proper case study...so better consult if you wish to...
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My mother age 44 is suffering from heart artery blockage she has gone through angioplasty surgery last month. Please tell me some precaution and remedy regarding it. Also provide me some diet to control LDL cholesterol for health.

Dr. Rashmi Shukla 90% (4637 ratings)
BHMS, MD - Alternate Medicine
Homeopath, Nagpur
My mother age 44 is suffering from heart artery blockage she has gone through angioplasty surgery last month. Please ...
Raised cholesterol level indicates problem at two levels. First the level of dietary discrepancies were the cholesterol is raised because of excess intake of the food which are high in cholesterol, LDL, and low intake of HDL that is good cholesterol. Second problem may be disturbed lipid metabolism were you are eating right quantity of lipids, but the bodily metabolism is disturbed. So finally if you want to cure high cholesterol in the blood you have to approach two way, first by improving your diet, and second by curing the problem of metabolism. Oatmeal, oat bran and high-fiber foods. Oatmeal contains soluble fiber, which reduces your low-density lipoprotein (LDL), the "bad" cholesterol. Soluble fiber is also found in such foods as kidney beans, apples, pears, barley and prunes. Soluble fiber can reduce the absorption of cholesterol into your bloodstream. Limit your intake of foods full of saturated fats, trans fats, and dietary cholesterol. Eat a lot more fiber-rich foods (especially soluble fiber from foods like beans, oats, barley, fruits, and vegetables. Avoid oil and oily food, do meditation and do exercise properly ,increase intake of water, take proper rest.In case it is troublesome you can contact to us.
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What To Expect Before An Angioplasty?

Dr. Benedict Raj 90% (328 ratings)
Certificate in Laparoscopic and Thoracoscopic Surgery, Fellowship in Paediatric Cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist, Bangalore Rural
What To Expect Before An Angioplasty?

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.

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