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Preparing for and Recovering from Cardiac Procedures, Exercises of Biochemistry

Bethany College - West Virginia Biochemistry

Comprehensive information about cardiac catheterization, angioplasty, and stent implantation. It covers the preparation process, the procedure itself, and the recovery period. Topics include the purpose of the procedure, diagnostic tests, medications, and post-procedure care. It also includes practical information such as parking and contact details for the perelman heart institute.

Typology: Exercises

2021/2022

Uploaded on 09/12/2022

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Guide&to&Cardiac&Catheterization,&Angioplasty,&and&Stent&

Implantation&

&

Cardiac&catheterization&is&a&procedure&used&to&detect&the&presence&of&disease&in&the&coronary&arteries,&

the&heart&muscle,&and&the&valves&within&the&heart.&It&is&performed&by&inserting&a&catheter&through&an&

artery&and/or&vein;&the&catheter&is&then&advanced&to&the&heart.&Pressures&within&the&heart&are&measured&

and&a&contrast&dye&is&injected&to&visualize&the&coronary&arteries&and&the&pumping&action&of&the&heart.&

"Coronary&angiogram"&refers&to&the&part&of&the&exam&which&involves&injecting&contrast&dye&into&the&

coronary&arteries.&

&

If&blockages&are&detected&in&the&coronary&arteries,&these&arteries&may&be&opened&through&a&procedure&

known&as&"angioplasty"&or&"stent&implantation."&A&diagnostic&cardiac&catheterization&may&be&performed&

as&an&outpatient&procedure.&Patients&may&stay&overnight&after&the&procedure&depending&on&the&results&of&

the&catheterization&or&after&an&angioplasty/stent&implantation.&&

&

Before&the&Procedure&

• We&will&be&in&contact&with&your&referring&physician&to&confirm&that&you&had&the&appropriate&preG

procedure&tests,&including&an&ECG&and&blood&tests&(complete&blood&count&with&platelets,&

biochemistry&profile,&PT/PTT/INR).&Additional&information&will&be&requested,&such&as&reports&of&

echocardiograms,&stress&tests,&cardiac&CT&scans,&prior&cardiac&catheterizations,&and&operative&

reports&of&coronary&artery&bypass&surgery.&

• A&representative&from&the&Cardiac&Catheterization&Laboratory&will&contact&you&prior&to&your&

procedure&to&verify&your&information&and&confirm&the&procedure&date&and&time.&

• You&should&have&nothing&to&eat&or&drink&after&midnight&the&evening&prior&to&your&procedure&

except&sips&of&water&with&your&medications&(unless&otherwise&told&by&our&staff).&You&should&not&

drink&coffee&or&any&caffeinated&drinks/beverages&the&day&before&and&the&morning&of&the&

procedure.&

Partial preview of the text

Download Preparing for and Recovering from Cardiac Procedures and more Exercises Biochemistry in PDF only on Docsity!

Guide to Cardiac Catheterization, Angioplasty, and Stent

Implantation

Cardiac catheterization is a procedure used to detect the presence of disease in the coronary arteries, the heart muscle, and the valves within the heart. It is performed by inserting a catheter through an artery and/or vein; the catheter is then advanced to the heart. Pressures within the heart are measured and a contrast dye is injected to visualize the coronary arteries and the pumping action of the heart. "Coronary angiogram" refers to the part of the exam which involves injecting contrast dye into the coronary arteries. If blockages are detected in the coronary arteries, these arteries may be opened through a procedure known as "angioplasty" or "stent implantation." A diagnostic cardiac catheterization may be performed as an outpatient procedure. Patients may stay overnight after the procedure depending on the results of the catheterization or after an angioplasty/stent implantation.

Before the Procedure

We will be in contact with your referring physician to confirm that you had the appropriate pre-‐ procedure tests, including an ECG and blood tests (complete blood count with platelets, biochemistry profile, PT/PTT/INR). Additional information will be requested, such as reports of echocardiograms, stress tests, cardiac CT scans, prior cardiac catheterizations, and operative reports of coronary artery bypass surgery.
A representative from the Cardiac Catheterization Laboratory will contact you prior to your procedure to verify your information and confirm the procedure date and time.
You should have nothing to eat or drink after midnight the evening prior to your procedure except sips of water with your medications (unless otherwise told by our staff). You should not drink coffee or any caffeinated drinks/beverages the day before and the morning of the procedure.

For all questions regarding medications, please contact your referring physician. If you have ever had a serious allergic reaction, bleeding and/or clotting problems, please telephone us at 212-‐ 746 -‐4644.
You should report to The Ronald O. Perelman Heart Institute Reception Desk located on the 4th floor of the Greenberg Pavilion, which can be reached from the main Greenberg (G) elevators.
Parking is available at The Greenberg Pavilion Garage located at 525 East 68 th Street, 212-‐ 746 -‐
1. The Hospital will provide discounts for parking, which can obtained at the main entrance.
Please do not bring valuables with you to the Hospital.
Please do bring a government issued photo ID and any insurance cards
If you are running late or have any questions on the day of your procedure, please call our Guest Service Representatives at (212) 746-‐ 9211
The Perelman Heart Institute is a beautifully appointed 5-‐story atrium open to the public and also serves as waiting area for relatives and friends that may wish to accompany you to the hospital on the day of your procedure
We regret that we are unable to give you an exact start and finish time for your procedure as the length of each procedure varies from patient to patient. For ambulatory patients, it is anticipated that discharge will be between 3:00 and 5:00 PM.

During the Procedure

One of our nurses will take you to a pre-‐procedure room. A physician or nurse practitioner will discuss the procedure with you and will review your medical history.
You will be asked to sign a consent form.
After you change into a hospital gown, an intravenous line (IV) will be placed in your forearm. A blood pressure monitor will be placed on your arm, and ECG stickers will be placed on your chest to monitor your heart rhythm.
You will be moved to the procedure room, known as the "cardiac catheterization laboratory."
During the procedure, you will receive a local anesthetic before the catheter is introduced into your artery or vein. This catheter is usually introduced through an artery or vein in your groin.
A physician will insert the catheter to the heart, and contrast dye will be injected. You may feel a warm or flushed sensation in your body when this dye is injected.
You may feel chest pain during some part of this procedure.

After the Procedure

You will be transferred to a post-‐procedure room for monitoring.
At this time, the tube in your artery and/or vein may be removed. A physician or nurse will apply pressure to this site to prevent bleeding. For some patients who have an angioplasty or stent, the tube will be removed later in the hospital.
For patients admitted to the hospital, you will be transferred to an inpatient unit for post-‐ procedure care.
For ambulatory patients

NewYork Presbyterian Hospital – Weill Cornell Medical Center Cardiac Catheterization Laboratory Telephone: (212) 746-‐ 4644 Fax: (212) 746-‐ 8295