Coronary angiography is a procedure that uses X-rays to visualize and inspect arteries. It shows if there are any blocked arteries and how well your heart muscle is working.
During this procedure, a catheter is inserted into an artery in your arm or groin and advanced into one of your coronary arteries. Thereafter, contrast dye is injected into the coronary artery to make it visible on X-ray images.
The procedure can help identify blockages in the heart’s blood vessels and guide treatment decisions for patients at risk of developing heart disease or having a heart attack due to narrowed or blocked blood vessels that supply oxygenated blood to various organs.
Coronary angiography is typically performed if you have chest pain or other symptoms that suggest the presence of heart disease. If you have had a heart attack or have been diagnosed with coronary artery disease. It can be used in conjunction with an exercise stress test.
If you’re scheduled for coronary angiography, here’s what you can expect:
Coronary angiography is performed in a cath lab (catheterization laboratory). The cath lab is a room with special equipment for performing coronary angiography and other procedures that entail inserting a long, thin tube (called a catheter) into the blood vessels of your heart.
Advancements in medical science have made coronary angiography more accessible to patients. The procedure has become simple and the risk has reduced significantly. Also, unhealthy diets and lifestyle choices put more people at risk of developing cardiac ailments. That’s why coronary angiography is commonly performed now-a-days.
In expert hands coronary angiography is a near-zero risk procedure. The risk of complications can be broadly categorized into:
Less severe complications
The chance for developing a serious complication during coronary angiogram is 1 in 1000. People with serious underlying heart problems are most at risk. Discuss with your cardiologist about the risks before the procedure.
Coronary angiography is used to diagnose and treat heart diseases, before cardiac surgery, angioplasty-stent procedures as well as other conditions such as aneurysms in blood vessels. It helps doctors identify underlying causes of heart failure and determine the proper course of treatment.
Dr. C Raghu is a renowned cardiologist with decades of experience in interventional cardiology. He is one of the pioneers of trans-radial procedures in India. Consult him if someone is in need for coronary angiogram.
Coronary angiography is a common diagnostic test used by doctors to identify conditions, such as coronary artery disease and aneurysms. In our previous blog, we discussed how the procedure is carried out and when it’s used. Click here to check it out.
Angiography is a minimally invasive procedure, which makes it extremely safe. However, it can involve a few minor side effects. The benefits outweigh the risks for most patients. However, in some cases, coronary angiography can result in serious complications.
In this article, we’ll delve deeper into the risks and side effects associated with coronary angiography.
If you’re planning to visit the doctor for an angiography, you can expect one or more of the following side effects:
All these symptoms are localized to the area where the cut was made for inserting the catheter. Most patients experience a gradual improvement in these side effects without medical intervention. You can take painkillers to relieve discomfort after the procedure.
If you’re lucky, you’ll come out of coronary angiography with minor bruising and swelling. However, some patients develop the following complications:
In both cases, proper use of medications can help control the side effects. For instance, antibiotics can be used in the case of an infection. Similarly, your doctor might prescribe antihistamines if you experience an allergic reaction.
It’s worth mentioning that coronary angiography comes with a few potential serious complications. These include:
The good news is that these complications are extremely rare (affecting less than one in every 1000 patients). Also, kidney damage due to angiography is usually temporary. Moreover, internal bleeding can be contained with the help of catheter based approaches.
Complications from coronary angiography are rare. Nevertheless, it’s a good idea to consult your doctor if you notice anything unusual after the procedure. For instance, if the leg or arm where the cut was made looks pale or feels numb, it’s a cause for concern. Similarly, if you notice bleeding, redness, or a firm lump near the cut, it could indicate a potential infection. It’s always a good idea to watch out for these signs and consult your doctor for timely treatment.
Coronary angiography is a safe and minimally invasive procedure. It can cause minor side effects, such as pain and swelling. However, in extreme cases, it can also lead to a heart attack or kidney damage. It’s crucial to talk to your doctor about the potential risks before going in for the procedure.
Dr. C Raghu has more than two decades of experience in treating patients with different heart conditions. If you have queries or concerns about coronary angiography, feel free to reach out to Dr. Raghu today.
In our previous articles, we’ve discussed the symptoms of heart failure and the steps to diagnose the same. However, the course of treatment varies for every patient based on the type of heart failure they’ve developed.
Depending on the part of the heart’s pumping cycle that’s been affected, there are two types of heart failure. In this blog, we’ll take a closer look at diastolic dysfunction and its symptoms.
The diastolic phase refers to the part of the heart’s pumping cycle when the ventricles (lower chambers) relax and let blood flow in from the atria (upper chambers). Diastolic dysfunction is a condition in which the ventricles don’t relax enough. That, in turn, prevents the normal amount of blood from entering the heart.
Diastolic dysfunction is caused when the heart muscles become thicker and stiffer than usual. It’s more common in older women with hypertension and diabetes. If left untreated, it can lead to diastolic heart failure (also known as heart failure with preserved ejection fraction).
Ejection fraction refers to the volume of blood pumped out from the heart’s left ventricle with each contraction. For a healthy heart, the number falls in the range of 55% to 65%. A lower ejection fraction is one of the most common indicators of heart failure.
However, it’s worth noting that many people with diastolic dysfunction have an ejection fraction of 50% or more (which is known as preserved ejection fraction). That means the left ventricle expels an adequate amount of oxygenated blood.
However, the heart muscle doesn’t relax enough to let a sufficient quantity of blood in. That, in turn, causes the excess blood to back up in the lungs and results in fluid buildup in the feet and abdomen.
In contrast to systolic dysfunction where the heart muscle is “weak”, in diastolic dysfunction the heart is “stiff”. This means that the heart is unable to pump blood out of the heart in systolic dysfunction whereas the heart is unable to accept further blood in diastolic dysfunction. Both conditions lead to congestion or fluid accumulation in various organs of the body. Differentiation of heart failure from systolic and diastolic dysfunction is not possible as both diseases present with similar symptoms.
The best way to prevent and treat diastolic dysfunction is by effective control of the diseases mentioned above.
The most common symptom of diastolic dysfunction is congestion and shortness of breath due to the buildup of blood and fluid in the lungs. Breathing difficulties can get particularly worse during exertion or when lying.
Other symptoms of diastolic dysfunction include:
If you experience any of the given symptoms, it’s crucial to consult a doctor for a proper diagnosis.
Treatment of diastolic dysfunction involves a combination of medications (diuretics or water pills) and lifestyle changes. In severe cases, a patient might need left ventricular assist devices or a heart transplant.
In the long run, diastolic dysfunction can lead to diastolic heart failure. That, in turn, increases your risk of hospitalization and death. Therefore, you should pay close attention to your symptoms and reach out to a doctor whenever you notice anything unusual.
Dr. C Raghu is a renowned cardiologist who specializes in interventional cardiology. He has decades of experience in treating patients with different heart conditions. If you or anyone you know has developed symptoms like shortness of breath, swollen feet, loss of appetite, etc., contact Dr. Raghu to explore your treatment options.
Congestive heart disease or heart failure is a serious condition that can be life-threatening (if left untreated). It can diminish blood supply to vital organs, such as the brain, liver, and kidneys. That, in turn, can lead to organ damage.
In this blog, we’ll delve deeper into the causes and types of congestive heart failure. Also, we’ll understand the outlook for patients living with the condition. Let’s get started.
Congestive heart failure is characterized by a gradual deterioration in the heart’s ability to pump blood throughout the body. It can result in various symptoms, such as swelling in the abdomen, feet, and legs, shortness of breath, fatigue, weight gain, and loss of appetite. Read our blog post on heart failure symptoms for more details.
Typically, the condition is the result of an abnormality in the cardiac muscles that interferes with the heart’s pumping function. It can be due to a congenital defect or an underlying illness that exerts the heart muscles.
The most common causes of congestive heart disease include :
The following factors also increase an individual’s risk of developing the condition:
In systolic heart failure, the left ventricle becomes thin and weak and is unable to push an adequate amount of oxygen-rich blood into the arteries. It’s also known as heart failure with reduced ejection fraction.
In diastolic heart failure, the ventricles become thick and stick, due to which the heart can relax and let an adequate amount of blood fill the chambers. It’s also known as heart failure with preserved ejection fraction.
Congestive heart failure can also be categorized into two types depending on the side of the heart that’s affected. This includes left-sided heart failure and right-sided heart failure.
The American College of Cardiology and the American Heart Association have outlined four distinct stages of the progression of heart failure. Stage four, or the most advanced stage, is characterized by acute heart failure.
At this stage, a patient experiences severe symptoms that don’t respond to standard treatments. They might need frequent hospitalization or specialized treatment to stay out of the hospital.
There’s no known cure for congestive heart failure. However, timely diagnosis, proper treatment, and lifestyle changes can be instrumental in improving a patient’s quality of life and longevity. Doctors usually use a cardiopulmonary stress test to predict your prognosis.
The prognosis of congestive heart failure for a patient depends on various factors, including their age, sex, medical history, and lifestyle. Chronic ailments like diabetes can worsen your prognosis. Also, the stage at which heart failure is diagnosed influences the outlook.
Dr. C Raghu is a world-renowned cardiologist who’s helped thousands of patients with cardiac ailments. He specializes in interventional cardiology and has nearly two decades of experience. If you or anyone you know has been diagnosed with congestive heart disease, feel free to consult Dr. Raghu right away.
The heart is a critical organ that powers the human body. It beats roughly 100,000 times a day and pumps more than 2,000 tons of blood throughout the body.
Heart failure is a condition in which the heart gradually loses its pumping capacity. It can lead to symptoms like breathlessness, fluid buildup, and mental confusion. In the long run, it can result in organ damage and even death.
In this blog, we’ll take a closer look at the symptoms, causes, and treatment of congestive cardiac failure. Let’s dive right in.
Traditionally, doctors used the terms congestive cardiac failure or congestive heart failure to refer to the progressive deterioration of the heart’s pumping action. They used “congestion” to describe the buildup of fluid in the lungs due to heart failure.
However, subsequent studies have shown that the condition can lead to other symptoms, such as swollen feet, fatigue, and mental confusion. That’s why doctors use the term heart failure nowadays.
Irrespective of whether you call it congestive cardiac failure or simply heart failure, its most common causes include:
Additionally, damaged or dying heart tissue due to an infection or a previous heart attack can result in congestive cardiac failure.
The symptoms of congestive heart failure depend on whether it causes a lack of oxygen supply to the organs or excess fluid buildup in the body.
In the first case, the symptoms include mental confusion, fatigue, and discolored or bluish skin. In the second case, heart failure can lead to symptoms, such as shortness of breath, coughing, wheezing, weight gain, swelling in the feet, legs, and abdomen, and loss of appetite.
The treatment of congestive heart failure depends on its underlying cause and the side of the heart that’s affected. A doctor will order a series of tests, such as chest X-ray, ECG, echocardiogram, and coronary angiography. Routine blood tests, such as lipid panel and electrolyte tests, might be needed, too.
Once the root cause is identified, your doctor can prescribe one or more of the following medications:
Additionally, the doctor will recommend lifestyle changes, including exercise, a low-sodium diet, and weight loss. Also, they’ll ask you to quit smoking and limit alcohol consumption. In extreme cases, patients need a heart transplant or ventricular assist device (VAD) to improve their quality of life.
Congestive cardiac failure is a chronic condition with no known cure. If left untreated, it can lead to organ damage and death. However, a proper treatment plan comprising lifestyle changes and medications can help manage various symptoms.
Dr. C Raghu is a renowned cardiologist and a specialist in interventional cardiology. If you or anyone you know is experiencing symptoms of heart failure, don’t hesitate to contact Dr. Raghu right away.
Call us now if you are in a medical emergency need, we will reply swiftly and provide you with a medical aid.
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