A Unit of Akhilesh Kumar Singh Hospital Private Limited.
The coronary arteries carry blood to the muscles of your heart. These are clogged by the formation of cholesterol, cells and other substances (plague), which reduce the circulation of blood in your body.
Why is this test necessary?
This is a special type of X-ray test, which detects whether your coronary arteries are closed or narrowed. This test also shows where and how your coronary arteries are closed or narrowed. This test helps the doctor to know whether the patient needs to undergo other tests like angioplasty or stent, coronary artery bypass surgery (CABG) or medical therapy.
Coronary Angiogram Testing Procedure :
What is Angioplasty and Stenting?
Angioplasty is a type of non-surgical procedure that increases circulation of blood by opening the narrowed blood vessels of the eyelids. Angioplasty is performed in a cardiac catheterization laboratory (cath lab). A cath lab is a kind of X-ray room, which looks somewhat like an operating room. Interventional cardiologists mostly make a small cut in the arm or thigh. The catheter, which has a balloon-like structure at the end, is then inserted into your blood vessels. This catheter is passed through your body to your coronary artery. During the procedure, the doctor observes the movement of the catheter in an X-ray. Once the catheter is in place, the doctor slowly works to inflate the balloon. The inflating of the balloon causes the fatty acids that have accumulated at that area to settle in the layers of the blood vessels there, giving more room for blood circulation, and the blood circulation is accelerated. Your cardiologist will ask you to remain still during the procedure. You won't have any problems with most of the process, but when the balloon inflates, it can be a bit tricky. There is nothing to panic, it is a simple thing that will get better immediately. Once the artery is open, the eyelash is taken out. The stent is then inserted into a second balloon-mounted catheter and moved to the same location. The stent is then inflated by inflating the balloon. This can be done with one or more stents. How many stents you need depends on the type of heart disease you have. Once all the stents are in place, the balloon is deflated and taken out. The stent is left in place, which helps to keep the coronary artery open. Balloon angioplasty and stent implantation procedure takes forty-five to ninety-five minutes.
What is a pacemaker?
If your heart rate slows down, blood and oxygen cannot reach the brain, kidneys and other parts of the body properly, which can cause dizziness, fainting, fatigue, shortness of breath, or death. The pacemaker helps keep the heart beating properly.
. Heart Electrical System: Your heart is a kind of pump made of muscles. Its main function is to transport blood throughout the body. Our heart is divided into left and right. Each part has two chambers, the upper chamber and the lower chamber. The upper chamber or atrium serves to collect the blood coming into the heart, while the lower chamber or ventricle works to send blood from the heart. The heart pumping is generated by a type of current, similar to a spark plug in a car. The electrical impulse begins at the sinoatrial node, and then spreads to the rest of the heart. The sinoatrial node is called the body's natural pacemakers. By this process, both the aorta contract, which serves to deliver blood to the ventricles. This current then goes down to the atrioventricle, the atrioventricle is a kind of wire that is attached to the ventricles. It further divides into two parts, both of which are connected to the ventricles. This keeps our heart beating. Atrial (SA) node Atrioventricular (AV) node dis- Purkinje fibers.
Heart arrhythmia
Arrhythmias are diseases of the electrical system of the heart.
Tachycardia is caused by an excessively fast heart beat. heart beat rate
results from a fall.
Why is a pacemaker necessary?
Most patients are fitted with a pacemaker because their heartbeat
Too slow as needed. It is also called bradycardia. a slow heart in the head
can cause symptoms such as dizziness, tiredness, or fainting, which you can often
can put you in harm or trouble.
What are the parts of a pacemaker?
There are different types of pacemakers depending on their capacity. a patient
Which pacemaker will be needed depends on the situation.
Pacemakers generally consist of two parts, the pacemaker's generator, sometimes called a battery.
leads, and in addition some wires called leads.
The generator consists of batteries, main wires and computer parts, which help pacemakers to function properly.
helps. These leads are a special kind of wire which is connected to the generator on one side and the heart on the other. In order for your heart to beat properly, a very slow wave is sent which is
is generated from the generator and reaches the heart through the lead. heart from this electrical current
A heartbeat is generated. And this is very important to maintain your heartbeat properly.
Cardiac resynchronization therapy
A cardiac resynchronization (CRT) device is a specialized pacemaker that
Designed for stroke victims. It is designed in such a way that
It should be able to coordinate equally on both sides of the heart and help in beating well.
CRT devices are generally designed for people with certain types of heart problems.
suffering from diseases.
Generator
electrical leads injected through the veins into your chest
The pacemaker is usually implanted on the right or left side of the chest just below the collarbone.
Is. An information booklet by email from the company that made the pacemaker
you will receive This booklet will contain additional information regarding pacemakers.
Cardiac implant closure device in adults
What is closure device?
The closure device is used to close the openings of the right and left sides of the heart.
Some of these birth defects are the upper chambers (atria) or lower chambers (ventricles) of the heart or
PDAs are located in the middle of-
Patient Foramen Oval (PFO)
Atrial Septal Defect (SD)
PDA
VSD
Congenital heart disease is closed through the skin with a special closure device.
The device is attached to a special catheter, exactly the same as
Used in your catheterization. the catheter is inserted into the leg vein
And then it is delivered by defect to the heart. the device is pushed apart from the catheter
It is provided so that both the sides of the device are opened and the holes or defects on both sides
get covered. When the device is in the correct position, it is released from a special catheter. Over time, the heart tissue on top of the implant develops, which is theart of heart itself.
valvuloplasty
Valvuloplasty or balloon valvuloplasty or balloon valbotomy, heart with narrow opening
There is a process to fix the valve. Valve flaps in case of such valve
(leaflets) may be dense or hard and may fuse together (stenosis)
Due to which the opening of the valve becomes narrow and as a result the flow of blood
flow is reduced.
Valvuloplasty can improve your blood flow and your
Symptom can be improved.
Why is this done?
Your doctor can examine you and tell you if
Vulvuloplasty or some other treatment is needed. if
You have severe valve stenosis and you are experiencing symptoms
Your doctor may suggest you can have a valvuloplasty. Even if you are not feeling its symptoms
Your doctor will recommend you to treat mitral valve stenosis.
Give
May suggest valvuloplasty Your doctor may recommend valvuloplasty even if you have narrow aortic valves (aortic valve stenosis). This procedure can also treat aortic valve stenosis in newborns and children, although it can recur in adulthood, so valvuloplasty is usually only performed in adults who are in dire need of surgery or who are awaiting valvreplacement. Huh. This procedure may also be used to treat narcotic or pulmonary valves.
cardiologist uses a balloon to insert a long and thin tube (catheter) into the artery or groin of your arm and guide it to the narrow valves of the heart with the help of X-ray imaging. Then a doctor inflates the balloon, which expands the opening of the valve and separates the leaflets. Then the balloon is deflated and both balloons are removed. You will usually remain conscious throughout the procedure. You will usually stay in the hospital overnight after the procedure. This procedure works to increase your blood flow and reduce your symptoms. However, in the future, your valves may become narrow again, which may require you to have a valvuloplasty again. Apart from this, you may have to go through other procedures such as valve repair or valve replacement.
Radiofrequency Ablation
Other names for radiofrequency ablation, supraventricular tachycardias, atrial fibrillation and catheter ablation for ventricular tachycardia patients-
1. Ablation
2. Cardiac Ablation
3. Cardiac Catheter Ablation
4. Radiofrequency Ablation
5. Catheter Cryoablation
Catheter Cryoablation are inserted into the blood vessels of the thigh or neck. This tube itself is called catheter ablation. They reach your heart through blood vessels.
A special type of device called a generator works to deliver energy to the heart through catheter ablation. This energy is converted by fluctuating the temperature of the muscles in the parts of the heart where the arrhythmia is most likely to occur. Radiofrequency energy is usually used for catheter ablation and released from the generator. Energy is also radiofrequency energy, which is used to fluctuate muscle temperature. It has been found from the study that radiofrequency energy is safe and effective.
Who needs catheter ablation?
Understanding catheter ablation allows us to understand how temperature works. The electrical system of the heart tracks the rate and speed of our heart beats. Normally with each beat of the heart, an electrical signal is sent to you. Passes from top to bottom of the body. And with its movement, your heart contracts and blood flows. This process is repeated for each single heartbeat (for more information you can see this article on How the Heart Works in Diseases and Conditions). Any problem with any part of this process can lead to a disease such as arrhythmia.
Catheter ablation is a type of arrhythmia treatment. Your doctor may recommend catheter ablation in different situations: - when your medicine is not working. When the medicine prescribed by your doctor becomes unbearable due to side effects. This will tell whether you need catheter ablation) when you have abnormal electrical activity in your heart, which increases your chances of ventricular tachycardia or fibrillation (a life-threatening arrhythmia) and an immediate heart attack. There are also some risks of catheter ablation . Bleeding, infection, and pain may occur during the insertion of the ablation catheter. Bleeding and heart puncture are some of the very riskiest possibilities. Your doctor will explain the other dangers to you in detail. In general, catheter ablation is a safe and effective procedure.