Angioplasty works well to open a blocked artery after a heart attack. This helps blood to flow more normally to the heart muscle. Angioplasty can help lower the risk of death and complications from the heart attack.
Angioplasty can improve your angina symptoms. It can also improve your quality of life. If your symptoms happen a lot, you are more likely to have a better quality of life after the procedure.
Angioplasty might not relieve all of your symptoms. But you might not need to take angina medicines anymore. Or you might not need to take as much.
There are some things that angioplasty can't do. In people who have stable angina:
It may be hard to understand why angioplasty does not lower your risk of a heart attack or help you live longer. It's because of how coronary artery disease and plaque happen in your arteries.
Even if you get a stent, you still may have other places in your arteries where a heart attack can happen. During the procedure, your doctor finds and treats the places where plaque narrows the artery and limits blood flow. But smaller plaques can build up in other places in your arteries. They don't limit blood flow much or cause symptoms. But if one ruptures, it can cause a heart attack. This type of plaque is treated with medicines and a heart-healthy lifestyle.
The catheter will be removed. Pressure may be applied to the area where the catheter was put into your blood vessel. This will help prevent bleeding. A small device may also be used to close the blood vessel. You may have a bandage or a compression device on the catheter site. After the procedure, you will be taken to a room where the catheter site and your heart rate, blood pressure, and temperature will be checked several times. If the catheter was put in your groin, you will need to lie still and keep your leg straight for up to a few hours. If the catheter was put in your wrist, you may need to keep your arm still for at least 2 hours.
You may go home the same day. Or you may stay at least 1 night in the hospital. When you go home, you will get instructions from your doctor to help you recover well and prevent problems.
Make sure to drink plenty of fluids (unless your doctor tells you not to) for several hours after the procedure. This will help flush the dye out of your body.
After a coronary angioplasty, you will be moved to a recovery room or to the coronary care unit. Your heart rate and blood pressure will be closely monitored. The catheter insertion site will be checked for bleeding. You may have a bandage or a compression device on your groin or wrist at the catheter insertion site. This is to prevent bleeding. You may go home the same day. Or you may stay at least 1 night in the hospital.
Do not do strenuous exercise and do not lift anything heavy until your doctor says it is okay. This may be for several days.
You will take medicine to prevent blood clots. This medicine helps prevent a heart attack. If you get a stent, you may take aspirin plus another blood thinner. If you get a drug-eluting stent, you may take both of these medicines for at least 6 months. If you get a bare-metal stent, you may take both medicines for at least 1 month. If you had a heart attack, you may take both medicines for at least 1 year. Then you will likely continue to take one of the medicines. If you have a high risk of bleeding, your doctor may shorten the time you take these medicines. You can work with your doctor to decide how long you will take both of these medicines. This decision may depend on your risk of a heart attack, your risk of bleeding, and your preferences about taking medicine.
After your procedure, you might attend a cardiac rehabilitation (rehab) program. In cardiac rehab, a team of health professionals provides education and support to help you recover and start new, healthy habits, such as eating healthy and getting more exercise. Making these changes is just as important as getting treatment if you want to keep your heart healthy and your arteries open. If your doctor hasn't already suggested it, ask if cardiac rehab is right for you.
Coronary angioplasty is a procedure that is used to open a narrowed or blocked coronary artery. It may also be called a percutaneous coronary intervention (PCI). The doctor opened your narrowed or blocked artery by putting a thin tube, called a catheter, into your heart through a blood vessel. The catheter was inserted into the blood vessel in your groin or wrist. The doctor may have placed a small tube, called a stent, in the artery.
Your groin or wrist may have a bruise and feel sore for a few days after the procedure. You can do light activities around the house. But don't do anything strenuous until your doctor says it is okay. This may be for several days.
Coronary angioplasty is done to widen a blocked or narrowed coronary artery and improve blood flow to the heart muscle. It may be done to treat a heart attack or relieve symptoms of stable angina.
Emergency angioplasty may be the first choice of treatment for a heart attack.
Doctors try to do angioplasty as soon as possible after a heart attack. But angioplasty is not available in all hospitals. If you are at a hospital that does not do angioplasty, you might be moved to another hospital where angioplasty can be done.
Although many things are involved, angioplasty might be done for stable angina if you:
Angioplasty may not be a reasonable treatment option when:
Coronary angioplasty is done in a cardiac catheterization laboratory ("cath lab"). It is done by a heart specialist called a cardiologist. The whole procedure may take 1½ to 3 hours.
You lie on a table under a large X-ray machine. You will get medicine through an I.V. in one of your veins. It helps you relax and not feel pain. You will be awake during the procedure. But you may not be able to remember much about it.
The doctor will inject some medicine into your wrist or groin to numb the skin. You will feel a small needle poke you. It's like having a blood test. You may feel some pressure when the doctor puts in the catheter. But you will not feel pain.
The doctor will look at X-ray pictures on a monitor (like a TV screen) to move the catheter to your heart. The doctor then puts a dye into the catheter. This makes your heart's arteries show up on a screen. The doctor can then see any arteries that are blocked or narrowed. You may feel warm or flushed for a short time when the doctor injects dye into your artery.
If you have a blocked or narrow artery, the doctor uses a catheter with a tiny balloon at the tip. The doctor puts it into the blocked or narrow area and inflates it. The balloon presses the fatty buildup against the walls of the artery. This buildup is called plaque. This creates more room for blood to flow. In most cases, the doctor then puts a stent in the artery. A stent is a small, expandable tube. It presses against the walls of the artery. The stent is left in the artery to keep the artery open. This helps blood flow. The catheter is removed from your body.
Procedures can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for your procedure.
Angioplasty has some risks. They include:
Your doctor can help you know your chance of problems. Several things, including age and health, can raise your risk of problems. For example, older people or those with heart failure or kidney disease have a higher risk of problems.
The risks of problems where the catheter was placed include:
Over time, there is a chance that blood vessels with stents can close. There also is a chance that you'll need to decide whether or not to have another angioplasty or a bypass surgery.
Radiation: There is always a slight risk of damage to cells or tissues from being exposed to any radiation. This includes the low levels of X-ray used for this procedure. But the risk of damage from the X-rays is usually very low compared with the possible benefits of the procedure.
Coronary angioplasty is a procedure that uses a thin tube called a catheter to open a blocked or narrowed coronary artery. Coronary arteries are the blood vessels that bring oxygen to the heart muscle. Angioplasty also may be called percutaneous coronary intervention (PCI).
Angioplasty can widen an artery that has been narrowed by fatty buildup (plaque) or blocked by a blood clot. The procedure helps blood flow more normally to the heart muscle.
Angioplasty can do a lot for the heart. But angioplasty doesn't cure your heart disease. That's because it doesn't get to the root of the problem.
Angioplasty widened an artery that was narrowed by plaque. But it only did that in one spot, in one artery. Plaque can still build up in other arteries and cause symptoms—or even a heart attack.
The good news is that any steps you take to care for your heart can help you prevent more symptoms or a future heart attack.
And there's no better time to start than now.
Call 911 anytime you think you may need emergency care. For example, call if:
Call your doctor now or seek immediate medical care if:
Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.
Thinking about all the healthy changes that are recommended for people with coronary artery disease may seem overwhelming. After angioplasty, you may feel better and not feel like you need to do anything more. But it's important to keep making healthy changes to care for your heart.
The best way to reach a new goal or to make a lasting change is to take one small step in the right direction. What if you decided to take one small, healthy step? Here's how to get motivated.
It's common for people to think it's too hard or too late to change. But it's not.
You've probably made a change before that turned out to be really positive. Take a minute to think of a time that you successfully changed something for the better.
Was it:
What did it feel like to make a positive change? What helped you do it?
You need a clear reason to want to change. And it needs to be a reason that's just for you—not for your doctor, your partner, or anyone else.
Maybe you can relate to some reasons like these:
Your reason doesn't have to be directly tied to keeping your heart healthy. That's okay. You have to know what's going to make the time and effort feel worth it.
Perhaps you'd like to be able to start a new activity or pick up an old one again. Think about what would make you feel good and would also be good for your body.
There's lots of advice and information about how to lose weight, eat better, quit smoking, start an exercise program, and take your medicines "as prescribed."
But nobody knows you like you do. You know what might work for you and what's important to you.
What if you started today, with one small step? It might seem a little scary. But it is possible.
If it helps, write down some ideas for a small step you could start with.
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