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Angioplasty, Rescue Life with Heart Disease

Angioplasty, Rescue Life with Heart Disease. Coronary angioplasty is a procedure to open blockages or constriction of the heart's blood vessels. After undergoing angioplasty, the life expectancy of someone who has had or at risk of having a heart attack may increase and the risk for subsequent heart attacks can be reduced. Angioplasty aims to increase blood flow to the heart. This mechanism is done by inserting and inflating small balloons in the blocked portion of the blood vessel to help expand the channel. This procedure is actually common in the treatment of heart disease, especially in patients over 65 years.

Angioplasty is often combined with the placement of a small wire tube called a stent or ring. Some types of rings are coated with medicines that will help keep blood flow in the blood vessels open. Ring installation aims to open blood vessel walls and prevent them from re-narrowing.

Angioplasty, Rescue Life with Heart Disease

  • The Role of Angioplasty

In general, angioplasty is a procedure performed to overcome the following health problems.

  • Atherosclerosis

To improve the blockage of blood flow to the heart in patients with atherosclerosis, which symptoms include chest pain and shortness of breath. Atherosclerosis is the hardening of blood vessel walls that results from the buildup of fatty plaque. Angioplasty is performed if lifestyle changes or medications can not relieve symptoms.

  • Heart attacks

Can be done during a heart attack to open the blockage of the heart's blood vessels and reduce the risk of damage to the heart.

How Is Angioplasty Done?

Medical history, results of physical examination and investigation will be a doctor's consideration before the procedure is performed. The patient will undergo a coronary angiogram to determine the precise location of the narrowing of the blood vessels and know for certain that the constriction or blockage that occurs can be treated with angioplasty.

Angioplasty is performed through cardiac catheterization, by making small incisions on the skin of the legs, arms or wrists, so that small catheters can be inserted into the blood vessels to the blocked or narrowed heart blood vessels. The balloon at the end of the catheter will be inflated and deflated several times in the blood vessels until the vessel wall is completely inflated. Then the catheter is removed. Chest pain can occur during the angioplasty process because when the balloon is developed, the blood flow to the heart is slightly inhibited. During the procedure, the patient will be drugged but still conscious and the heart recorder will monitor the patient's heart rate.

After the angioplasty process is complete, the patient's heart will be monitored in the hospital for some time, so the patient must undergo hospitalization. When allowed home, patients are usually advised to drink plenty of water and avoid heavy activity. Try to always consume prescribed medicines, such as aspirin and the like. Patients should see a doctor immediately if: the area where the catheter is inserted is painful, becomes red, swollen, hot, or bleeding. Likewise, if you experience shortness of breath, chest pain, or feeling weak.

This procedure can not be performed on all people who have heart disease. Some people who experience the following conditions are advised not to undergo angioplasty:

  • Narrowing occurs in the main blood vessels that carry blood to the left heart.
  • Weak heart muscle.
  • Suffer more than one disease that attacks the blood vessels.
  • Have diabetes.
  • There is more than one blockage of blood vessels.

In the above situation, coronary bypass surgery is performed, which is an operation performed to make a new channel using blood vessels from other parts of the body, so that blood flow to the heart returns smoothly.

Angioplasty Also Has Risk

Although considered to be able to save patients with heart disease, angioplasty also has risks, namely:

  • The occurrence of recurrent arterial narrowing. Angioplasty performed without ringing (stent) can cause this opportunity up to 30 percent.
  • A blood clot can form in the ring after completion of the action. This clotted blood can clog the heart's blood vessels and cause heart attacks.
  • Bleeding in the leg or arm at the location of the catheter is inserted.
  • Heart attack while undergoing the procedure.
  • Renal impairment due to contrast substances used during angioplasty and ring insertion, especially in people who already have renal impairment.
  • Damage to the heart's blood vessels during the procedure.
  • Plaque can escape from the blood vessel walls as the catheter enters the blood vessels, and clog the blood vessels in the brain causing a stroke.
  • A heartbeat that is too fast or too slow when undergoing angioplasty.
  • Allergic reactions to the contrast material used in the procedure.
  • Death from a heart attack or stroke.

Living angioplasty does not mean that heart disease has disappeared. This will make the symptoms of shortness of breath and chest pain decrease but still can reappear at any time. If angioplasty has been able to overcome the disorders that occur in the heart, no need to do heart bypass surgery that requires a large incision in the chest and a longer recovery phase. In order for you not to undergo angioplasty, it is important to maintain health by quitting smoking, maintaining an ideal weight, lowering cholesterol levels, and exercising regularly.
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