Showing posts with label Coronary Artery. Show all posts
Showing posts with label Coronary Artery. Show all posts

Friday, 9 November 2018

Heart Attack or Myocardial Infarction (MI)

Heart Attack - Myocardial Infarction
Heart Attack - Myocardial Infarction

Heart attack or Myocardial Infarction (MI) is another form of presentation. While angina is almost completely reversible, MI threatens permanent myocardial damage. This happens when there is sudden complete occlusion in the coronary arteries. Usually this occlusion occurs at pre-existing stenotic lesions. The common cause is a plaque rupture (separation of the atheromatous plaque and clot formation underneath). The myocardium supplied by the particular coronary artery is under threat of permanent damage.

The pain of MI is more severe and lasts longer. Patient may vomit and sweat. It is often described as a feeling of 'Impending death'. This condition is severe and can be fatal at times. It calls for urgent attention. Patient needs urgent hospitalisation and treatment.

Monday, 6 August 2018

What About Long Term Lifestyle Modification?

Lifestyle Modification
Lifestyle Modification

Yes, this is a very important aspect of long term prevention especially in case of Coronary artery disease, as we all know, Coronary Artery Disease is caused by Atherosclerosis.
 
Atherosclerosis has multi-factorial causation. Some of these risk factors are modifiable whereas some are non-modifiable. Success in keeping CAD away is in manipulating these modifiable risk factors effectively.

  • Stop Smoking and tobacco use completely
  • Control of Diabetes, Hypertension and Cholesterol
  • Regular physical activity (Walk 3 kilometers in 30 minutes daily)
  • Reduce weight if obese (to ideal BMI)
  • Take medications regularly (Do not stop antiplatelets and statins without doctor’s permission)
  • Regular follow up checks.

Wednesday, 25 July 2018

What To Expect After Heart Operation During First Few Weeks?

After Heart Operation
After Heart Operation

Tiredness: This is quite common after a major operation. The body is busy doing the repairing process of the wound. Heart is getting accustomed to the changed scenario. Allow adequate rest for the body and mind. Engage yourself in light recreations like reading and listening to music. Take a short (half an hour) afternoon nap. Watching TV excessively is not good as eye strain may cause exhaustion. As the days progress, you will feel better.

Reduced Appetite: There are several reasons for loss of appetite. Distaste caused by some of the medications (especially antibiotics and painkillers) is a common problem. Acidity caused by stress and some medicines is another reason. Pain and discomfort from the wounds can at times be disturbing.

Pain: is the commonest problem. We are all aware of the bad effects of some of the pain medicines like acidity and kidney problems. This apprehension prevents many patients and relatives of patients from using adequate pain relief. Remember there are safe painkillers which may be used regularly until pain in relieved fully. It is important to take regular pain medications in the first two weeks – at least one in the morning and one at bedtime.

Sleeplessness: Anxiety and pain are the villains. In the first few weeks you require adequate pain relief. Along with this, many patients need a mild anxiety relieving medicine to help them to get comfortable sleep. The medicines prescribed by our team are mild and the addiction potential is very low. So do not be afraid to take these for a short period. As the health improves, your normal sleep habit will return.

Swelling Of Legs: Mild or even moderate swelling of feet and legs are common after veins have been removed during CABG. This is because the venous blood return is affected. This is not a disease. The deep vein system will take care of the blood circulation adequately. It takes some time for the body to make this adjustment. The Swelling is usually absent or minimal in the morning when you get up. It gradually increases over the day as ‘gravity’ acts. Simple methods like leg elevation and crepe bandages or elastic stocking can relieve this problem. However, if there is redness, severe pain or discharge in the wounds, you must contact your doctor.

Sore Throat: The plastic tube which is kept in the windpipe during anesthesia and immediate postoperative period can cause mild inflammation and pain in throat during first few days. Mild pain killers and warm saline gargles can take care of this.

Numbness: One of the most common and consistent complaints after bypass operation is the pain and numbness in the left side of chest. Fine nerves along the Internal Mammary Artery (IMA) are cut while harvesting this artery for bypass. These are nerves that supply the front of chest. There may be numbness, burning pain, different feeling during touch or shooting pain. Usually Left IMA is taken. So the symptoms are on the left side of chest (may involve breast in women). If both IMA are used these symptoms can occur on both sides. The symptoms gradually resolve. In some cases it may persist for up to one year. On the same count similar symptoms may appear in the leg along the vein harvesting wound.

Exercise After Heart Operation: What And How Much?

Exercise After Heart Operation - What And How Much?
Exercise After Heart Operation - What And How Much?

Immediate postoperative period is not the time for heavy exercise schedules. The aim is to get back to routine lifestyle and be active. Let your body decide how much you can exercise! In the first two weeks, walking indoors for 10 minutes each 2-3 times a day along with mild stretching and deep breathing exercises as prescribed by your doctor would suffice. By this time intensity of pain and other discomforts would have settled significantly.

After first follow up visit, most patients are advised to walk outdoors and increase the time and speed of walking. By about 4 weeks one should aim to do 1 kilometer gentle walk (in about 30 minutes) daily. Gradually the speed can be increased. By 8 weeks most patients are able to walk 2 kilometers in 30 minutes. Remember, these guidelines differ depending on the pre-operative condition of the heart and the capacity of the heart to exercise. So ask your doctor what is suited for you.

Generally, one can get back to normal activities and do full weight bearing on hands by 10-12 weeks. Continue the stretching and breathing exercises. Shoulder joints should be given special attention, as inactivity can make this joint very stiff. This can lead to painful Shoulder Periarthritis or Frozen Shoulder.

Aortic Trauma: Diagnosis, Treatment and Follow-Up

Diagnosis: Blunt chest trauma or decelerating injury is an indication for CT scan of chest with contrast. Apart from identifying the bon...