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Clinical Care for Patients of Angioplasty

What care should be taken of the patient after Angioplasty? Do patients recover hundred percent after the angioplasty surgery?

Angioplasty is done in those patients whose coronary arteries are clogged due to plaques or blood clots. As a procedure is carried on the patient, it is very necessary to take certain precautions and care for a healthier lifestyle.

Guidelines for Coronary Angioplasty and Angioplasty Diet


Certain guidelines that can be taken after coronary Angioplasty are as follows:

  • Go according to the doctor’s instructions. The patient’s doctor may give him certain instructions on the intake of medicines, their dosage, timing of intake and their possible effects. It is essential to carry on according to the doctor’s advice.
  • It is essential to consider the risk factors of arteriosclerosis.


    He should modify his lifestyle in such a way that the occurrence of risk factor is reduced. If he is a chain smoker or an alcoholic, he needs to totally avoid it for faster recovery. Even avoid passive smoking.
  • Too much of strenuous activities or heavy lifting can increase the workload on the heart.


    Hence he should avoid heavy lifting like lifting of bucket or any heavy objects in the initial period. If he did not have any heart damage, he can resume driving within few days to one week after Angioplasty. He can consult his doctor with regards to driving.


    However avoid long drives or rash driving.
  • Depending on his progress or nature of occupation, he can resume back to work within several days to several weeks.
  • He can do light exercises in the initial period. He can start with slow walking and increase the speed and the distance based on his tolerance. If he suffers from chest discomfort, fatigue or shortness of breath after doing exercise, it means that he is overdoing it.


    Then it is necessary to cut down the intensity of the exercise.
  • Avoid stress and strain. Try to relax and take ample amount of rest.

Apart from the general care there are certain dietary modifications that need to be considered for angioplasty patients:

  • His diet should be low in fat and cholesterol. He should cut down the intake of foods that are rich in saturated fats like red meat, egg, butter, high fat milk. These foods can also increase the cholesterol levels. Have fats that are rich in omega 3 and omega 6 fatty acids like fish, leafy vegetables, soybean, olives and plant oils.
  • Improve the intake of fiber. He can have more of whole grain cereals, pulses, fruits and vegetables.
  • If he is diabetic or hypertensive, then he should control his sugar levels or lower the blood pressure. He should avoid salty foods or sugary foods or carbonated beverages. Have soups, gruel or fresh fruit juices instead of processed drinks.

Coronary Angioplasty is not a cure for heart diseases. It is only a treatment for widening the arteries. This may not be considered as 100% recovery from the disease. He should modify his lifestyle and reduce the risk factors to avoid reoccurrence of the narrowing of the arteries. However, positive attitude, diet and lifestyle modification can help him in improving the health of his heart.

Angioplasty Surgery

Several people, who have been suffering from various heart related complications, are at a high risk for developing a blockage in the vessels. Heart problems can be controlled to some extent with the help of medication, a good diet and getting adequate exercise. However, if such measures fail to control the problem, then a surgery may be required. Going through a surgery, any kind of surgery, can be a scary and an unpleasant thought. It is possible for heart patients to avoid blockages and complications by following a healthy diet for heart patients. However, several people find it difficult to do so and end up with serious problems that could lead to a heart attack, if it is not controlled. In such cases, they are usually advised to go through an Angioplasty surgery. Not a lot of people are aware of what an Angioplasty surgery is, or about the benefits, risks and complications that are associated with it. Therefore, it is best to speak to a doctor, or refer to other resources, for as much information as possible, on the details of the surgery as well as Angioplasty surgery cost. Since an Angioplasty surgery is not very cheap, people should also check beforehand if it is covered in their insurance plan.

What is an Angioplasty surgery?

In simple words, an Angioplasty surgery is an operation which is performed on a person, with the purpose of clearing out any blockages so that the blood can circulate properly, within the blood vessels. Several people suffer from a high cholesterol problem and an excess of cholesterol can combine with fats and fibrin in the body, to form deposits on the walls of the arteries. When this happens it becomes difficult, if not impossible, for the blood and oxygen, to pass from and to the heart. This could lead to a severe complication or a life threatening situation like a heart attack. However, in such instances, a heart Angioplasty surgery can be a real life saver.

During this surgical procedure a catheter, as well as a balloon (not inflated), are inserted into the vessels. Once these tools reach the affected area, the balloon is inflated at a very high water pressure. This destroys the plaque by causing it to break up and widens the arteries to a great extent, thereby allowing the blood to circulate with ease. Once this is done, the balloon is deflated so that it can be removed. However, the catheter usually remains inside the vessel for a couple of hours more, just in case any complications arise and another emergency intervention needs to be facilitated.

The heart Angioplasty surgery can be of three types: Primary angioplasty, rescue angioplasty and staged angioplasty. Another surgical procedure, known as the angioplasty bypass surgery is a bit more complex than the regular angioplasty surgeries. This is because, during a bypass, a patient heart actually stops beating, but the patient is kept alive, through artificial methods. A team of medical experts reconnect arteries, so that the blood can flow properly. However, even though the angioplasty bypass surgery is a complicated one, it can resolve the problem of clogged arteries for a longer duration, which can even go up to 15 years.

Fortunately, there is a lot of information on the Angioplasty surgery through online resources. However, it is still best to consult a doctor, in case of any doubts and queries, especially those regarding Angioplasty surgery risks. In fact some doctors ask their patients to view an Angioplasty surgery video, so that they known what they might be heading for. Before deciding to undergo this surgery, patients should also talk to their doctors, surgeon or other medical experts about any post angioplasty care, precautions, diet, exercises, complications, problems and risks that they need to be prepared for.

Post angioplasty care

Since this surgery involves operating on the human heart, it is crucial that a lot of effort is put into post-angioplasty care. Angioplasty surgery recovery could take a while and all the necessary precautions should be taken right till the time that the patient recovers completely. The time period required for recovery after angioplasty may vary from person to person, but most people take at least a few weeks if not months to get back on their feet completely. Moreover, there are certain steps that need to be followed during the post angioplasty recovery phase. During the first week or two, after the angioplasty the patient’s cardiac health will need to be monitored on a daily basis. The exact site on the body where the surgery was conducted will also be monitored carefully. Even the slightest instance of post angioplasty chest pain, swelling or infections should be reported to the medical health care provider and should be investigated immediately.

Basic precautions after angioplasty also need to be followed, once a week or two have elapsed without any complications. These precautions include monitoring the pulse and blood pressure as well as checking the levels of blood sugar in case of people who are diabetic. Most doctors advise patients on the appropriate diet after angioplasty that needs to be followed. In most cases, a diet after angioplasty consists of mainly fresh fruits, vegetables that have been cooked with minimal oil and spices, whole gains, low fat milk and pulses. Foods that are high in cholesterol, fats and calories should be strictly avoided.

Exercise after angioplasty  

In addition to medication and a diet, exercising can also play a very important role in the post angioplasty recovery process. While patients who have just been through this surgery are definitely not expected to run a few miles or lift heavy weights, there are certain light exercises that they can engage in. However, every individuals fitness levels are different and therefore, it is important to check with a doctor about which exercises are permitted and which should be avoided.

Proper care after angioplasty is absolutely essential to ensure that the surgical procedure is successful. This is probably why several patients keep referring to professional heath caregivers for post angioplasty nursing care.

 

Submitted on January 31, 2011
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