Indications And Contraindications

Indications And Contraindications

Some of the indications for cardiac catheterization procedure are -

• Unstable angina or Chest pain [uncontrolled with medications or after a heart attack]
  
• Heart attack
  
• Before a bypass surgery
  
• Abnormal treadmill test results
  
• Determine the extent of coronary artery disease
  
• Disease of the heart valve causing symtpoms (syncope, shortness of breath)
  
• To monitor rejection in heart transplant patients
  
• Syncope or loss of consiousness in patients with aortic valve disease

Some of the relative contraindiciations for cardiac catheterization are -

• Allergy to contrast (dye) medium
  
• Uncontrolled Blood Pressure (Hypertension)
• Problems with blood coagulation (Coagulopathy)
• Kidney failure or dysfunction
• Severe anemia
  
• Electrolyte imbalance
• Fever
• Active systemic infection
  
• Uncontrolled rhythm disturbances (arrhythmias)
• Uncompensated heart failure
• Transient Ischemic attack

References:

1. Effect of Transradial Access on Quality of Life and Cost of Cardiac Catheterization: A randomized Comparison. Christopher J. Cooper, MD, Reda A. El-Shiekh, MD, David J. Cohen, MD, MSc, Linda Blaesing, RN, Mark W. Burket, MD, Asish Basu, MD, etal. Am Heart J 138(3):430-436, 1999.
2. The effect of early education on patient anxiety while waiting for elective cardiac catheterization. Harkness K, Morrow L, Smith K, Kiczula M, Arthur HM. European journal of cardiovascular nursing: journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2003 July.
3. Indications for and objectives of cardiac catheterization in aortic valve disease. A D Johnson. West J Med. 1977 June; 126(6): 471�473. - (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1237633)
4. Information About Cardiac catheterization - (http://www.nlm.nih.gov/medlineplus/ency/article/003419.htm)
5. Cardiac Catheterization and Coronary Angiogram - (http://www.cpmc.org/services/cardiac/card-cath.html)
6. http://www.clevelandclinic.org/heartcenter/pub/guide/webchat/ellis052507.htm - (Interventional Procedures - Questions and Answers about Stents, Angioplasty and New Approaches to Treat Heart Disease � May 25, 2007)
7. Cardiac Catheterization FAQs - (http://www.hfmhealth.org/card-cath-faq.htm)

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