Angiography and Angioplasty – bread and butter for Cardiologist 4


I had just heard about these 2 words, Angiography and Angioplasty, in my life 15 days back. Never got into the details. Now, after 15 days I can say that I have done PHD in Angiography and Angioplasty. Of-course I am less educated than doctors in this sector but surely more than a common man. Now, when I know, I think everybody should know about how I learnt about angiography and angioplasty, and hence I thought why not to put my learnings into a blog. 

Our Food Habit:

To brief you, We usually take normal salt in our daily meals and especially my mother-in-law is not very fond of oily food. She even doesn’t like to have ghee on her chappati. She does not practice yoga or exercise of any kind. Moreover she doesn’t like to take fast food or any type of quick meals. She hardly goes out for snacks or dinners.

Case from our House:

It all started on 23rd Oct’14 @ 1800 hrs, when my mother-in-law complained about uneasiness, pain in left and right arm and mild chest pain after having evening tea. We immediately gave her lemon juice, without knowing as to what was happening to her. When she felt little good, we checked her Blood Pressure, it was 98/190 (BP of a normal man is 80/120). So, it was on a higher side. She had high BP problem 3 months ago, but was under control and there was no significant fluctuations for the last 3 months, she took a tablet “Amlopres AT”at that time. After doing pooja we had dinner, we deliberately gave chappati in place of puri (fried roti) to mummy ji, to keep her BP low. (Fried food increase the BP)

I always heard about the phrase “adding oil to fire” which actually worked in this case. It was diwali night so we burnt crackers, she watched us doing that and enjoyed too. After all this we went to sleep . Early next morning (@6:30 AM) she again complained discomfort immediately she had green tea. Then, she started vomiting also.  

We rushed to the nearest nursing home where she underwent treatment for normalizing her blood pressure.Diagnosis suggested that she had a heart attack due to which her ECG was not OK. Doctors told us medicines are given but we were impatient on seeing her uncomfortable. We were not understanding why she  was still restless. After spending 4-5 hrs and about INR 10K in the nursing home. We were told to take advice from a cardiologist, so we ambulate her to  a multispeciality hospital.

As we reached to the bigger hospital, a team of doctors was waiting to explain us the condition and the further course of action to be done. For the first time, we felt they already decided to perform Angiography followed by Angioplasty as it was a clear- cut case of Massive heart attack for them. For us, it was like they already know the cause and the only corrective action was to put a stent. We were in fear and they won to convince us to go with their decision. After convincing us, the first question asked to us is “Whether your mother is covered any medi claim policy?” After getting a positive response from us, they immediately told us the cost of procedures, close to the medi-claim policy limit (around 3 Lakhs). We had a kind of doubt as to whether Angiography and Angioplasty is really required or not, but could not do anything. Procedure were performed successfully and my mother in law is now recovering. See the blockage diagnosed in angiography in the following photograph: 

Blockage diagnosed during angiography

Following photograph shows the insertion of stent and circulation of blood started after the point of insertion of stent:

After Angioplasty

Angiography Technique:

Let us first understand about the science of study of blockage in the heart with a digital camera fixed at the tip of tube through vein either from -wrist , thigh ,leg near the ankle. She underwent angiography after about 10 hrs of heart attack. We were told that her LAD is having 100% blockage  they suggested us the corrective action as angioplasty.

Angioplasty Technique:

This is the technology, where blockage is unblocked by putting a stunt in the artery or vein that is blocked. Stents used here are of two types – medicated and unmedicated. Cost also varies according to the type. Normally, a patient can be discharged after 6 hours of angioplasty. Of course, this varies with person to person and the complexity during the procedures. We were given 5 days of hospitality in the hospital as our mother is covered under mediclaim policy. For more details about angiography and angioplasty, you can visit Angiography – Wikipedia and Angioplasty – Wikipedia.

Medicines:

Medicines given after Angioplasty are mostly Ecosprin, Cardeac, Cardiovas, Atorvas etc. We all know, doctors do have commissions in medicines, so they try to give to costly medicines so their cut would be more. There are good companies, which are manufacturing the same salt of medicine at lower price. There is a website named HealthKart Plus, which gives you the substitutes of various medicines and their cost. If you have an android phone, you can download their app, “HealthKart Plus” and have all this data in your mobile phone.

Doctor’s Advice:

  • Proper bed rest ,
  • Medicine always on time ,
  • Fruits and soup in diet,
  • No long walks in the second week.
  • Last but not the least regular follow-ups with the doctor

Other Informative Links:

Conclusion:

Angiography and Angioplasty are the normal and safe procedures now-a-days to cure heart attack. But, for 60% cases, these procedures are not at all required, a patient can be cured without employing angiography and angioplasty. Doctors, whom we treat as God On Earth, compel the patients to go for these procedures as they have huge commissions on the stent. They play with the life of patients just for money, there is always a risk of life of 5% during these procedures.

If you find this article as an eye opener, do write to us your feedback. If you know more about angiography and angioplasty, let us know if you would like to add to this article.


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