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‘Don’t forget to follow-up with your doctor after stenting’

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Heart-TransplantThe best treatment for heart attack is to attack it within the golden hour, before it damages the heart or kills the patient, Dr R K Jaswal DM and Director Cardiology, Fortis Hospital Mohali said recently.

He made the statement while speaking on the topic ‘Post PTCA After Care’at an awareness session of his post-operated patients across the Tricity.

Giving out details about the precautionary measures to be taken  by patients after percutaneous coronary angiography (PTCA) / Stenting’, Dr R K Jaswal, informed the audience that adherence to proper medical follow-up and maintaining a healthy lifestyle after undergoing a heart procedure are absolutely essential for the well-being of the patient.

Dr Jaswal, said, doctors, patients and their family members should be well aware of the care and follow-up techniques, he added.

He said it had been scientifically proven that post-heart procedure care is beneficial to the patients, to the effect that in retrospective analysis of 2,395 patients, it was noted an approximately 45 per cent reduction in mortality among 40 percent of patients who participated in cardiac rehabilitation trial.

Dr Jaswal said PTCA and stenting, especially through the wrist artery has been proven to be extremely comfortable, safe and long lasting treatment option in majority of coronary artery disease patients.

But the results vary depending on key factors like experience of the doctor and the hospital, besides the level of care available at the hospital.

Patients who have undergone stenting via wrist route can walk immediately with radial band, but those who have had the procedure through the thigh route have to keep the leg straight in bed for at least 18-24 hours and often complain of backache, difficulty in passing urine and difficulty in eating.

For those who have undergone the procedure through leg artery, things that need to be kept in mind are

 1) They can walk lightly six hours after sheath removal; complete recovery takes close to 1 week.

2) Taking the stairs is restricted; sexual activity is to be avoided for 2-5 days and taking a bath or swimming is not advised in first week – taking a shower is okay.

He also observed that complications are virtually nil in the hands of highly experienced transradial operators in high volume centres.

Even mortality is very low, he added. The more the experience of the doctor, the more exceptional the results. Also, there are no restrictions if the procedure has been done through wrist route. Lunch is usually served to the patient an hour after stenting.

In post-stenting patients, chest pain, which is typically cardiac in nature and with accompanying ECG changes, warrant an immediate consult by the treating Cardiologist.

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