Why Doctors Advise Urgent Or Emergence Angioplasty

Urgent angiography angioplasty and stenting are scary terms for patients and patient relatives, We doctors observe many of our patients find it difficult to decide in the small stipulated time frame. In this article, I will discuss, in what all situation patients need emergency angiography angioplasty and stenting.

Urgent Angioplasty

We hear patients complaining on cardiologist, i.e. advising  them to undergo  angioplasty under emergency with or without stenting. In this article, I will discuss what  is this emergency or urgency about angioplasty or stenting. Please note that all cases may not need emergency angioplasty but some do.

Our heart is situated in the chest cavity. The function of the heart is to pump the blood, thus making the blood circulate in our body. All organs including heart need oxygenated blood for survival or else they will die. This oxygenation of blood continuously happens in lungs.

Heart for its own supply of blood depends on arteries,  named as coronary arteries.  If by any reason these arteries get blocked then the problem starts i.e. heart attack.

Urgent Angioplasty

100% block

In this, there is a complete cessation of blood supply. If block occurring is a slow process (like months to years), heart generates small vessels called collaterals these can help to prevent the death of the heart muscle  but this collateral may not be sufficient to make heart fully functional.

If block happens suddenly, then what we call STEMI type of heart attacks occurs, this needs urgent angioplasty. This situation is like a heart is on fire, we need to open the blocked vessel urgently if not that portion of heart will die. leading further to more severe complications, may even a death of the patient. This kind of patients definitely needs urgent angioplasty. in fact, they have been named as Primary or Rescue angioplasty. These patients get the highest level benefit  if angioplasty is done at the earliest. Here every minute counts. There is a phrase “Time is muscle (heart muscle)” applied to these group of patients.

Less than 100% block

Hear the blocked vessel is not fully occluded but under some clinical situation what doctors call as  “Acute Coronary Syndrome” there may be a high probability that it can get occluded. So, sometimes doctors may advice urgent angioplasty depending on the clinical situation.

Ad-hoc angioplasty.

This is not  an emergency, after doing angiography doctor may proceed with angioplasty as angioplasty is a just extension of angiography.

Author: Dr Umesh Bilagi

MBBS, MD, DM (cardiology). I am Interventional cardiologist. Blogging is my passion. Associate professor of cardiology KIMS Hubli. Director and consultant at Tatwadarsha Hospital Hubli. Owner of Jeevan Jyoti Hospital Hubli. Mobile +91 9343403620.

4 thoughts on “Why Doctors Advise Urgent Or Emergence Angioplasty”

  1. Patient awareness is the biggest concern. And mainstream media instead of creating awareness is dividing the opinion. I don’t feel that affordability is much of a challenge today with so many schemes available to encourage treatment. But, it’s the lack of trust between the doctor and the patient that is making conditions worse for the patient. I hope better sense prevails over a period of time and there is a fee that is charged for people who need to pass an opinion.

    1. Very much true main streem media is working for making breaking news.
      They are creating turbulence to increase TRP

      I wish to educate the public in regard to health. I also wish all medical fraternity do their share to build broken trust of patients.

      I see blogging as a very powerful platform to educate our patients.

      I personally feel every doctor should write a blog.

  2. Yes this is very useful information, In such an emergency to decide about heart intervention, is very terrifying experience.

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