In the vast realm of medical advancements, screening and diagnostic tools shine as beacons of hope in the field of cardiology. Their importance cannot be overstated, as they serve as gatekeepers to the domain of prevention and early intervention. These tools meticulously unravel the mysteries of the heart, unveiling hidden abnormalities and potential risks along the way. With their aid, medical professionals can identify heart conditions with precision and accuracy, paving the way for timely interventions and life-saving treatments. In this article, we will discuss how an angiogram in Singapore (https://cadenceheart.sg/service/angiography-and-angioplasty/) works, when it is needed, and how to prepare for one.
When to a get an angiogram
An angiogram may be recommended when a patient exhibits symptoms or risk factors that suggest a potential heart problem. Common indications for an angiogram include chest pain, shortness of breath, abnormal stress test results, or a history of heart disease. Additionally, individuals who have experienced a heart attack or have a family history of heart problems may also undergo an angiogram for preventive purposes.
Moreover, an angiogram may be necessary to evaluate the effectiveness of previous interventions, such as stent placements or bypass surgeries. It allows healthcare professionals to assess the condition of the blood vessels and determine whether further treatment is required.
It is important to note that the decision to perform an angiogram is made on an individual basis, taking into account the patient’s specific symptoms, medical history, and other diagnostic test results.
Coronary angiogram vs cardiac catheterization: What’s the difference?
Coronary angiograms and cardiac catheterizations are often used interchangeably, but they are not the same procedure. While they both involve the use of a catheter and contrast dye, there are distinct differences between the two.
A coronary angiogram specifically focuses on imaging the coronary arteries, which supply blood to the heart muscle. It is primarily used to diagnose and evaluate coronary artery disease. On the other hand, cardiac catheterization refers to a broader procedure that involves the insertion of a catheter into any blood vessel of the heart. It can be used to assess the overall function of the heart, including measurements of blood pressure and oxygen levels.
Coronary angiograms are a subset of cardiac catheterizations, specifically targeting the coronary arteries. By visualizing the coronary arteries, healthcare professionals can identify any blockages or narrowings that may be causing heart problems. In other words, cardiac catheterizations provide a more comprehensive evaluation of the heart’s overall functioning.
The role of angiography and angioplasty in diagnosing and treating heart problems
Angiography and angioplasty are two closely related procedures that play a vital role in both diagnosing and treating heart problems. Angiography involves the use of contrast dye and X-ray imaging to visualize the blood vessels, while angioplasty is a minimally invasive procedure to open up narrowed or blocked blood vessels.
Angiography is primarily used for diagnostic purposes. It is designed to identify the location and severity of any blockages or abnormalities in the blood vessels. This information is crucial in determining the most appropriate treatment plan for the patient. By visualizing the blood flow and identifying the extent of the problem, angiography helps guide subsequent interventions.
Angioplasty, on the other hand, is a therapeutic procedure used to treat narrowed or blocked blood vessels. During angioplasty, a small balloon is inflated within the affected vessel to widen it and restore normal blood flow. In some cases, a stent may be inserted to help keep the vessel open. Angioplasty can be performed immediately after an angiogram if a blockage is identified.
The combination of angiography and angioplasty allows healthcare professionals to not only diagnose heart problems accurately but also provide immediate treatment when necessary, leading to better patient outcomes.
Potential risks or complications of angiograms
While angiograms in Singapore are generally considered safe, there are potential risks and complications associated with the procedure. One of the most common risks is an allergic reaction to the contrast dye used during the procedure. Although rare, this can cause symptoms such as hives, itching, or difficulty breathing. Informing the healthcare team about any known allergies or sensitivities is crucial to minimize this risk.
Another potential complication is bleeding or bruising at the insertion site of the catheter. This is more likely to occur in individuals with certain medical conditions or those taking blood-thinning medications. Close monitoring and proper post-procedure care can help prevent excessive bleeding or hematoma formation.
In rare cases, more serious complications can occur, such as blood vessel damage, infection, or blood clots. These complications are relatively uncommon but can have severe consequences.
How to prepare for an angiogram
Proper preparation is crucial to ensure a successful angiogram procedure. Patients will receive specific instructions from their healthcare provider and some of these are:
- Fasting: Patients should avoid any food or drink intake for a few hours before the procedure. This is to ensure an empty stomach, which helps reduce the risk of complications during the angiogram.
- Medications: It is important to inform the healthcare team about all medications being taken, including prescription drugs, over-the-counter medications, and supplements. Some medications may need to be temporarily stopped before the angiogram, particularly those that affect blood clotting.
- Allergies: Patients should inform their healthcare provider about any known allergies, especially to contrast dye or shellfish, as this can affect the choice of dye used during the procedure.
- Clothing: Patients are usually asked to wear loose, comfortable clothing on the day of the angiogram. It is also advisable to leave valuables and jewelry at home.
- Transportation: Since sedatives or anesthesia may be used during the procedure, patients are usually advised not to drive themselves home afterward. Arranging for a responsible adult to accompany and drive them home is important.
What to expect during an angiogram procedure
During the angiogram procedure, patients will be closely monitored by a team of healthcare professionals to ensure their safety and comfort.
The patient will be taken to the angiography suite, where they will be positioned on an examination table. The healthcare team will clean and numb the insertion site, usually in the groin or arm, where the catheter will be inserted.
A small incision may be made at the insertion site to facilitate the insertion of the catheter. The catheter will be carefully guided through the blood vessels to reach the area of interest, such as the coronary arteries. Patients may feel some pressure or discomfort during this part of the procedure, but it should not be overly painful.
Once the catheter is in place, the contrast dye will be injected. Patients may experience a warm sensation or a feeling of flushing as the dye is administered. This is normal and usually subsides quickly.
As the contrast dye flows through the blood vessels, X-ray images will be taken. Patients may be asked to hold their breath briefly to minimize movement and ensure clear images. The healthcare team will guide the patient through the process, ensuring their comfort and safety.
Once the necessary images have been obtained, the catheter will be removed, and pressure will be applied to the insertion site to prevent bleeding. Patients will be taken to a recovery area, where they will be monitored for a short period before being discharged.
Cadence Heart Centre
Mt. Elizabeth Hospital, 3 Mount Elizabeth #14-13
Mt Elizabeth Medical Centre, Singapore 228510
Mobile: (65) 8318 9884
Phone: (65) 6369 8789
