Cardiac Catheterization and Management of Coronary Heart Disease

Cardiac catheterization | Coronary heart

Coronary Heart Disease (CHD) is heart problems due to narrowing of the coronary arteries which are generally caused by accumulation of fat (atherosclerosis). This buildup results in the heart muscle not getting the blood supply and oxygen it needs.

The accumulation of fat that clogs these blood vessels can suddenly burst and a blood clot occurs which completely closes the blood vessel quickly. This is what causes heart attacks.

is typical chest pain, which is a feeling of pressure or a squeezing feeling in the middle of the chest, can spread to the left shoulder, left arm, often spreads to the solar plexus and causes symptoms such as heartburn.

Other symptoms of coronary heart disease that arise are shortness of breath, cold sweat, fatigue, especially during activities, and can be accompanied by nausea and vomiting.

Men aged over 40 years are more at risk for coronary heart disease, especially if they have other risk factors such as hypertension, diabetes, smoking, high cholesterol and have a family history of having had a heart attack.

Early management of coronary heart disease

Initial treatment is usually carried out by administering drugs that will inhibit plaque formation in the coronary arteries. If the optimal treatment is not able to stabilize the plaque, then the current treatment for coronary heart disease can be done with intervention. This action is to open coronary vessels that are narrowed due to blockages through cardiac catheterization.

Cardiac catheterization or CAG (Coronary Angiography) is the minimum action invasive using X-Ray by inserting a catheter into the peripheral blood vessels (hands / thighs) to the heart arteries to see what percentage of blockages occur.

If the CAG results are declared good, then no further action is required. However, if from the CAG results it is necessary to take further action, then the action can be continued by dilating the narrowed blood vessels using a balloon and followed by insertion stent/ring (PTCA).

PTCA (Installation Stent/Ring) is an action that aims to widen blocked heart blood vessels by using a stent so that blood flow to the heart muscle can return smoothly.

However, it turns out that there are conditions where the blockage of these blood vessels cannot be opened with just a balloon and stent thus requiring other actions to erode the blockage prior to installation stent, namely using a special drill for coronary vessels called Rotablator.

“However, it should be noted that not all cases of blockage in the heart arteries have to use this procedure,” he said dr. Samuel Sudanawidjaja, SpJP(K), FIHACardiologist and Blood Vessel Specialist – Intervention Consultant from Mayapada Hospital Surabaya (MHSB).

“Every patient requires an examination to make a diagnosis and the actions taken will be adjusted to the patient’s condition,” he added.

Cardiac Emergency Mayapada Hospital Surabaya

Services for patients who need emergency cardiac care such as a heart attack, where the treatment of a heart attack must be carried out within a certain time frame golden period.

Delay in seeking medical help can be fatal and can even lead to death. Golden Period is the critical period of the first 90 minutes after the appearance of symptoms of a heart attack. It is called a critical period because many deaths occur during this period due to delays in getting medical treatment.

For further information and consultation with a heart and blood vessel specialist, contact the Call Center 150770

Reviewed by:

Dr. Samuel Sudanawidjaja, Sp.JP(K), FIHA

Cardiologist and Vascular Intervention Consultant
Mayapada Hospital Surabaya (MHSB)

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Cardiovascular Center Specialist in Heart and Blood Vessels