Invasive therpeuic procdures

Question 1

PCI/Stent aftercare

Answer 1

• 1 night
• back to work in 1
week
• cardiac
rehabilitation in 2
weeks

Question 2

PCI/Stent long term

Answer 2

• PCI 30-35% re-stenosis -
6 months
• STENT now used in most
of PCIs as <20% restenosis
- 6 months

Question 3

CABG indications

Answer 3

• Left main stem or
• Severe triple
vessel disease
• Impaired LV
function
• Diffuse CAD

Question 4

CABG aftercare

Answer 4

• 4-7 days in hospital
• Off work 8-12 weeks
• Cardiac rehabilitation
after 6-8 weeks

Question 5

CABG patency

Answer 5

• Vein graft 10 years
• IMAG 20+ years
• Radial artery similar to
IMAG

Question 6

Return of symptoms post CABG

Answer 6

Ø90% complete relief from angina
Ø5% some relief from angina, but may recur within a few months or years
Ø5% no relief from angina but still have a better prognosis

Question 7

Valves

Answer 7

Mechanical valve
ØFor life
ØWarfarin
Tissue valve
Ø10-15 years
ØWarfarin for limited period

Question 8

Cardiac surgery complications

Answer 8

ØArrhythmias – AF very common
ØLoss of concentration, memory, mood swings, irritability,
weepy/emotional, frustration, feeling ‘low’, depressed
Ø‘Clicking’ or unstable sternum
ØHypo/hypertension
ØWound infections/healing (especially in diabetes)
ØPain control
ØConstipation/loss of appetite
ØNerve problems e.g. brachial nerve plexus

Question 9

Cardiac implantable electronic devices

Answer 9

§ Pacemaker
Ø Atrial
Ø Ventricular
Ø Dual
Ø Rate responsive
§ Implantable Cardioverter
Defibrilator (ICD)
§ Cardiac Resynchornisation
Treatment (or Therapy) (CRT)