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DH has chest pains and has been told he may have narrowing of the arteries

8 replies

sandyballs · 08/02/2011 11:15

He has an appointment later in the month for a coronary angiogram, can anyone tell me what this involves and has anyone experienced it themselves?

He's on 42, seems so young to be experiencing all this Sad

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Butterbur · 08/02/2011 11:21

BIL had this about three years ago. He was about 10 years older than your DH.

I don't know much about the procedure, although I don't think it's very invasive, but I can say that he had 3 stents put in, to hold open the narrowed arteries, and he is a different man. We all thought he was just unfit, as he shuffled about. But now he has loads of energy, has overhauled his (terrible) diet, and walks the dog for hours every day.

Good luck to your husband.

Highlander · 08/02/2011 13:30

An angiogram involves:

Takes place in the Cath Lab; not a theatre. The staff will be gowned and gloved, but not masked.

Their will be a big C-Ring live X-Ray machine that will swing round his torso.

He'll have a wee tube inserted in his wrist for fluids etc. he can opt for a smidge of sedative.

He'll be connected to an ECG machine via stickers on his chest.

He'll wear a gown and.......... paper knickers.

At the start of the procedure, his gown will be lifted, the paper knckers torn on one side and his groin shaved by a nurse. Area disinfected.

He'll be given a local anaesthetic.

Gory bit..... big whopping needle and plastic tube stuck into his femoral artery. (upper inside thigh). If he is deffo having angioplasty they may opt for the wrist artery (young, modern cardiologists should be skilled in this).

The cardiologist will then thread a v thin wire up into the artery and feed it up across the arteries of his heart. Radio oqaque dye will also be injected and pics taken via the C-Ring.

Voila. Back to ward with a pressure dressing on the leg. Your DH will have to lie flat for a few hours.

Your DH may be consented to permit the cardiologist to go staright to angioplasty. i.e. if they find a blockage they will fix it there and then. This depends on the hospital. If the angiogram is being done in a bog standard DGH, they cannot do angioplasty. Some v large DGHs do have angioplasty facilities.

Risks of angiograms? V little. Injecting the dye to briskly into the right coronary artery can cause spasm and a cardia arrest, but this is a common, recognised complication that a skilled cardiologist will be aware of, and go out of his way to avoid.

nubbins · 08/02/2011 14:06

My DH had an angiogram recently. He didn't find it distressing at all, was in and out in 3 hours. The dye went in through his arm, and he didn't even have to take his trousers off, let alone wear paper knickers (I feel as though we have missed out somewhat!)

good luck to you both, I hope they find out the problems and get it fixed nice a quick for you.

stanausauruswrecks · 08/02/2011 20:34

In addition to what Highlander said, he'll experience a flushing sensation as they inject the dye, and may feel the urge to wee - 'tis normal and no-one has peed in their paper pants yet!
Some things he can be doing in the mean time - Stop smoking (if he does) and look at his diet to see if there are any improvements to be made (so aiming for 5 portions of fruit and veg per day, 1-2 portions oily fish per week, high fibre, low fat, and no more than 3-4 units of alcohol /day with a couple of booze free days per week). He needs to discuss with his GP whether or not he can exercise.
If he starts to experience increasing frequency in the number of episodes or it's coming on with less exertion then he needs to be seen sooner. Also if he gets any episode of chest pain that goes on for more than 15 minutes or isn't relieved by his GTN spray then 999 straight away (not likely this will happen, but best to know what to do if it does)If I can be of any more help, just shout up!

sandyballs · 09/02/2011 13:49

Thanks so much everyone, reassuring to hear exactly what is involved though I'm not sure I'll give him all the details, particularly the big needle Grin

It's all been a bit of a shock really regarding risk factors as he hasn't smoked for a couple of years and only then about 4 or 5 a day. He's not overweight and his diet is pretty good - the odd takeaway but generally ok. He's got quite a physical job, doesn't sit at a desk. Probably drinks more than he should, but red wine, not spirits. He's stopped that for now anyway and we are looking closely at diet in case it isn't as good as we first thought.

No history of heart disease in family as far as we are aware. DH is convinced it is due to his parents being cousins, but he's always worried about that!

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zipzap · 09/02/2011 14:14

dh has has these and he was only 40 at the time, only thing that got him was when they froze the picture to look at it in detail properly...

they hadn't mentioned they were going to do this and he was watching what was going on on the screen too. so watching the heart going ba boom ba boom ba boom and suddenly .... nothing.

given that he was in the middle of having a heart attack at the time (not brought on by the angiogram I hasten to add, that was the brilliant treatment that amazingly they were able to do during the attack thanks to time/place he was at, and meant he had very little damage afterwards) you would have thought that giving a patient a shock in this way was something to be avoided for the sake of a quick comment Hmm Quite Grin looking back on it now but was very ShockConfused at the time...

Highlander · 09/02/2011 14:14

he should mention that he is the result of a consanginous marriage; his risk of genetic problems goes through the roof.

sandyballs · 09/02/2011 15:47

Shock zipzap, how scary for him!! You'd think they'd mention it!

Highlander, he has mentioned it in the past and just been dismissed, it is really that much of a risk?

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