Cardiac Catheterization and Stenting

A coronary catheterization is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter. It is performed for both diagnostic and interventional (treatment) purposes. Coronary catheterization is one of the several cardiology diagnostic tests and procedures. Specifically, coronary catheterization is a visually interpreted test performed to recognize occlusion, stenosis, restenosis, thrombosis or aneurysmal enlargement of the coronary artery lumens, heart chamber size, heart muscle contraction performance and some aspects of heart valve function. Important internal heart and lung blood pressures, not measurable from outside the body, can be accurately measured during the test. The relevant problems that the test deals with most commonly occur as a result of advanced atherosclerosis – atheroma activity within the wall of the coronary arteries. Less frequently, valvular, heart muscle, or arrhythmia issues are the primary focus of the test.

cardiac catheterization & Stenting

Advanced Cardiovascular Care Center :

One of the most important organs in the body is the heart. It serves many functions and along with the brain, is critical in keeping us alive. In order to better understand the heart and all its functions, we look to cardiology experts to help us keep our heart and all its surrounding components healthy.

Cardiology is an area of expertise under the umbrella of internal medicine. Cardiologists, who are physicians who specialize in the field, are educated in disorders of the heart and blood vessels. Additional members of the cardiology field include cardiac surgeons who perform cardiac surgery–operative procedures on the heart and great vessels.

As we are the best Cardiovascular Care Center in The Houston with the best cardiologists provides the Cardiac Catheterization and Stenting. Logon to Advancedcardio and request an appointment to get the Cardiac catheterization and Stenting.

Cardiac Catheterization  with Advanced Cardiovascular Care Centre

Cardiac Catheterization is an invasive procedure that is used to evaluate the coronary arteries, heart valves, and heart muscle. The cardiologist uses a long, thin tube called a catheter that is inserted through a blood vessel in arm or leg.  The catheter is threaded through the blood vessel, under X-ray, to the heart.  Contrast is injected through the catheter and images are recorded as the contrast moves through the arteries, chambers and valves of the heart.

Catheterization may determine the need for further treatment to be required, such as stent or bypass surgery. Certain heart disease treatments can be done during cardiac catheterization such as balloon angioplasty or stenting.

It’s often used instead of open-heart surgery to treat congenital heart defects. We perform hundreds of cardiac catheterizations a year. Our interventional catheterization specialists perform catheterization to observe a fetus or heart structure, measure blood pressure, close holes, expand narrowed passages and open new passages. The procedure is now used in instances that once required surgery.

Reasons to perform cardiac catheterization:

  • Cardiac catheterization is used to find the cause of symptoms, such as chest pain, that could suggest heart problems.

 

Benefits of performing cardiac catheterization:

  • Diagnose and treat problems that may cause heart attack or stroke
  • Identify blockages or narrowing that could cause chest pain
  • Obtain information for the best treatment plan

A stent is a little, metal cross section tube that is put inside a coronary artery to keep the vein open. To place the stent, a little entry point is made in the groin area to achieve the vein there. A catheter is guided through the groin artery into an area of the coronary artery which is blocked. The stent is embedded alongside an inflatable catheter and expands when the blow up is inflated. The stent is then left there to help keep the artery open.

Our heart clinic providing best treatment for cardiac catheterization and stenting in Houston to measure internal heart and blood pressures information accurately during the test.

Visit us at: www.advancedcardiodr.com | Call: +1 281-866-7701

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Cardiac MRI & Coronary CTA

Cardiac MRI & Coronary CTA – Advanced Cardiovascular Care Center

Magnetic resonance imaging (MRI) is a safe, noninvasive test provides detailed pictures of organs and tissues. MRI uses radio waves, magnets, and a computer to create pictures of your organs and tissues. MRI doesn’t use ionizing radiation or carry any risk of causing cancer.

 Cardiac MRI Scan report provides both structure and moving pictures of the heart and major blood vessels. Doctors use cardiac MRI to get images of the beating heart and to look at its structure and function. These pictures can help them decide the best way to treat patients who have heart problems.

 Cardiac MRI is a common test. It’s used to diagnose and assess many diseases and conditions, including:

  • Coronary heart disease
  • Damage caused by a heart attack
  • Heart failure
  • Heart valve problems
  • Congenital heart defects
  • Cardiac tumors

 Cardiac MRI can help explain results from other tests, such as X-rays and computed tomography scans also called CT scans. Doctors sometimes use cardiac MRI instead of invasive procedures or tests that involve radiation or dyes containing iodine.

 A contrast agent, such as gadolinium, might be injected into a vein during cardiac MRI. The substance travels to the heart and highlights the heart and blood vessels on the MRI pictures. This contrast agent often is used for people who are allergic to the dyes used in CT scanning. People who have severe kidney or liver problems may not be able to have the contrast agent. As a result, they may have a non-contrast MRI.

 Cardiac MRI (Magnetic Resonance Imaging) allows cardiologists to see the heart in more detail than any other imaging format available. It is a non-invasive treatment that can more accurately identify in need of coronary angiography, coronary stenting or bypass operations. A cardiac MRI is a non-invasive test that uses radio waves to take images of the heart. Doctors use the test to evaluate the structure and function of the heart and blood vessels. Cardiac MRI test usually takes 45-90 minutes and it doesn’t hurt.

Coronary CTA is used as a noninvasive method for detecting blockages in the coronary arteries. A CTA can be performed much faster (in less than one minute) than a cardiac catheterization, with potentially less risk and discomfort as well as decreased recovery time.

 A coronary computed tomography angiogram (CCTA) uses advanced CT technology, along with intravenous (IV) contrast material (dye), to obtain high-resolution, 3D pictures of the moving heart and great vessels.

 Coronary CTA is also called multi-slice computed tomography (MSCT), cardiac CT or cardiac CAT. During CTA, X-rays pass through the body and are picked up by detectors in the scanner that produce 3D images on a computer screen. These images enable physicians to determine whether plaque or calcium deposits are present in the artery walls.

 Coronary CTA (CCTA) allows direct visualization of the coronary artery wall and lumen with the administration of intravenous contrast. Coronary Computed Tomography Angiogram (CTA) technology results in structure of the functioning of heart.  Coronary CTA test can provide important insights to their primary physician into the extent and nature of plaque formation with or without any narrowing of the coronary arteries.

 Who should have a Coronary CTA Test?

Intermediate to high-risk profiles for coronary artery disease, but who do not have typical symptoms especially chest pain, shortness of breath, or fatigue during heavy physical activity.

  • Unusual symptoms for coronary artery disease, but low to intermediate risk profiles for coronary artery disease
  • Unclear or conclusive stress-test (treadmill test) results

 Get tested by Cardiac MRI/Coronary CTA scans to identify the imaging of the complete cardiovascular system.

Visit us at: www.advancedcardiodr.com | Call: +1 281-866-7701

Hypertrophic cardiomyopathy (HCM)

Hypertrophic cardiomyopathy (HCM) is a disease in which the heart muscle (myocardium) becomes abnormally thick (hypertrophied). The thickened heart muscle can make it harder for the heart to pump blood. Hypertrophic cardiomyopathy is very common and can affect people of any age. About one out of every 500 people has HCM. It affects men and women equally.

Other Names for Hypertrophic Cardiomyopathy

  • Asymmetric Septal Hypertrophy
  • Familial Hypertrophic Cardiomyopathy
  • Hypertrophic Obstructive Cardiomyopathy
  • Hypertrophic Non-obstructive Cardiomyopathy
  • Idiopathic Hypertrophic Sub-aortic Stenosis (IHSS)

Causes of Hypertrophic Cardiomyopathy:

HCM is a genetic condition caused by a change or mutation in one or more genes and is passed on through families. Each child of someone with HCM has a 50 per cent chance of inheriting the condition. HCM is a common cause of sudden cardiac arrest (SCA) in young people, including young athletes.

HCM also can affect the heart’s mitral valve, causing blood to leak backward through the valve. Sometimes, the thickened heart muscle doesn’t block blood flow out of the left ventricle. This is called non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart. The right ventricle also may be affected.

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Symptoms of HCM:

Many people with HCM don’t experience any symptoms. However, the following symptoms may occur during physical activity:

You may find that you never have any serious problems related to your condition, and with treatment, your symptoms should be controlled. However some people may find that their symptoms worsen or become harder to control in later life.

The area of heart muscle that is affected by HCM and the amount of stiffening that occurs will determine how the symptoms affect you.

For some people, a number of other conditions can develop as a result of having HCM. These may include abnormal heart rhythms, or arrhythmias, including heart block and endocarditis.

Other symptoms that might occur, at any time, include:

  • Chest pain
  • Palpitations
  • Shortness of breath
  • High blood pressure
  • Light headedness and fainting

 

Diagnosis of Hypertrophic Cardiomyopathy:

The health care provider will perform a physical exam and listen to the heart and lungs with a stethoscope. Signs may include abnormal heart sounds or a heart murmur. These sounds may change with different body positions, High blood pressure, the pulse in your arms and neck will also be checked. The doctor may feel an abnormal heartbeat in the chest.

Close family members of people who have been diagnosed with hypertrophic cardiomyopathy may be screened for the condition. Tests used to diagnose heart muscle thickness, problems with blood flow, or leaky heart valves (mitral valve regurgitation) may include:

  • Echocardiography, ECG
  • Cardiac catheterization
  • MRI of the heart, Chest X-ray
  • Transesophageal echocardiogram (TEE)
  • 24-hour Holter monitor (heart rhythm monitor)

Risk Factors include:

Any strenuous exercise that increases after load (i.e., heavy weight lifting/training) can theoretically increase the magnitude of LV hypertrophy over time and thus worsen obstruction in subjects with pre-existing HCM. Risk factors for the development of end-stage HCM (manifesting as LV systolic dysfunction and LV dilation) include younger age of onset/presentation of HCM, a family history of HCM, increased ventricular wall thickness, along with the presence of certain genetic mutations in certain individuals.

Treatment of HCM:

At present there is no cure for HCM, but treatments are available to help control your symptoms and prevent complications. Your treatment will depend on how your heart is affected and what symptoms you have. You may need:

  • A Pacemaker – to control your heart rate
  • Medicines – to help control your blood pressure, abnormal heart rhythms
  • An ICD – if you are at risk of having a life threatening abnormal heart rhythm

Seek counsel from our Houston Cardiologist if you suspect you are suffering from Hypertrophic Cardiomyopathy (HCM) for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701.

Automatic Implantable Cardioverter-Defibrillator (AICD)

Automatic Implantable Cardioverter-Defibrillator (AICD) is a device that monitors a person’s heart rate. They are generally implanted into heart failure patients. AICD intended to convert life threatening rhythms of the heart which may cause sudden cardiac death also known as cardiac arrest, to a sinus (normal) rhythm. An abnormal heart beats are referred to as arrhythmias either one that beats too fast (Tachycardia), too slow (Brachycardia) or irregularly referred as Atrial Fibrillation.

Defibrillators treat arrhythmias in two ways: in the first instance the device tries to stop the abnormal rhythm with a burst of high speed pacing. If that fails, the device will deliver an electrical shock to the heart to reset its rhythm. Patients are usually not aware of cardioversion and nearly always aware of defibrillation. It is also capable of collecting and storing information about your heart’s electrical activity for your cardiologist to check. Cardiologist will program the defibrillator to deliver the best therapy for you.

The AICD gives your heart a shock if you suspect life threatening arrhythmias or an abnormally high heart rate. Some arrhythmias can cause the heart to completely stop beating. The shock given by the AICD can make the heart start beating normally again. An AICD can also make your heart beat faster if your heart is not beating fast enough.

The AICD System Consists of:

A small computer chip that tells the AICD when to deliver a shock

Batteries designed to last 4 to 5 years and deliver about 100 shocks

A pulse generator that can send an electrical impulse or shock to the heart

Electrodes that sense the rhythm of the heart and deliver a shock to the heart muscle

Doctor can also program the AICD to deliver a variety of sophisticated electrical therapies depending on the type of abnormal rhythm problem being treated.

Procedure:

An intravenous (IV) line will be started in your arm. Your doctor will inject a local anesthetic to numb the site where the device will be placed. Typically AICDs are implanted just under the collarbone, usually on the left side. Your doctor will make a small incision in the skin. From there, lead wires are passed through a vein to your heart and then tested to check their position in your heart. A little pocket is made under the skin for the pulse generator. It is about the size of a book of matches. The leads are connected to the pulse generator, and tested. Then your doctor will close the incision and program the device.

Potential Risks or Complications Associated with the Implantation:

The procedure is extremely safe, with a low risk of complication. Most complications are minor and easily treated, such as pain, bleeding and bruising at the implant site.

An infrequent complication is pneumothorax, a condition when the lung is accidentally punctured during the insertion of the lead. Air then leaks into the chest cavity, causing the lung to collapse. This condition can be treated with insertion of a chest tube to allow the air to escape and the lung to re-expand.

A rare but serious complication is infection of the implant site or the pulse generator/lead, requiring antibiotic therapy and even surgical removal of the entire AICD system if severe.

Factors that may Increase the Risk of Complications Include:

Obesity

History of smoking

Use of certain medications

Chronic diseases such as diabetes

Bleeding or blood-clotting problems

History of excess alcohol consumption

Symptoms:

Have chest pain or shortness of breath

Feel lightheaded and do not feel a shock

Call for medical help right away if you experience above life threatening symptoms. Seek counsel from our Heart Doctors in Houston for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701

 

Cardiac Catheterization – Advanced Cardiovascular Care Center

Cardiac catheterization is an invasive procedure that is used to evaluate the coronary arteries, heart valves, and heart muscle. The cardiologist uses a long, thin tube called a catheter that is inserted through a blood vessel in arm or leg. The catheter is threaded through the blood vessel, under X-ray, to the heart. Contrast is injected through the catheter and images are recorded as the contrast moves through the arteries, chambers and valves of the heart.

Catheterization may determine the need for further treatment to be required, such as stent or bypass surgery. Certain heart disease treatments can be done during cardiac catheterization such as balloon angioplasty or stenting.

It’s often used instead of open-heart surgery to treat congenital heart defects. We perform hundreds of cardiac catheterizations a year. Our interventional catheterization specialists perform catheterization to observe a fetus or heart structure, measure blood pressure, close holes, expand narrowed passages and open new passages. The procedure is now used in instances that once required surgery.

Reasons to perform Cardiac Catheterization:

  • Cardiac catheterization is used to find the cause of symptoms, such as chest pain, that could suggest heart problems.

Benefits of performing cardiac catheterization:

  • Diagnose and treat problems that may cause heart attack or stroke
  • Identify blockages or narrowing that could cause chest pain
  • Obtain information for the best treatment plan

A stent is a little, metal cross section tube that is put inside a coronary artery to keep the vein open. To place the stent, a little entry point is made in the groin area to achieve the vein there. A catheter is guided through the groin artery into an area of the coronary artery which is blocked. The stent is embedded alongside an inflatable catheter and expands when the blow up is inflated. The stent is then left there to help keep the artery open.

Our heart clinic providing best treatment for Cardiac Catheterization and Stenting in Houston to measure internal heart and blood pressures information accurately during the test.

Cardiac Catheterization and Stenting in Houston

Our cardiac care center with experienced cardiology doctor providing stress echo test services in Houston finished with heart incitement utilizing ultrasound imaging to indicate how well your heart muscle is attempting to pump blood to your body. It is a non-intrusive test that joins two test- a treadmill anxiety test and Echo. Houston cardiologist giving the best Carotid Stenting Services in Houston, which is an endovascular surgery where a stent (a little, metal lattice tube) is put inside the lumen of the carotid course at the site of the blockage and gives backing to keep the supply route open to keep a heart stoke by treating carotid conduit stenosis.

Dr. Annie heart specialist in Houston giving transesophageal echo test services in Houston that uses sound waves to make excellent films of the heart and its veins and it is and elective approach to echocardiogram. This test is performed in the vicinity of ultrasound professional, medical caretaker and a cardiology specialist. Meet our expert Houston Cardiologist to get exhortation in picking the best measure misfortune treatment in Houston, and its checking advancement bolster along the way.

Heart doctors recommends to set up objectives in losing the weight and to follow them persistently, as over weight of the body lead to creating unsaturated fats and result may bringing about heart attack. Choose our Weight Loss Therapy in Houston to become slim, fit and active. Our cardiac care center in Houston providing external counter pulsation therapy test services executed as a non-intrusive treatment on individual to decrease the number and force of angina scenes. Primary rule of external counter pulsation therapy is to builds the measure of blood coming back to the heart, which helps supply, more oxygen to its starved territories.

Board affirmed best cardiologists in Houston giving Peripheral Angiography and Stenting services to recognize narrowing of vessel or blocked zones in the veins supplying your pelvis, legs, and knees, lower legs which is created by lessened blood stream down the leg and to the feet. Our heart clinic with top cardiologists in Houston giving cardiac catheterization and stenting services in Houston to quantify internal heart and lung blood pressure precisely while test is performing.

Normal uses by the test are coronary angiogram, right heart catheterization, heart biopsy, repair of heart imperfections, by the calmed patients. Test with the Cardiac MRI/Coronary CTA scan to distinguish the imaging of the complete cardiovascular framework. Coronary Computed Tomography Angiogram (CTA) innovation brings about structure of the working of heart. Cardiovascular MRI is otherwise called Magnetic Resonance Imaging (MRI). Meet our cardiac specialist at http://www.advancedcardiodr.com/.