FREQUENTLY ASKED QUESTIONS
Please call on office within a couple of days after discharge to schedule your first appointment. For pacemaker and devices, 7 days after the procedure and for coronary interventions 15 days after the procedure.
Do not hesitate to contact us earlier if you have any queries or problems.
After angioplasties you may take bath after 48 hours. Post pacemakers and devices we ask you to delay taking a bath till the sutures are removed. Although you may have dry wash, except over the area operated on.
The incision is usually closed with absorbable sutures; however stay sutures need to be removed after 7 days. No sutures used in angiographies and angioplasties.
Please be aware of signs and symptoms of infection. These include redness, swelling, foul drainage or fever greater than 100.5º F. Please contact us if any of the above sign is noted.
You will have incision pain for atleast 1-2 weeks and sometimes longer after discharge, you will be given prescription for pain medication besides other medicines.
Post angiographies or angioplasties via femoral route (through groin) you may experience numbness and tingling sensation at the site of puncture. This is common and will eventually resolve.
For pacemakers, no dietary restrictions if your heart function is normal.
For devices, you need to have strict salt and fluid restriction (fluid restriction means water + liquids in all other forms).
Post angioplasties – spicy, fatty foods strictly NO.
Following pacemaker and devices you may take walks as tolerated. Try and stay out of bed as much as possible. Take naps as needed.
I prefer devices or pacemakers to be implanted under the left collar bone, hence shoulder movements in all possible directions except rotation to be encouraged after 48 hours of the procedure. Rotation movement at left / right shoulder (as the case may be) to be strictly restricted life long. You should avoid heavy weight lifting as well.
Post angioplasties, for first two weeks household activities which are tolerated well are permissible. By third and fourth week, you may gradually step up your physical activities by stepping out of your house. After one month, resume your normal physical activities.
Take care not to exert physically are mentally in any case. However, activity should be symptom limited.
In case of devices, serum electrolytes and renal functions needs to be checked periodically (every 1-2 months atleast).
In case of angioplasties fasting blood sugar, fasting lipid profile, hemogram and renal function needs to be checked at the first appointment (2 weeks) after the procedure and subsequently on follow ups (3-6 months).
After angioplasty or pacemaker or devices you may book your vacation – you deserve it! However, venturing out to be avoided for atleast a month after any procedure.
You may drive when you have full range of motion of the steering wheel. This could be atleast 4 weeks after the procedure. However, in cases of pacemaker and devices this may vary between 8-10 weeks.
MRI to be avoided in non MRI compatible pacemakers and devices.
Strict no to –
a) use of mobile phone on the side of device (do not put mobile phones in shirt pocket if operated on left side),
b) walking through security door,
c) scanning through metallic wand,
d) walking under heavy transmission line or getting close to heavy transformers,
e) rotation of shoulder.
You can very well use your electrical appliances, browse your laptops, have fun while watching TV, switch on and off electrical appliances. You can undergo x-ray, ultrasound, CT scan. Remember, the procedure you have gone through is to make you comfortable and increase your longevity.
Yes, follow up care is essential for all patients. Typically you will see your doctor within one to two weeks after your discharge from your hospital and will continue to be seen by your doctor at regular intervals thereafter. Overall, both doctor and patient need strong bonding of love and care.
Post pacemaker implantation, no specific treatment is required except for initial 7-10 days. Post devices, antibiotics course in early days and heart failure medications on long term basis are required.
Post angioplasties, attention should be paid to religiously follow the prescribed medications, especially blood thinning medications which need not be discontinued on its own until consultation with your doctor.