Centers of Excellence
Directions and information for the patient
- Not all above invasive or noninvasive services may be readily available. Some complex and relatively rare services as some invasive procedures will obviously require planning and ordering of some specialized materials. Please confirm when you request an appointment.
- After treatment, you’ll have the option of continuing your care with a Mitera doctor, or you may return to your own doctor.
- Many invasive procedures are now conducted through catheters inserted in arteries in the arm (radial artery), which helps to improve your safety and comfort.
- New technologies are used to further improve the safety and success rates for complex invasive procedures and special noninvasive tests.
- In case of invasive procedures, doctors may use support systems such as an intra-aortic balloon pump (IABP) or a method called extracorporeal membrane oxygenation (ECMO) to support your circulation when your procedure is very complex or your left ventricular function is very poor.
- Please bring with you all the exams related to your condition.
- Some tests may be associated with conditions, which escaping staff attention or remaining without protection measures may damage your health (listed below). For example, elevated blood creatinine levels are suggestive of kidney dysfunction or chronic kidney disease, situations that could lead to further kidney damage and deterioration of renal function after administration of iodinated contrast agents for coronary arteriography or conducting cardiac or vascular computed tomography imaging. In these cases, an appropriate premedication could diminish the risk for kidney injury.
- A contact or an appointment with a cardiologist of our department will be informative and very useful for you. You will get some preparation instructions, which will minimize the potential risks, you will be informed in detail about your problem and the process of examination or intervention, and you may be asked for some additional tests. In addition, the cardiologist will check you to be fully aware about your situation.
- If an invasive procedure is planned, the interventional cardiologist must examine if your hand arteries are suitable for cardiac catheterization.
- You will be asked some questions regarding your health, including any allergies to food, medicine, iodine or x-ray dye, and history of bleeding, anemia or taking blood thinners. If you are pregnant or think you may be, tell your doctor or nurse. You will need blood tests and an electrocardiogram (ECG) before any invasive procedure as well as before some noninvasive tests.
- Please bring a list of the names and dosages of your current medications. Alternatively, you may bring your pill bottles with you.
- In all invasive procedures in Cardiac Catheterization Laboratory as well as in some noninvasive tests, you will need to sign a consent form indicating that you understand the procedure and any risks that might be involved.
- Blood tests that may be done before a heart catheterization include:
- complete blood count
- serum potassium and sodium
- additional tests depending on indications (e.g., thyroid gland disease, diabetes mellitus)