poojeanie
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poojeanie, February 22,  2020  1:58pm EST

Coronary Catheterization with Afib

Greetings to everyone. I'm a bit anxious. Last week I was given a nuclear stress test to determine if my Afib was excercise induced. I did the treadmill. To make a long story short, I felt great afterwards, did not go into Afib and had no symptoms, sweating, brethlessness, chest discomfort etc during the entire testing. I am 68 years old and in good health besides this Afib which is being managed with Metoprolol and Eliquis, and increased magnesium. I have not had an Afib episode in over a month since increasing the magnesium and I feel wonderful.

The day after my stress test, the cardiologist office phoned me to ask i I could come in the next day even tho my follow up visit was this coming Friday. I went and found out they want to do a coronary cath because the "think" they saw a slight narrowing in an artery on the right side front of my heart. A small artery. The cardiologist said he did not notice this as he read thru the test results but when he read the reoport of the initial doctor who read it he went back and saw a "possible" blockage at the tip of one artery. I made an appointment for this procedure for next Friday but now I'm fretful. Has anyone undergone this procedure being an Afib patient? Now that I've thought and read up on this, I'm starting to have a lot of questions. He did not say this was urgent in fact he gave me an option whether to have it done or not. I don't know what to do but I'm thinking I will at least postpone this and get a second opinion.

Any input from you guys is appreciated. Mainly wondering if any Afibbers have had a coronary catheterization. Thanks in advance for your experiences. I'm quite frightened.

Bliessings to All

3 Replies
  • Edhammer
    Edhammer, February 22,  2020  2:33pm EST

    Anytime anyone thinks running a needle into your heart is nothing to worry about, you have something to worry about. Second opinion is always welcome. But trust is also important. Is your cardiologist experienced? Does he do these often? Is the blockage more than 40%?
    lots of questions, but no need to fear. Look at this dispassionately and you should be okay. Find your answers and you should be okay.

  • Larkspur
    Larkspur, February 23,  2020  1:57pm EST

    Any input from you guys is appreciated. Mainly wondering if any Afibbers have had a coronary catheterization. Thanks in advance for your experiences. I'm quite frightened.

    I have had a cardiac cath as part of the work-up for mitral valve repair. It is generally done by an interventional cardiologist rather than your own cardiologist. These guys do such procedures very, very often and while there is always some risk in having a catheters inserted into your veins and arteries, it is the gold standard for detecting blockages and complications are rare. I had no blockages and so it was not necessary to place any stents. It was all over in about half an hour. You would be awake and mildly sedated. The question to ask your doctor is whether they will place the catheter in the radial artery in the wrist or in the groin. The reason this is important is that you have to lie flat for about 6 hours after a groin insertion and you don't with a wrist insertion as they use an inflatable bracelet on the wrist for pressure (to prevent bleeding). The pressure is slowly released and you can leave quite soon after the procedure. I found that the hardest part of the procedure was starting the IV!

  • tolsen53
    tolsen53, February 24,  2020  3:06pm EST

    I've had 4 ablations now, last one being Feb 5th. Between the 3rd and 4th, I had a coranary cath done, discovered two blockages, one a major in tghe "Widow Maker" artery, which was stented, and the other has a good deal of blockage, but doctors determined not best time to do a stent due to its locatgion. MY EP for 4th ablation was not concerned about my having the stent done.

    I have had 2 coronary caths done at various times, and I will agree with Larkspur, if getting it done, get it done via the wrist - recovery is so much quicker. But make sure the doc who does it has done a lot of wrists, some don;t like to do it.

    Good luck.

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