Cardiac Sciences
Procedure Instructions:
If you have been scheduled for Dobutamine Echocardiogram and cannot come on the appointment date, please call 2520088 Ext.18582 to cancel or reschedule the appointment.
- Kindly take all your medications as ordered by your doctor unless specific instructions to hold the physician give some medicines.
- You can have a light meal on the day of the procedure.
- These regulations are necessary for your safety during and after the procedure. Your procedure will not be performed if these regulations are not followed.
- Please, bring a companion to accompany you.
Adult Cardiac Step down
These instructions are before and after Cardiac Catheterization and discharge home.
Introduction:
Cardiac Catheterization is a diagnostic procedure for the arteries of the heart (the Coronary). The method involves the introduction of the thin plastic tube (The Catheter) through the artery to the arm or groin and injecting the coronaries with special contrast. Only the "Stick" (injection) for local anesthesia might cause a little pain. However, the passage and injecting of the coronaries are entirely painless.
Before the Catheterization:
You should follow these instructions:
- Please do not eat or drink for at least 6 hours (preferable after midnight) except when taking medication when a small sip of water is allowed.
- Patients with diabetes – Patients taking medicines to control their diabetes should not take them six hours before the procedure. However, they may take medication for other conditions with a small sip of water. We will give diabetes medicines to the patient as soon as the procedure is completed.
- You may shower the night before the procedure or the same morning as the procedure, after shaving all the groin area.
After the Catheterization:
- The medical team is going to move you from the Catheter laboratory to a nearby room. After removing the tube from the groin, the groin will be pressed for 10 minutes to prevent bleeding. The opening in the artery is not usually closed by stitches, but by direct pressure, the bleeding will stop spontaneously.
- You must not sit up, vend or mob either area where the procedure was carried out (e.g., the arm or the leg/ groin area). This is to prevent further loss of blood that may result in a delayed resumption of regular activity).
- The patient will be discharged home 6-8 hours after the procedure unless repaired to stay in hospital for other medical reasons.
After discharge home:
- The patient may don't drive a vehicle for 48 hours.
- The patient must not prostrate on the ground for 48 hours. Sitting is preferred on a chair to avoid affecting the area. Prayers may be said on a chair, however.
- After discharge home, the catheter area does not usually bleed, but the patient should expect some skin bruising at or near the puncture site; following the procedure. This bruising might move to the knee area but would disappear after 2-3 weeks. In case of bleeding after discharge, the patient should lay down in bed or on any solid surface where pressure is applied to the catheter area. If another person is available, he can apply pressure on the procedure site for 15 - 30 minutes to prevent bleeding. In any case, the patient with bleeding from the procedure site must come soon to the emergency department.
- The patient should not feel any pain after discharge home. If feeling a medium or acute pain, the patient should come immediately to the emergency room.
- The patient should carry out all the instructions of the physician before and after the procedure and after discharge home.
Protocol For Holter Removal during Thursday
- After completing the 24 hrs Holter recording.
- Proceed to the ECG department located on the ground floor of the Cardiac and Liver Building with the Holter recorder, Holter diary, and Medical card.
- Please give the Holter recorder to the ECG Technician, or wait for the technician to remove it.
- If there is no ECG technician around, please stay in the ECG department.
Note:
The ECG technician has other duties, performing portable ECG service. You may need to wait for some time until their rounds are finished.
For any query, please contact the ECG technician at Tel. no. 2520088 Extension number 16996 or 16749 or page 4434.
Event Monitoring
How to transfer a cardio call:
- Place the Event Monitor on the left side of the chest, above the heart directly, so the four metal bases contact the skin firmly.
- Press and hold the green recording button until you hear three beeps, then a whistle.
- Release the button and keep still until the whistle stops. Avoid movement or talking during recording to lessen the artifact.
- For any questions, please call (2520088-Ext. 17184-18581).
How to send recording:
- Dial this number (2521820).
- You will hear recordings.
- Wait until the answering machine is finished with the instructions. Then give your name and the number of the recorder clearly and the symptoms such as; chest pain, palpitations, shortness of breath, dizziness, etc.
- Hold the mouthpiece of the telephone against the cardio call speaker.
- Press the yellow button until you hear some beeps followed by a whistle.
- Wait until the whistle stops and your recording is being transmitted.
Note:
- You can record new events again and again by following the mentioned above steps.
How to get an Event Monitor:
- You will be called for your appointment when an event recorder is available.
- When you come for event recorder hook-up, please bring the following:
- For Saudis, bring an ID or an equivalent.
- For Non- Saudis, bring an Iqama or a passport.
- You have to pay 1000 SR as a deposit for the event recorder, which will be refunded upon returning the recorder to the laboratory.
- As for the Business Center patients, they have to pay 2000 SR. One thousand Saudi Riyals for the procedure, and the other is a refundable device deposit.