WHAT IS CORONARY HEART DISEASE?
The most important complaint in the disease we call coronary heart disease, which progresses with the narrowing of the coronary vessels that feed the heart, is chest pain. This pain can occur anywhere between the belly button and the jaw. Pain typically occurs with exertion, walking, climbing stairs, and can also occur at rest. Pain usually lasts 5-10 minutes. It is a persistent, compressive pain that is more widespread and not punctate. Pain may be accompanied by complaints such as burning, numbness, sweating, pressure, shortness of breath, and palpitations. Pain or accompanying complaints may last for a few seconds or 1-2 minutes. It increases with touch and especially when it is on the thumb and index fingers, it takes us away from the heart.
FLUID CONSUMPTION IN HEART FAILURE PATIENTS
Daily water or liquid consumption is especially important in patients with heart failure and high blood pressure. . Contrary to popular belief, especially in this patient group, excessive fluid consumption may worsen the clinical picture of heart failure or make it difficult to control blood pressure. These patients only need to drink as much fluid as they need or as thirsty. Daily fluid intake should not exceed 2 liters, especially in patients with heart failure. These patients should not be forced to consume liquid even though they are not thirsty. They can control their body fluid balance by monitoring their weight daily or weekly. A weight gain of more than 2-3 kilograms in a week should be a warning sign that heart failure will worsen.
WHAT IS A PERMANENT PACEMAKER?
Permanent pacemakers can be used three times depending on necessity. We can divide it into groups. The first is pacemakers, which are implanted to keep the heart rate at normal levels and increase it when necessary, in cases where the heart rate falls below the normal level. Secondly, when there is a life-threatening arrhythmia in the heart, they are the pacemakers we call ICD, which return the rhythm to normal by giving internal stimulation and shock to the heart, that is, they protect patients from sudden death. These batteries are especially necessary in patients with advanced heart failure and in some special situations. Our third battery group is the batteries we call CRT-ICD, which have the ability to both shock and contribute to the contraction power of the heart in patients with heart failure.
WHAT IS CORONARY ANGIOGRAPHY? HOW TO DO IT?
Coronary The imaging of the vessels of the heart, which we call angiography, is a procedure performed under local anesthesia in the groin, arm or wrist area.
WHAT IS A PERMANENT PACEMAKER? WHO CAN BE INSTALLED?
Permanent pacemakers are procedures that are usually performed under local anesthesia, without putting the patient to sleep and without giving general anesthesia. The battery is placed subcutaneously or intramuscularly through a 4-6 cm incision in the lower area of the bone we call the collarbone, usually on the left and sometimes on the right chest. The procedure is completed by placing the battery electrodes, that is, the cables, into the heart from the inside through the veins. Our patients are awake during the procedure. They can be discharged 1 or 2 days after the procedure and return to their daily lives.
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