Cardiology

Heart diseases and especially coronary vascular disease are among the leading causes of death in our country as well as in the world. The organs in our body need oxygen and nutrients to maintain their vitality and function.

In order for our heart to do its job, it must be fed. The vessels that supply the heart itself are called “coronary vessels” (coronary artery). As a result of the narrowing or blockage caused by vascular stiffness (atherosclerosis) in the coronary arteries, our heart cannot be fed sufficiently and disrupts its function. As a result, since the pump function is disrupted, oxygen and nutrients reaching our organs through blood decrease and over time, symptoms of deficiency belonging to various organs appear.

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Heart diseases and especially coronary vascular disease are among the leading causes of death in our country as well as in the world. The organs in our body need oxygen and nutrients to maintain their vitality and function. The oxygen and nutrients required are carried to the organs through the arteries (arteries) with blood. Our heart does the job of pumping blood into the arteries.

In order for our heart to do its job, it must be fed. The vessels that supply the heart itself are called “coronary vessels” (coronary artery). As a result of the narrowing or blockage caused by vascular stiffness (atherosclerosis) in the coronary arteries, our heart cannot be fed sufficiently and disrupts its function. As a result, since the pump function is disrupted, oxygen and nutrients reaching our organs through blood decrease and over time, symptoms of deficiency belonging to various organs appear.

Why Should I Perform Coronary Angiography?

Early diagnosis and treatment of coronary artery disease, especially in people with risk factors for heart disease, is vital. The aim is to protect the person from the consequences of a possible heart attack. For this reason, it may be necessary to perform a diagnostic procedure called coronary angiography for the diagnosis of coronary artery disease as a result of cardiological examinations such as ECG (heart radiograph), echocardiography (heart ultrasound), stress ECG (treadmill).

Coronary angiography is a diagnostic method and not a type of surgery. Coronary angiography is the process of taking a special drug into the heart vessels (coronary artery) and taking images using a special imaging system. Coronary angiography, angiography device, and trained-experienced cardiology specialist and healthcare staff are in advanced laboratories. The patient does not need to be asleep for the procedure, the patient is awake and can speak during the procedure. In the coronary angiography, the right inguinal artery (sometimes arm) is often used to access the heart vessels. To enter the right groin artery (femoral artery), the groin area is anesthetized with a needle and a plastic sheath is inserted into the vein. The patient may occasionally hear a slight pain during this procedure. In the next section, the patient does not feel anything. Then a thin-small and bendable tube (catheter) is advanced through the plastic sheath to the largest artery vessel (aorta) where the small arteries (coronary vessels) originate from the heart, and a substance (contrast substance) stained in the coronary artery by placing it in the aorta entry points of the coronaries ) is given. Thus, coronary vessels can be displayed in films shot from different angles and how much narrowing can be determined in which region. Injection of the dyed substance will not feel pain. However, while the dyed substance is given to the vessels, temporary hot flushes and flushing and nausea can be felt for 20-30 seconds.

WHAT IS ARYTHMIA (RHYTHM DISORDERS IN THE HEART, KICK?)

A healthy heart beats between 60 and 80 per minute at rest. And the times between each beat are equal, that is, rhythmic. When body activity increases, for example in walking, doing sports, doing heavy work or getting stressed, our heart rate increases in a minute. However, the time between pulses is still equal and still rhythmic. In our heart, there is a point that produces rhythm, this point that produces electrical stimulation will produce beats with abnormal rhythms, and sometimes there may be conduction defects during the transmission of rhythm stimuli produced from this point to the heart muscle via fibers. In any case, heart beats with abnormal rhythms can lead to the occurrence. It may be noticed by the physician that patients sometimes feel these abnormal beats and refer to the physician themselves, and sometimes a routine ECG taken for any purpose is incidentally beating with abnormal rhythms.

According to the severity of the problem, abnormal rhythm heart beats may cause the clot formation of the heart and cause urgent and vital problems by blocking the vessels of the heart, lungs, brain and some other organs. For this reason, rhythm disturbance should be seen as an important and treatable heart health problem.

Electro-physiology laboratories specially developed for patients with rhythm disturbances are established for any reason. In this laboratory, the beats of the heart are examined thoroughly and the diagnosis of abnormal rhythm is called. Then, it is tried to be understood whether the rhythm disturbance is at the point where the stimulus comes or if it is on the transmission paths. After this process called mapping, it is clarified exactly where to intervene in the patient's conduction paths in the heart. Again, in the coronary angiography laboratory environment and using the catheter technique, these abnormal conduction points are interfered with radiofrequency methods and the foci that produce abnormal rhythms are eliminated and the patient reaches a normal heart rhythm.