Cardiovascular disease is the one of the leading causes of death worldwide. If the current trend continues it’s been predicted that this will increase and may reach 23.3 million by 2030.
In India, as per the latest available data around 3,50,000 angioplasty procedures were done in 2014 while it was 2,47,000 in 2013. So Indians are more prone to Heart disease and the numbers are expected to grow even high in 2015 with present sedentary life style.
Although the treatment has significantly improved with evolution of coronary angioplasty and drug eluting stents but still, the post follow up of the cardiac patients is still not given much of the importance. But controlling the risk factors after each procedure is essential to stabilize symptoms and prevent restenosis.
Patients should be monitored closely as large no of complications occur at home, as reduced hospital stay have resulted in providing less information to patients and to respond to their concerns while they are in the hospital. There are many complications which may result in post angioplasty like arrthmias, palipatations, appetite changes, nausea, constipation, depression, anxiety, adverse reaction to radiographic contrast etc. The main idea of the post angioplasty follow up is to control angina, improve exercise tolerance and increase long term survival and enhance quality of life.
A patient should understand that angioplasty is just a temporary treatment and not the cure for heart disease and proper life style and medical compliance plays a vital role in the longevity and quality of life.
In developing country like India, the post follow up care plays even more major role as the climatic conditions, culture, food and habits of people vary a lot. As per the latest data from National Interventional Council, only 14% of the patients who had undergone angioplasty were covered under health insurance. Even the affordability for a repeat procedure is very less in case of reblockage or any other adverse event following angioplasty as the procedure costs nearly 2 lakhs with heavy stent price.
So what’s exactly needs to be done post angioplasty apart from medications.
A proper Cardiac Rehabilitation program is required which can reduce stress level, anxiety and also encourages behavioural and life style changes. Other important aspects that should be addressed are patient education, monitored and personalized exercise training, nutrition counselling, smoking and alcohol cessation support, weight control therapy and medical check up to track patients’ progress, symptoms, medical side effects and compliance.
With the above mentioned proper follow up measures, a patient can enjoy his/her life after angioplasty for years.
Original Research: Telephone Follow-Up for Patients After Myocardial Revascularization: A Systematic Review
Cardiac Rehabilitation: Even Minor Fitness Improvements Are Associated With Decrease in Mortality, Especially in the Least Fit
Oct. 23, 2011 — Cardiac rehabilitation boosts longevity, especially in patients with the lowest fitness levels, Dr. Billie-Jean Martin told the Canadian Cardiovascular Congress 2011, co-hosted by the Heart and Stroke Foundation and the Canadian Cardiovascular Society.
Cardiac Rehabilitation Helps Survival Time in Heart Patients Receiving Stent Therapy
Mar. 16, 2010 — A team of Mayo Clinic researchers have found that cardiac rehabilitation is associated with significantly reduced mortality rates for patients who have had stents placed to treat blockages in their coronary arteries.
Cardiac Rehabilitation Improves Heart Rate Recovery, Boosts Survival, Study Suggests
Sep. 26, 2011 — For the first time, researchers have discovered cardiac rehabilitation can train the heart to quickly return to its normal rate after exercise.
Follow-Up Rehabilitation Boosts Survival Odds for Angioplasty Patients
May 16, 2011 — Patients who undergo a procedure to unblock a coronary artery are more likely to survive longer if they participate in structured follow-up care, according to research in Circulation: Journal of the American Heart Association.