Patient care before and after percutaneous coronary artery interventions.
Care of the patient before and after percutaneous coronary interventions has changed largely because of the increased use of stents. Important patient management issues include the evaluation of chest pain after the procedure, recognition of acute vessel closure during the periprocedural period, management of the vascular access site, and prevention of contrast-induced renal dysfunction. Risk factor modification and drug therapies are important interventions for the secondary prevention of coronary events. Functional testing has a meaningful role in the evaluation of some patients after coronary intervention. It is important for the specialist in internal medicine to have a firm working knowledge of the various aspects of patient care before and after these procedures because their role in the management of these patients is increasing.
Mixon
Timothy A
TA
Department of Medicine, Scott & White Memorial Hospital and Clinic, Temple, Texas 76508, USA.
Dehmer
Gregory J
GJ
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy; D015415:Biomarkers / Q000032:analysis; D002406:Catheterization, Peripheral / Q000009:adverse effects; D002637:Chest Pain / Q000209:etiology / Q000628:therapy; D003287:Contrast Media / Q000009:adverse effects; D023903:Coronary Restenosis / Q000517:prevention & control; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006760:Hospitalization; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis; D011182:Postoperative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control; D014336:Troponin / Q000032:analysis
D015415:Biomarkers; D003287:Contrast Media; D005343:Fibrinolytic Agents; D014336:Troponin