How cardiologists figure out if the arteries to the heart are narrowed

Dr. Nijjer discusses in general terms the reason why a patient may decide to have a percutaneous intervention (PCI) or open coronary artery bypass grafting (CABG) surgery. The decision for either treatment option is complex and can involve many factors. Patient factors such as the presence of diabetes or prior stroke or heart damage can be important. Technical factors involving the number of stents needed or the complexity of the procedure are also important. Finally, the decision can be shared between the patient, the Cardiologist and the Cardiothoracic Surgeons.

Dr Nijjar describes what is meant by PCI in relation to the coronary arteries.

Dr Nijjer talks about PCI / Angioplasty for patients with angina and for those having a heart attack. Patients with stable angina are typically managed with medications initially and may undergo investigations to look for ischaemia (a lack of blood supply). If there is evidence of ischaemia or a significant burden of heart artery disease then performing a coronary angiogram can help identify the cause. In the modern era, we may perform a measurement of blood flow using a pressure wire. If this shows reduced blood flow, then coronary angioplasty with stenting (known as PCI) can be appropriate.

A video walk through of the coronary catheter laboratory at West Middlesex Hospital, Chelsea & Westminster NHS Foundation Trust. Dr Nijjer describes the environment of the Cardiac Catheter Lab. It can be a frightening thought when you are going to have an angiogram procedure, but Dr Nijjer will explain what the room will look like and what the procedure involves. Knowing more about the procedure will help you feel calmer and more relaxed when it comes to having the procedure.

Video about what tablets you will need to take and for how long after having coronary artery stenting done.

Dr Sukhjinder Nijjer explains what a heart attack, or myocardial infarction, is.