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Coronary Angioplasty: What to Expect at Home

Your Recovery

Coronary angioplasty is a procedure that is used to open a narrowed or blocked coronary artery. It may also be called a percutaneous coronary intervention (PCI). The doctor opened your narrowed or blocked artery by putting a thin tube, called a catheter, into your heart through a blood vessel. The catheter was inserted into the blood vessel in your groin or wrist. The doctor may have placed a small tube, called a stent, in the artery.

Your groin or wrist may have a bruise and feel sore for a few days after the procedure. You can do light activities around the house. But don't do anything strenuous until your doctor says it is okay. This may be for several days.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

If the doctor gave you a sedative:
- For 24 hours, don't do anything that requires attention to detail, such as going to work, making important decisions, or signing any legal documents. It takes time for the medicine's effects to completely wear off.
- For your safety, do not drive or operate any machinery that could be dangerous. Wait until the medicine wears off and you can think clearly and react easily.
Do not do strenuous exercise and do not lift, pull, or push anything heavy until your doctor says it is okay. This may be for several days. You can walk around the house and do light activity, such as cooking.
If the catheter was placed in your groin, try not to walk up stairs for the first couple of days.
If the catheter was placed in your arm near your wrist, do not bend your wrist deeply for the first couple of days. Be careful using your hand to get into and out of a chair or bed.
Carry your stent identification card with you at all times.
If your doctor recommends it, get more exercise. Walking is a good choice. Bit by bit, increase the amount you walk every day. Try for at least 2½ hours a week.
If you haven't been set up with a cardiac rehab program, talk to your doctor about whether rehab is right for you. Cardiac rehab includes supervised exercise. It also includes help with diet and lifestyle changes and emotional support.

Diet

Drink plenty of fluids to help your body flush out the dye. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
Keep eating a heart-healthy diet that has lots of fruits, vegetables, and whole grains. If you have not been eating this way, talk to your doctor. You also may want to talk to a dietitian. This expert can help you to learn about healthy foods and plan meals.

Medicines

Your doctor will tell you if and when you can restart your medicines. Your doctor will also give you instructions about taking any new medicines.
If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
You will take medicine that prevents blood clots. You may take aspirin plus another antiplatelet. It is very important that you take these medicines exactly as directed. These medicines help keep the coronary artery open and reduce your risk of a heart attack.
Call your doctor or nurse advice line if you think you are having a problem with your medicine.

Care of the catheter site

For 1 or 2 days, keep a bandage over the spot where the catheter was inserted. The bandage probably will fall off in this time.
Put ice or a cold pack on the area for 10 to 20 minutes at a time to help with soreness or swelling. Put a thin cloth between the ice and your skin.
You may shower 24 to 48 hours after the procedure, if your doctor okays it. Pat the incision dry.
Do not soak the catheter site until it is healed. Don't take a bath for 1 week, or until your doctor tells you it is okay.
Watch for bleeding from the site. A small amount of blood (up to the size of a quarter) on the bandage can be normal.
If you are bleeding, lie down and press on the area for 15 minutes to try to make it stop. If the bleeding does not stop, call your doctor or nurse advice line or seek immediate medical care.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

You passed out (lost consciousness).
You have severe trouble breathing.
You have sudden chest pain and shortness of breath, or you cough up blood.
You have symptoms of a heart attack, such as:
- Chest pain or pressure.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain that spreads from the chest to the neck, jaw, or one or both shoulders or arms.
- Dizziness or light-headedness.
- A fast or uneven pulse.
After calling 911, chew 1 adult-strength aspirin. Wait for an ambulance. Do not try to drive yourself.
You have been diagnosed with angina, and you have angina symptoms that do not go away with rest or are not getting better within 5 minutes after you take one dose of nitroglycerin.

Call your doctor or nurse advice line now or seek immediate medical care if:

You are bleeding from the area where the catheter was put in your artery.
You have a fast-growing, painful lump at the catheter site.
You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the catheter site.
- Pus draining from the catheter site.
- A fever.
Your leg or hand is painful, looks blue, or feels cold, numb, or tingly.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.