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2894 Managing Heart Failure Getting ready for tests in hospital

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As part of the ongoing monitoring of your condition, at times you will need to go to hospital for investigations. This video talks through some of the common investigations, what to expect, and how you can best prepare for them. what to expect, and how you can best prepare for them. If a test is needed you will receive a letter in the post inviting you to your investigation. If you cannot make the appointment, please call the number on the letter so that your appointment can be rearranged. Many people like to bring their spouse, a friend, or a family member with them. This is fine, but be aware that for some investigations there will not be room for your companion in the examination room, and they may have to remain in the waiting room. Arrive at the hospital with plenty of time to spare, so that you can park and make your way to the appointment without rushing. You will also need to bring change for the ticket machine. For all the tests we recommend that ladies wear separate top and bottoms, ather than a dress, as this makes it easier to examine you. In some instances you will be asked to change into a gown. At all times we will maintain your privacy and can offer a chaperone if you wish. An electrocardiogram, or ECG, is a recording of the electrical activity in your heart and tells us if there are any abnormalities in the pathways in your heart, or if there is any thickening of the heart wall. Knowing this can help us tailor the treatment we give you. An ECG is not painful. It only takes a few minutes to do. Small sticky pads are stuck on your chest, arms and legs. You then have to stay still whilst a reading is taken. Some men need to have patches of chest hair shaved so that the pads stick to their chest. An echocardiogram is an ultrasound scan of your heart. This test helps us to see the structure of your heart, and help determine the cause and the severity of your heart failure. As with the ECG you will have to expose your chest, but once again it is not painful. A small amount of cold gel will be put on your skin, and the sonographer will move a probe over you skin to take pictures of your heart. You will be able to see you heart beating and moving on the screen in the room. The sonographer may ask you to take deep breaths or to roll onto your side to get different views of your heart. A cardiac MRI is a type of imaging which gives a very detailed picture of your heart structure, and the vessels around it. It helps to show us how well your heart is functioning and the severity of your heart failure. It involves lying on a bed which passes inside a tunnel-shaped scanner. It can be very noisy and some people find it claustrophobic, so please tell your doctor if you are worried. It is not painful though, and you can listen to music whilst the scan is performed. If you have any surgical implants, an inner ear hearing aid or pacemaker, you may not be able to have the scan. You will have to fill in a questionnaire before the scan to make sure it is suitable for you. An angiogram looks specifically at the vessels that supply blood to your heart muscle, called coronary arteries. These can become blocked and cause a heart attack, which may have been the cause of your heart failure. The procedure involves inserting a catheter into the artery in your arm or groin, and guiding it to the vessels around your heart. The cardiologist will then inject a dye and will be able to see if any of the vessels are blocked. You may feel a warm sensation as the dye is injected. X-rays are taken so that we can see the dye moving around your heart. Sometimes, your doctor may try to open these blockages with a balloon or small tube called a stent. This investigation does take longer than the others, and you will have local anaesthetic injected into your arm or groin so that you can’t feel the wire being inserted. We do recommend that you bring someone with you for this investigation as they will need to drive you home. You have to lie down afterwards and some people stay for a night afterwards. If you want more information about any of these tests, please speak to your doctor or nurse who will be pleased to answer any questions you may have. You may also want to look on the British Heart Foundation website.

Video Details

Duration: 4 minutes and 27 seconds
Language: English
License: Dotsub - Standard License
Genre: None
Views: 15
Posted by: richardwh on Nov 24, 2015

2894 Managing Heart Failure Getting ready for tests in hospital

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