; What happened
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What happened


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									Initial Information

What happened?
The procedure you underwent was a Primary Angioplasty.

This means that the coronary artery in your heart that was blocked has
been opened and if you have also had a stent, this device holds open
the artery and improves blood flow. When angioplasty is done as an
emergency like this, it is called primary angioplasty. After the procedure
you are likely to be discharged from hospital within 72 hours, although
some patients stay longer. You should then be referred to a cardiac
rehabilitation programme.

There are recognised complications with having this procedure (although
many more are from the heart attack itself), so if you experience any of
the following;

    chest pain
    difficulty breathing
    pain or swelling at the procedure site

Please contact Your Consultant within working hours or the Hospital
Coordinator after 5 pm and overnight.

Please Note: In an emergency dial 999

There are ways to minimise the risk of you having another heart attack
such as:

      stop smoking
      modify your diet
      be more physically active
      Take your prescribed medication
      Attend cardiac rehabilitation
The discharge pack you have been given will provide all this advice, and
you can speak to your GP about any concerns or health queries.

About a heart attack
To keep your heart healthy, the heart muscle needs to get a constant
supply of oxygen-containing blood from the coronary arteries. If one of
the coronary arteries becomes blocked – for example by a blood clot –
part of the heart muscle may be starved of the oxygen it needs and
become permanently damaged. This is what happens when you have a
heart attack.

Tests you may have while in hospital
Tests are carried out in hospital to look into your condition and also
check that it is ok for you to go home. Results of these can be found in
this pack.

Other tests may be carried out to assess how well your heart is pumping
and to help decide on the best form of ongoing treatment. These tests
may include:
   a chest x-ray
   an echocardiogram

Any test results will be discussed with you before you are discharged
from hospital.

Before you are discharged from hospital, doctors and other healthcare
professionals will assess your needs and discuss and agree with you an
individual plan for cardiac rehabilitation.

Remember! It has been proven that you can reduce your risk of having a
further heart attack by up to 26% if you attend and complete a cardiac
rehabilitation programme.
 Your Consultant

                           Your Consultant is
                           Dr Joseph Mills
                           Appointed as a consultant at Liverpool Heart &
                           Chest Hospital (formerly the Cardiothoracic Centre)
                           in February 2007.

Originally from Birmingham, Dr Mills trained in Medicine and Economics at
Cambridge and spent his years as a junior doctor in Leeds and East Anglia.

He spent three years doing research for the British Heart Foundation (whilst in
Leeds) and it was through this he developed a keen interest in risk factor
modulation for cardiovascular disease prevention.

Dr Mills’ clinical cardiology training was at Papworth, Cambridge and in East
Anglia, as well as a brief period of time at Wythenshawe. He also undertook an
Interventional fellowship in Bergen, Norway which he describes as a truly
amazing experience.
He is the clinical-lead for the development of community cardiovascular
services and involved in delivering community-based clinics and GP education
both practice-based and at a regional level.

He also has registrars that work for him to help deliver your care. They may
come and see you while you are in hospital.

His work contact no. is 0151 600 1991 email address is
Joseph.Mills@lhch.nhs.uk but please note that he may be at clinics or on call in
the hospital if you leave a message.
Lifestyle Information

        You may drive your car in ………..weeks and you must inform
        your car insurance provider and the DVLA.

        If you drive a taxi, you must inform the Taxi licensing Authority
        who will advise you when you can drive again.

        If you drive a coach, bus or lorry you are obliged to inform the
        DVLA and your employers (who will determine when you can
        resume to driving again) - DVLA regulations November 2010

       You may return to work in ……week/s

         You may travel on an aeroplane in……...week/s

       You may travel locally in ……..week/s

       Your Dr /Consultant is happy for you to have any seasonal
       vaccinations for example flu/pneumonia anytime following your
       discharge from hospital.

All of the advice given to you by your Doctor was based on a
clinical assessment at your time of discharge and if there are any
changes to your condition any information on the above may need
to be re-assessed.

If you have any queries or concerns you may email your Consultant
at Joseph.Mills@lhch.nhs.uk

Or call 0151 600 1657 Dr Mills secretary
What do I do immediately after going home again
after a heart attack?
It is always good to get back home after being in hospital. However, you
may feel worried when you leave the carefully monitored environment of
the hospital ward. It is best if you have someone with you at home for
the first few days or weeks, depending on how well you are recovering.

Before you leave hospital, you will have been informed what you can
and can’t do when you get home. It’s best to avoid doing anything
physically demanding, such as heavy lifting, for a week or so. Most
people find that they’re back to normal after a few days.

    Let your GP know that you have returned from hospital

    Your GP may want you to book an appointment with them; if you
see your GP take the letter the hospital gave you and this pack

   Ensure you can get a repeat prescription of any medicines you need

    Check the area your catheter was inserted in (either your groin or
wrist). See below.

Checking your catheter area
You can expect to see some bruising. If you get any redness, swelling or
if your bruising gets more widespread and the area is very hard or
painful, contact one of the numbers on the front of this pack.

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