The Evolving Role of the Cardiac Catheterization Laboratory in the Management of Patients – ET HealthWorld

by Dr. Keshav

Cardiac catheterization laboratories have evolved from highly specialized research facilities to over-utilized operating rooms, where extensive clinical trials and interventional treatments are conducted over the past half century, with procedures such as coronary angiography and others as cardiac catheterization. is referred to. The room or clinic is equipped with diagnostic imaging technology so that the arteries and chambers of the heart can be examined and treated accordingly.

What is a Cath Lab?

Cardiac catheterization laboratories are specialized hospital rooms where cardiologists diagnose and treat cardiovascular disease using minimally invasive methods along with various diagnostic and conventional heart procedures to treat coronary artery and peripheral vascular disorders. Huh.

What is the purpose of these laboratories?

A quality cath lab is used to design processes and systems that help optimize patient-team interactions to offer a high level of patient safety, quality assessment as a single operator, group, is done at the level of program, equipment, or. a system. National registries have been established by cardiovascular societies and organizations to assist institutions in identifying their procedures and outcomes in accordance with national standards. To analyze current performance and suggest areas for development, various quality measurement methods can be used.

Cath labs can focus on a variety of aspects that directly and indirectly affect patient care. Competent Cath Labs ensure the right quality, with the right patient and at the right time, and are rewarded for demonstrating high quality care through collaborative methods that prioritize quality outcomes.

Preventive Measures:

Raising awareness through training about cardiac emergencies, especially acute coronary syndrome, including severe bradycardia, is an effective preventive intervention for early detection of heart disease. Despite the rise of cardiovascular disorders such as coronary artery disease and endemic heart diseases such as RHD in our environment, they still need to be addressed and may benefit from conventional therapies.

Current figures available are:

Current infection control standards should be followed to limit the occurrence of CIED infection, percutaneous access infection, endocarditis, sepsis, and other infectious problems associated with cardiovascular procedures.

The reported incidence of all associated infections associated with cardiac catheterization was less than 1%, however, the lower figures are due to a lack of event tracking, as signs of infection usually appear 5–10 days after the procedure. Because of the non-standardization of high-risk assessment techniques, it is more difficult to measure acceptable complication rates in an interventional cardiac laboratory, with many cardiac catheterization studies known to include patients with mild disease (coronary diameter less than 50%). is compressed by less visual) evaluation).

Second, catheterization of the radial artery of the heart may reveal new symptoms requiring hospitalization. Routine right heart catheterization should not be performed during diagnostic or interventional cardiac catheterization unless specific clinical information is required.

way forward:

New analytical methods are being created to analyze the effectiveness of intervention laboratories, providing hospitals with important data that can be used to identify areas of improvement.

With the introduction of new methods for imaging coronary atherosclerosis, non-invasive cardiac imaging has seen a resurgence in India, and progress has also been made in this area as the evidence base for risk assessment and diagnosis of obstructive coronary artery disease improves. continues.

Dr. Keshav R, Director – Cardiology, Fortis Hospital, Cunningham Road, Bangalore

(Disclaimer: The views expressed are solely those of the author and ETHealthworld does not necessarily subscribe to it. will not be responsible for any damages caused to any person/organization directly or indirectly)

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