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Cardiac Surgery Your Guide to Cardia C Surgery Welcome 1. Welcome In this section you will find: » Awelcomeletter » Listofkeyphonenumbers » Holderforimportantbusinesscards » Pagetorecordyourmedications » Pageforyourquestionsandnotes The Henry Low Heart Center at Hartford Hospital 1 Welcome Welcome to The Henry low Heart center at Hartford Hospital. We are pleased you chose our center for your heart surgery and pledge to do everything we can to make your experience comfortable and your recovery as quick as possible. We want you to be a partner with us in managing your heart health. Education is critical to helping you understand your individual heart problem and its treatment. It is quite normal to have questions about what will happen to you during and after your heart surgery. To help you understand the process, we have put together this binder wich addresses many frequently asked questions. Everyone responds differently to surgery, and the recovery from each procedure varies somewhat as well. Despite these differences, we can make some generalizations. Although this binder will be helpful to you and your family, it cannot replace our preoperative class. We strongly encourage you to attend this class which will review all the information you need to know and address any questions you might have. Please bring this binder with you to the class. You should also bring the binder with you to all your doctor and hospital appointments as your doctors or other members of the team may add information to the binder. Having everything you need in one location will help make your experience as stress-free as possible for both you and your family. It is our pledge that we will take good care of you and communicate effectively with your family while you are in the hospital for your heart surgery. Sincerely, Robert C. Hagberg, MD Chief of Cardiac Surgery The Henry Low Heart Center at Hartford Hospital 1-1 Welcome Cardiac Surgery Patient Care Team Important Phone Numbers cARDIoVAScUlAR ACCOMMODATIoNS Thoracic and cardiovascular Surgeons Hudson Suites .....................................(860) 545-1111 Dr. Fusco ...............................................(860) 524-5905 Dr. Gallagher .......................................(860) 525-7181 HoSPITAl UNITS Dr. Hagberg .........................................(860) 524-5905 Dr. Hammond .....................................(860) 524-5905 cardiothoracic Intensive care Dr. Humphrey .....................................(860) 525-7181 Unit B9I ..................................................(860) 545-5200 Dr. Preissler ..........................................(860) 524-5905 Nurse Manager ...................................(860) 545-5446 Dr. Takata ..............................................(860) 525-7181 Dr. Underhill ........................................(860) 524-5905 Step-Down/Telemetry B9E/SD ...................................................(860) 545-5299 cardiac Surgical Program coordinator Nurse Manager ...................................(860) 545-5037 Mary Kate Parker ................................(860) 545-5478 In-house ......................................................... ext. 55478 oTHeR SeRVIceS or Pager 2169 Surgery Time Line ..............................(860) 545-3208 Assessment Center ...........................(860) 545-5355 Integrative Medicine ........................(860) 545-4444 Nurse Manager ...................................(860) 545-3700 (massage, reiki, guided imagery and more) Appointments for Social Work Services .........................(860) 545-2966 Preoperative Testing .......................(860) 545-2334 Smoking Cessation ...........................(860) 545-3217 Case Coord./Discharge Planning .(860) 545-3192 cardiac Rehabilitation Security .................................................(860) 545-2147 Hartford Hospital ...............................(860) 545-2133 Farmington Valley .............................(860) 674-8509 Glastonbury Wellness Center ........(860) 633-9084 West Hartford, Blue Back Square ..(860) 570-4571 GeNeRAl INFoRmATIoN Hartford Hospital Operator ............(860) 545-5000 Financial Assistance ..........................(860) 696-6010 Patient Relations ................................(860) 545-1400 ...........................or (888) 515-5544 Admitting/Patient Accounts ..........(860) 545-2730 Pastoral Care........................................(860) 972-2251 1-2 The Henry Low Heart Center at Hartford Hospital Welcome My Heart Team The Henry Low Heart Center at Hartford Hospital 1-3 Welcome My Medications Please list the name and dosage of every medication you take, including vitamins, herbal supplements and over-the-counter medications such as aspirin, cough syrup and antacids. This list will be an invaluable guide to your doctors, as you prepare for surgery. Primary care Physician (PcP): __________________________________________________________ PcP Phone: ____________________________ Pharmacy Phone: ____________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ medication: _____________________________ Dosage*: ____________________________________ Frequency: ______________________________ Reason: _____________________________________ *If you are not aware of the dosage, please bring the medication to your visit with the surgeon. The Henry Low Heart Center at Hartford Hospital 1-4 Welcome My Questions List here any questions you have for any member of your care team. 1-5 The Henry Low Heart Center at Hartford Hospital 2. Your Heart and Heart SurgerY Heart & Heart Surgery Your this section contains explanations of heart conditions and the procedures used to correct them: CoronaryArteryDiseaseanditsTreatment » Yourcoronaryarteries » Coronaryarterydisease » Heartattack » Bypassgrafting HeartValveDiseaseanditsTreatment » Yourheart’svalves » Commonvalvediseases » Heartvalvesurgery AorticAneurysmRepair IrregularHeartRhythmanditsTreatment » Atrialfibrillation » Mazeprocedure Atrial-SeptalDefectRepair The Henry Low Heart Center at Hartford Hospital 2 Your Heart & Heart surgery CORoNARY ARTeRY DISeASe AND ITS TReATMENT » Your coronary arteries » Coronary artery disease » Heart attack » Bypass grafting The Henry Low Heart Center at Hartford Hospital coronary Artery Disease and Its Treatment Your Coronary Arteries Like all muscles in the body, the heart muscle needs a continual supply of oxygen to function. The coronary arteries wrap around the heart, providing it with oxygen-rich blood. The left coronary artery splits into two branches called the circumflex artery and the left anterior descending artery. They supply blood to the front, left and back of the heart. The right coronary artery supplies blood to the bottom, right and back of the heart. left coronary Aorta arterLefty coronary artery Vena cava Pulmonary artery Right coronary cCircumflexircumflex Right coronary artery artery artery artery lLefteft anterior anterior descendingdescending artery Posterior artery Posterior descendingdescending artery artery 2-1 The Henry Low Heart Center at Hartford Hospital coronary Artery Disease and Its Treatment Coronary Artery Disease Your heart is a muscle. Like other muscles in the body, it needs a steady supply of oxygen-rich blood to function properly. The heart muscle receives its blood supply from a network of spaghetti-like coronary arteries that lie on its outer surface. Clot The coronary arteries are subject to a disease called atherosclerosis, in which a buildup of cholesterol and other fats in the lining of the arteries progressively narrows the interior channel. This causes blood flow through the arteries to be reduced, and the heart muscle to receive an inadequate amount of oxygen. Plaque When more oxygen is needed than the arteries can deliver, the heart muscle cramps in response. This is called angina. Over time, atherosclerosis can build up to a dangerous level. Sometimes, it forms a clot that can hinder blood flow. Other times, it forms a soft lump (plaque) covered by a fibrous cap that can easily rupture and spill its contents into the bloodstream. Either way, a heart attack-causing clot can occur. Your surgeon plans to bypass the blockages to reroute oxygenated blood around the danger points to restore blood flow to your heart muscle, stop angina and prevent a heart attack. The Henry Low Heart Center at Hartford Hospital 2-2 coronary Artery Disease and Its Treatment Heart Attack A heart attack occurs when blood flow through the coronary arteries is interrupted. The severity of a heart attack depends on how long blood flow is R stopped
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