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YOUR GUIDE to CONTINUING Heart and Vascular Care at Asante Rogue Regional Medical Center Welcome | 1

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YOUR GUIDE to CONTINUING Heart and Vascular Care at Asante Rogue Regional Medical Center Welcome | 1 YOUR GUIDE TO CONTINUING Heart and Vascular Care at Asante Rogue Regional Medical Center Welcome | 1 Introduction 1. Welcome Heart and vascular illness can be very frightening. Introduction . 1.1 This book is designed to help you understand the Important contact numbers . 1.1 process of cardiovascular disease and its causes, Contents . 1.1 treatment and prevention. It also explains what to expect during your hospitalization, and it answers 2. Coronary artery disease questions you may have about going home. This How the heart works . 2.2 is only the beginning of your education. We hope Right side of the . .heart . 2.2 you will use this book as an inspiration to find out more about how your lifestyle affects your Left side of the .. heart. 2.2 health and how making positive improvements Coronary arteries . 2.3 to your lifestyle will help reduce your risk of Coronary artery disease ......2.3 cardiovascular disease. Risk factors of coronary The ultimate goal of the heart and vascular care artery disease .................2.3 team is to support you and your family through Risk factors can’tyou control . 2.3 the recovery period following an illness, to enable Risk factors canyou control you to regain your pre-illness capabilities and to (on your own or with the make the necessary adjustments for an active, doctor’s help) . 2.3 productive life. This is done through a program Cholesterol guidelines for of education, treatment and gradually increased patients with atherosclerotic physical activity. Successful recovery requires cardiovascular disease . 2.5 your commitment to learning positive habits and Blood pressure guidelines . 2.5 continuing them throughout your life. Healthy weights Please feel free to ask questions of any of for men and women. 2.6 the staff caring for you. Write down your BMI chart . .. 2.6 questions as they occur to you, and ask your High-risk waist circumference . 2.7 Cardiac Clinical Case Manager, nurse or Diabetes . 2.7 physicians later. Stress . 2.8 Exercise . 2.8 Yours in good health, Getting started with an The heart and vascular care team at exercise program . 2.8 Asante Rogue Regional Medical Center Angina ........................2.9 Important contact numbers 3. Tests and procedures Asante Rogue Regional Medical Center (541) 789-7000 or (800) 944-7073 Chest X-ray ...................3.2 Coronary Care Unit Electrocardiogram. 3.2 (541) 789-4228 Resting EKG . 3.2 Exercising EKG . 3.2 Education: Cardiac Clinical Case Managers Exercise or chemical stress (541) 789-4150 isotope test . 3.2 Heart Center Adenosine/regadenoson (541) 789-7300 (Lexiscan) stress test . 3.3 Mended Hearts Support Group Echocardiogram . 3.3 (541) 772-8533 Resting echo . 3.3 Transesophageal echo . 3.3 Exercise (stress) echo . 3.3 Dobutamine (stress) echo . 3.4 1.1 1 | Welcome Welcome | 1 Multigated blood Angioplasty (balloon) procedure . 5.5 pool acquisition . 3.4 Stent procedure . .. 5.5 Coronary calcium scan .. 3.4 Before the stent . .. 5.5 During the stent . 5.6 Cardiac computed Immediately after the . .stent . 5.6 tomography angiogram . 3.4 General guidelines for Electrophysiology study .... 3.4 going home after .a . .stent . .. 5.7 Groin precautions for Ablation ..................... 3.5 the first 72 . hours. 5.7 Radiofrequency ablation . 3.5 Radial wrist precautions Cryoablation . 3.5 for the first 48 . .hours . 5.8 4. Myocardial infarction: Contact the doctor . 5.8 Heart attack 6. Heart surgery How the heart heals .......... 4.3 Heart and vascular program ..6.2 While you are in the hospital ... 4.3 Heart surgery DVD . 6.2 Emotions . 4.4 Cardiac surgery team . 6.2 Activity level . 4.4 Coronary artery bypass Acceptable activities if you graft surgery ................6.2 had a large heart attack ...... 4.5 Saphenous vein bypass . 6.2 Sexual activity . 4.5 Internal mammary artery bypass . .. 6.2 Exercise guidelines . 4.6 Radial artery bypass . 6.3 Exercise do’s . 4.6 Exercise don’ts . 4.6 Valve repair or replacement . .. 6.3 Heart failure . 4.6 Open heart valve surgery . 6.3 Green Zone . 4.7 Minimally invasive mitral Yellow Zone . .4.7 or tricuspid valve repair or replacement . .. 6.3 Red Zone . 4.7 Transcatheter aortic Choices that can help you valve replacement . 6.3 stay in the Green Zone . 4.7 Things for all patients to remember . 4.7 Atrial or ventricular septal defect repair . 6.4 5. Heart caths, balloons Repair of the aorta . 6.4 and stents Being prepared . 6.4 How a heart cath is done ...... 5.2 Managing your pain after . surgery. 6.4 Before the cath. 5.2 Presurgery information . 6.5 During the .cath . 5.2 Before surgery . 6.5 Immediately after the .. cath. 5.3 Day of surgery .. 6.6 General guidelines for Post-op recovery in the . CCU. 6.6 going home after a groin cath . 5.3 Immediately after surgery . 6.7 Groin precautions for Transitioning to the the first 48 . .hours . 5.4 Heart Center and home . 6.7 Radial wrist precautions Discharge process . 6.8 for the first 48 hours . 5.4 Guidelines for Very important for recovering at home. 6.8 all catheterizations: Contact the doctor . 5.4 Driving . 6.8 Sternal precautions . 6.8 Stent . 5.4 Pain management . 6.8 1.2 1.3 1 | Welcome Welcome | 1 Angioplasty (balloon) procedure . 5.5 Constipation . 6.8 Guidelines for Stent procedure . .. 5.5 Bathing . 6.9 a low-salt diet ..............7.11 Before the stent . .. 5.5 Incision care . 6.9 During the stent . 5.6 Drainage . 6.9 Sodium content of common foods . 7.13 Immediately after the . .stent . 5.6 TED hose . 6.9 General guidelines for Leg elevation . 6.9 Heart-healthy menu for going home after .a . .stent . .. 5.7 Stairs . 6.9 the first week at home .......7.18 Groin precautions for Incentive spirometer . 6.9 Nutrition information . 7.18 the first 72 . hours. 5.7 Tobacco . 6.9 Especially if you have .diabetes . 7.18 Radial wrist precautions Sexual activity . 6.9 Breakfasts . 7.19 for the first 48 . .hours . 5.8 Emotions . 6.9 Snacks .. 7.19 Contact the doctor . 5.8 Sleep . 6.9 Lunches . 7. 20 Dinners . .. 7. 21 6. Heart surgery Other changes . 6.10 Returning to work . 6.10 8. Medications Heart and vascular program ..6.2 Follow-up appointments . 6.10 Your medication list......... 8.2 Heart surgery DVD . 6.2 Diet . 6.10 Activity . .. 6.10 General information for Cardiac surgery team . 6.2 taking medications .......... 8.2 Coronary artery bypass Self-monitoring and when to seek medical attention . 6.11 Drug generic and graft surgery ................6.2 brand names................. 8.3 Saphenous vein bypass . 6.2 Heart failure monitoring .. 6.11 Internal mammary artery bypass . .. 6.2 When to call the surgeon’s . 6.11office Alpha-blockers ............. 8.6 Radial artery bypass . 6.3 Coumadin monitoring . 6.12 Angiotensin converting Bacterial endocarditis . 6.12 enzyme (ACE) inhibitors...... 8.6 Valve repair or replacement . .. 6.3 Open heart valve surgery . 6.3 7. Heart-healthy diet Angiotensin receptor blockers (ARBs) ............. 8.6 Minimally invasive mitral Introduction.................7.2 or tricuspid valve repair Angiotensin receptor or replacement . .. 6.3 Why heart-healthy neprilysin inhibitor (ARNI) .... 8.7 foods are important..........7.2 Transcatheter aortic Anti-arrhythmics............. 8.7 valve replacement . 6.3 Understanding cholesterol, Anticoagulants . 8.8 Atrial or ventricular fats and fiber ................7.2 septal defect repair . 6.4 Cholesterol . 7.2 Antihyperlipidemics .......... 8.9 Repair of the aorta . 6.4 Fats . 7.2 Antiplatelets Fiber . 7.4 (platelet inhibitors) ........ 8.10 Being prepared . 6.4 Mediterranean diet: Beta-blockers............... 8.11 Managing your pain after . surgery. 6.4 A step beyond heart-healthy.. 7.4 Presurgery information . 6.5 Calcium channel blockers... 8.12 Before surgery . 6.5 Diet recommendations ........ 7.4 Digoxin ..................... 8.12 Day of surgery .. 6.6 Other recommendations ...... 7.5 Diuretics.................... 8.12 Post-op recovery in the . CCU. 6.6 Alcohol . 7. 5 Iron......................... 8.13 Immediately after surgery . 6.7 Caffeine . 7. 5 Transitioning to the Sodium . 7. 5 Nitrates..................... 8.13 Heart Center and home . 6.7 Nitroglycerin (NTG) ........ 8.14 Discharge process . 6.8 Reading labels . .7.6 Pain medication.............. 8.15 Guidelines for Recommended calories and recovering at home. 6.8 fats per height and weight ....7.7 Potassium supplements ...... 8.16 Driving . 6.8 Fat content of Stool softeners............. 8.16 Sternal precautions . 6.8 common foods . .7.8 Pain management . 6.8 9. Glossary 1.2 1.3 Coronary artery disease | 2 How the heart works. 2.2 Right side of the heart . 2.2 Left side of the heart . 2.2 Coronary arteries . 2.3 Coronary artery disease .........................2.3 Risk factors of coronary artery disease ........2.3 Risk factors you can’t control . 2.3 Risk factors you can control (on your own or with the doctor’s help) . 2.3 Cholesterol guidelines for patients with atherosclerotic cardiovascular disease . 2.5 Blood pressure guidelines . 2.5 Healthy weights for men and women ............2.6 BMI chart . 2.6 High-risk waist circumference . 2.7 Diabetes . 2.7 Stress . 2.8 Exercise . 2.8 Getting started with an exercise program .. 2.8 Angina. 2.9 2.1 2 | Coronary artery disease Coronary artery disease | 2 Head and arms The veins return blood that is low in oxygen and Coronary arteries high in carbon dioxide (a waste product) back to Just as the body has a system of blood vessels, so the heart to be reoxygenated in the lungs. does the heart itself. The heart’s system is called Right Aorta coronary circulation and is composed of arteries lung Left Right side of the heart and veins.
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