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  Česky / Czech version Vnitř. Lék., 45, 1999, No. 3, p. 148 - 150
 
„Out-patient“ Approach to Coronary Angiography: Our Results and Experience 
Veselka J., Telekes P., Tesař D., Mates M., Urbanová T., Zvánovcová I., Honěk T.,Tůma S. 

 


Summary:

       The authors present a group of their first 110 patients subjected to selective coronarography during an average 7-hours hospitalization period. In selection of patients they respect the criteria ruling out the following approach: age above 70 years, distance of the patients domicile above 80 km or inaccessibility of catheterization laboratory within 45 minutes, serious aortic valve disease, unstable coronary syndromes , insulin treated diabetes mellitus, renal insufficiency, cardiac in- sufficiency, grade III or IV, severe left ventricular dysfunction, history of malignant arrhythmia, acute myocardial infarction or cerebrovascular attack during month preceding examination, co- ronary finding calling for urgent revascularization, complicated course of examination and men- tal inability of patient. All coronarographies were performed by a 4F catheterization instrument, no complications were recorded and readmission to hospital was not called for. An early check-up by telephone was accepted by half the patients. When all the above criteria are respected the authors recommend this procedure as a standard one without the need of hospital admission.

        Key words: Cardiac catheterization - Coronary artery disease - Coronary angiography.
       

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