Cardiac Catheterization

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A cardiac catheterization is like a thinner colonoscopy but through the coronaries. This is done for diagnostic purposes, interventional purposes, or sh*ts and giggles. For example, a cardiologist can perform a cardiac catheterization to identify what coronary vessel is blocked by a burger or hot dog.[1] The cardiologist may choose to intervene, either by extracting the meaty thrombus or by placing a bacon-eluting stent.[2] In some cases, the patient may have no indications of heart disease, but the cardiologist will insist on a cardiac catheterization anyway since, well, why not?[3]


History


Back in the 1930s, Dr. Werner Forssmann earned the Noble Prize in Physiology or Medicine after he inserted a catheter into a vein of his own forearm and threaded it into his right atrium using fluoroscopy. It is undoubtedly a brave and bold maneuver, though one must ask the question, why didn't he do it on a medical student first?


Categories


Left heart catheterization and right heart catheterization are the two major categories of cardiac catheterization:

  1. Left heart catheterization (LHC) - Employed in cases involving the left side of the heart, or a cardiologist who is either left-handed or standing on the left side of the patient.
  2. Right heart catheterization (RHC) - Employed in cases involving the right side of the heart, or a cardiologist who is either right-handed or standing on the right side of the patient.


Indications


Indications for cardiac catheterization include but are not limited to the following:

  1. Chest pain
  2. Cough[4][5]
  3. Diarrhea
  4. Dyspnea
  5. Dysuria[6]
  6. Eye pain
  7. Itchiness
  8. Six-degree heart block[7]
  9. Tummy ache
  10. Winning the annual Nathan's Hot Dog Eating Contest.[8]


Other Cardiac Issues



References


  1. Cardiologist Excited to Cath Winner of Nathan’s Hot Dog Eating Contest (Gomerblog)
  2. Cardiologists Now Deploying Bacon-Eluting Stents (Gomerblog)
  3. No Matter the Symptom, Local Cardiologist Pretty Convinced It’s an Anginal Equivalent (Gomerblog)
  4. Study: The Most Effective Cough Suppressant is an Endotracheal Tube (Gomerblog)
  5. As Nurse Leans In for a Listen, Patient Can Think of No Better Time to Start Coughing Violently (Gomerblog)
  6. Study: People Named Willie, Dick & Johnson at Higher Risk for UTIs (Gomerblog)
  7. Breaking News: Kevin Bacon Diagnosed with Sixth-Degree Heart Block (Gomerblog)
  8. Cardiologist Excited to Cath Winner of Nathan’s Hot Dog Eating Contest (Gomerblog)


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