Heart Attack and Unstable Angina - Surgery
An angioplasty procedure or bypass surgery might be done to open blocked arteries and improve blood flow to the heart.
Angioplasty. This procedure gets blood flowing back to the heart. It opens a coronary artery that was narrowed or blocked during a heart attack. Doctors try to do angioplasty as soon as possible after a heart attack. Angioplasty might be done for unstable angina, especially if there is a high risk of a heart attack.
Angioplasty is not surgery. It is done using a thin,
soft tube called a catheter that's inserted in your artery. It doesn't use
large cuts (incisions) or require anesthesia to make you sleep.
Most of the time, stents are placed during
angioplasty. They keep the artery open. See a picture of
angioplasty with a stent .
But angioplasty is not done at all hospitals. Sometimes an ambulance will take a person to a hospital that provides angioplasty, even if that hospital is farther away. If a person is at a hospital that does not do angioplasty, he or she might be moved to another hospital where it is available.
If you are at a hospital that has proper
equipment and staff to do this procedure, you may have cardiac catheterization, also called coronary angiogram. Your doctor will
check your coronary arteries to see if angioplasty is right for you.
Bypass surgery. If angioplasty is not
right for you, emergency coronary artery bypass surgery may be done. For example, bypass surgery might be a better choice because of the location of the blockage or because you have many
Cardiac rehabilitation after surgery
After you have had angioplasty or bypass
surgery, you may be encouraged to take part in a
cardiac rehabilitation program to help lower your risk
of death from heart disease. For more information, see the topic