ВТОРОЕ МЕДИЦИНСКОЕ ЗАКЛЮЧЕНИЕ
Angiography in Four Seconds

Coronary artery disease is still one of the most common causes of death worldwide. Unfortunately, almost half of the deaths caused by this disease occur before the patients reach the hospital. Therefore, early diagnosis of coronary artery disease has become more important than ever. 

Until the last few years, the most common methods of early diagnosis of this disease were exercise testing, echocardiography and heart scintigraphy. However, evaluations with these methods allowed to diagnose this insidious disease no more than 80 percent early. In addition, the diagnostic value of these methods can be reduced to less than 50 percent in some cases. Conventional coronary angiography used in the definitive diagnosis of the disease is an interventional method, but it has a low risk as it is a method to be performed by entering the coronary vessels.  

With the technology that has developed in recent years, there is a method that will determine especially patients in the risk group with close to 100 percent accuracy. This method is an examination performed by tomography without direct entry into the cardiovascular vessels and gives a result of close to 100 percent. In addition, the patient's evaluation is very short, the patient does not need to be bed-bound for 6 hours as in normal angiography, and the drug given during the examination is given through the vein, so that there are no vascular-related problems. 

This method is used more and more often by regular cardiologists, since it gives more detailed information about the combination of fat and lime, which is called plaque and which clogs the coronary vessels and this information guides the planning of the patient's treatment, compared to that in angiography, 

There are some factors that determine the reliability of this valuable examination method and these factors should be told to the patients who will have the examination. The first is the technological level of the device in which this examination is carried out. Since the heart is a moving organ, the device that can examine the coronary vessels of this organ with a diameter of about 2-3 mm must be extremely fast. The main feature that determines the speed in these devices is how many sections the device has. The number of these sections is 4, 8, 16 and 32 in older devices and the speed of these devices has been found to be low for a moving organ. Therefore, the number of sections in the state-of-the-art devices used today is 64. Thus, it is the right choice for both doctors and patients to know the number of sections of the device in which the procedure is performed and to prefer high cross-sectional devices.  Another important point is how experienced the doctor or group of doctors who will evaluate the procedure is. One of the things that patients should pay attention to when having this examination is to prefer more specific centers that work especially in cardiology. 

This method is extremely easy to apply for patients. During the procedure, a radio  opaque medication is given only through the vein and then the patients are told to hold their breath. Meanwhile, all operations end in as little as 4 seconds. 

Who Can Have the Angio (Coronary Angiography) Applied in 4 Seconds?

This method can be easily used to determine whether there is an unerlying coronary vascular disease that is insidious, especially in those with diabetes, hypertension, smoking and early coronary artery disease in the family, even if there is no heart-related complaint. However, patients must be evaluated by a cardiologist before this examination is performed. This is because not every patient is suitable for this method and some medications should be given before the procedure and some measures should be taken. 

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