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Related Concept Videos

Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Introduction Cardiac Emergencies01:30

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Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
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Updated: Sep 27, 2025

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A Rare Neurological Presentation Post-Cardiac Catheterization.

Mahsa Mohammadian1, Ahmad Damati2

  • 1Internal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, USA.

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|April 12, 2022
PubMed
Summary
This summary is machine-generated.

A rare neurological complication, isolated oculomotor nerve palsy, can occur after cardiac catheterization. This case highlights a unique instance of midbrain infarction following the procedure, confirmed by MRI.

Keywords:
aortic valve stenosiscardiac catheterizationembolic infarctisolated midbrain infarctionoculomotor nerve palsy

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Area of Science:

  • Neurology
  • Cardiology
  • Radiology

Background:

  • Cardiac catheterization is a common procedure with known risks.
  • Neurological complications, though rare, can arise post-cardiac catheterization.
  • Isolated midbrain infarction is an exceptionally uncommon neurological deficit.

Observation:

  • A patient developed left-sided ptosis, binocular diplopia, and left eye adduction impairment shortly after cardiac catheterization.
  • Symptoms suggested a potential neurological event affecting cranial nerves or brainstem pathways.

Findings:

  • Brain magnetic resonance imaging (MRI) revealed a focal area of restricted diffusion in the midbrain tegmentum.
  • This finding confirmed an acute stroke localized to the midbrain, specifically the tegmentum.

Implications:

  • This case underscores the possibility of isolated midbrain infarction as a rare complication of cardiac catheterization.
  • It highlights the importance of considering uncommon stroke locations in patients presenting with specific neurological deficits post-procedure.
  • Further research may elucidate the precise embolic mechanisms leading to such isolated brainstem strokes.