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Coronary care

Primary angioplasty

Emergency treatment to reopen a blocked coronary artery during a heart attack.

Illustrative coronary artery and stent cutaway
Illustrative medical image
Explore this guide

What the procedure involves

A catheter is guided to the affected coronary artery. A balloon opens the narrowed section, and a stent may be placed to help keep it open. Primary angioplasty is performed urgently when the treating team determines it is appropriate for a heart attack.

When it may be needed

A suspected heart attack requires emergency assessment, including an ECG and blood tests. The team decides on treatment from the findings and the patient’s condition. A routine appointment is not the route for urgent chest pain.

Recovery and ongoing care

Monitoring and the length of hospital stay depend on the heart attack and procedure. Ask about prescribed medicines, cardiac rehabilitation, follow-up and when to resume activities. Never stop antiplatelet medicines after a stent without speaking to your treating team.

Benefits, alternatives and risks

The aim is to restore blood supply. Treatment may also involve medicines or surgery, depending on the findings. Risks include bleeding, blood-vessel injury, contrast reactions and serious cardiac complications. Your team explains the individual balance of benefit and risk.

Discuss your options

Bring your previous reports and medicine list to a consultation. Ask how this test or procedure would help in your situation, what alternatives are available and what follow-up you may need.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

Questions about this service.

General answers to support your discussion with the treating team.

Have another question?

Further reading: NHS: coronary angioplasty

When is primary angioplasty considered?

It is an emergency treatment for selected heart attacks. The emergency team decides the appropriate treatment after assessing the patient and test findings.

Should I book a consultation for possible heart attack symptoms?

Seek emergency care immediately. Call 112 in India for new or severe chest discomfort, major breathing difficulty or collapse. Do not wait for a booking or message reply.

What happens after emergency treatment?

Your discharge plan covers medicines, follow-up and recovery. Ask your treating team about activity, warning symptoms and rehabilitation appropriate to your condition.

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