SPECIFIC RECOMMENDATIONS
Anti-coagulation/Anti-platelet Mediation
Ticlid (Ticlopidine). If Ticlid is prescribed for you: Take this medication with food twice a day (every 12 hours) for the specified length of time. Have a complete blood count (CBC with differential) done every two weeks while you are taking this medication. (One percent of people taking this mediation experience a decreased platelet or white blood cell count.)
Plavix (Clopidogrel). If Plavix is prescribed for you: Take 1 (one) daily.
Coumadin (Warfarin). If Coumadin is prescribed for you: Your dose of Coumadin is based on a blood test called an INR. An INR will be scheduled for you in the next few days.
High-Cholesterol Medication
If you are taking a cholesterol-lowering medication that affects cholesterol production by the liver (e.g., Mevacor, Zocor, Pravachol, Lipitor, etc.): Liver function studies (blood tests) should be done 6 to 8 weeks after starting medication and periodically thereafter. Call your physician if you get generalized muscle aches.
Dietary Guidelines
- Eat foods high in fiber (fruits, vegetables, whole grains and beans, bran, oatmeal, or others) or add fiber.
- Limit your total daily fat intake to 20 grams or less.
Cardiac Rehabilitation
Participating in a monitored exercise program may be recommended. Call a local hospital to enroll.
If your insurance requires referrals for cardiac rehabilitation, please ask our staff to pre-certify these visits for you.
Carotid Artery Stents
Patients with a Carotid Artery Stent:
- No heavy lifting, pushing, pulling, or vigorous exercise for 7 to 10 days.
- Have a carotid Doppler scan and neurology consultation in 1 month, 6 months, and 12 months.
- Notify your physician if you notice any of the following: blurred vision, slurred speech, decreased muscle strength, unsteady gait, facial drooping or dizziness.
NIPS (Noninvasive Programmed Extra-Stimulation)
Evaluation of ICD function is performed in the hospital and requires an admission for 2 to 3 hours, to be scheduled at the time of your first post-implant visit.
Nitroglycerin
Carry “nitro” tablets with you at all times
If you experience any symptoms of angina (chest discomfort):
- Stop what you are doing and sit down
- If symptoms do not disappear immediately, place a nitro tablet under your tone and wait 5 minutes.
- If you still have symptoms, use a second nitro and wait another 5 minutes.
- If symptoms persist, take a third nitro and call 911.
Call your cardiologist if you experience any symptoms that require nitroglycerin for relief.
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