Management of patients after coronary angioplasty.
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Abstract
Coronary angioplasty is an accepted method of revascularization in selected patients with coronary artery disease. Immediately after a successful angioplasty, initial management concentrates on the detection and treatment of coronary artery spasm and acute vessel closure, should these complications occur. Once the patient is ambulatory, a formal assessment of the success of the procedure may be appropriate in some patients. Medical management is aimed at reducing the risk of coronary spasm and modifying those factors that may cause restenosis. During the next six months, coronary risk factor modification should be started while the patient is observed for symptoms that may suggest restenosis.