​Adult Cardiac Step-down  

Instructions before and after Cardiac Catheterization and discharge home.


Cardiac Catheterization is a diagnostic procedure for the arteries of the heart (the Coronary). The procedure involves the introduction of the thin plastic tube (The Catheter) through the artery to the arm or groin and injecting the coronaries with special contrast. Only the "Stick" (injection) for local anesthesia might cause a little pain, but the passage and injecting the coronaries is completely painless.

Before the Catheterization:

You should follow these instructions:

  • No food or drink for the at least 6 hours (preferable after midnight) except when taking medication when a small sip of water is allowed.
  • Diabetic Patent – Patients taking medications for control of diabetes should not take any diabetes medication for six hours prior to help the procedure although the may take other medication with a small sip of water. Diabetic medication will only be given to the patient as soon as the procedure is completed.
  • You may shower the night before the procedure or the same morning as the procedure, after shaving all groin area.

After the Catheterization:

  • The medical team is going to move you from the Catheter laboratory to a nearby room. Following removal of the tube. From the groin, the groin will be pressed for 10 minutes to prevent bleeding, as the opening in the artery is not usually closed by stitches by direct pressure the bleeding will stop spontaneously.
  • You must not sit up , vend or mob ether area where the procedure was carried out (e.g. the arm , or the leg/ groin area) for applied to the area to prevent further loss of blood and will result in continued delay resumption of normal activity).
  • Patient will be discharged home 6-8 hours after the procedure unless repaired to stay in hospital for other medical reason.  

After discharge home:

  • The patient may don't drive a vehicle for 48 hours.
  • The patient prostrate on the ground for 48 hours. Sitting is preferred on a chair to avoid affecting the area. Prayers may be said on a chair, however.
  • After discharge home, the catheter area do not bleed usually but you should expect some skin bruising at or near the site of the puncture, following the procedure, this bruising might move to the knee area, but would disappear after 2-3 weeks. In  case of bleeding after discharge, the patient should lay down in bed or any solid  surface pressure to be applied on catheter area by another person for  15 - 30 minutes to prevent bleeding and finally the patient should  be brought to ER.
  • Patient should not feel any pain after discharge home. In case of feeling a medium or acute pain. The patient should report to ER.

The patient should carry out all the instructions of the physician before and after the procedure as well as after discharge home.

Last Modified

07-Dec-2020 01:52 PM