User:Ryee5/sandbox

'''Looks ready for the talk page. I have a few suggestions, but your format looks good so go ahead and add it to the talk page. My one suggestion is to make sure you use lay terminology. For example, replace "comorbidities" with a term that someone without a science or medical background will understand. Great work!''' JenOttawa (talk) 00:37, 8 November 2017 (UTC)

Hello, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:

1. “In cardiac catheterization, radial access is not associated with an increased risk of stroke over femoral access. "

2. We propose to add a section focusing on conditions of patients at higher risk for complications of catheterization. We would like to add the following, “ Individuals with certain comorbidities are at a higher risk during the cardiac catheterization procedure. These comorbidities include aortic aneurysm, aortic stenosis, diabetes, obesity, renal insufficiency, unstable angina, uncontrolled hypertension and extensive three-vessel coronary artery disease. "

3. Outline the normal dose of radiation exposure and the precautions put in place to limit this exposure in the cath lab. We propose to add the following in the Procedure section after the introduction of fluoroscopy: “Patients are constantly exposed to low doses of ionizing radiation during procedures. Ideal table positioning between the x-ray source and receiver, and radiation monitoring via thermoluminescent dosimetry, are two main ways of reducing patient exposure to radiation. "

4. We propose to correct the following error made in the left heart catheterization subheading under the procedure section of the article. The current version states: “At this point, the wire can be maneuvered into the coronary ostia and into the coronary arteries. A catheter is guided over the wire and enters either the left or right coronary artery.” This is incorrect, as the wire does not enter the coronary arteries. It is the catheter tube, and its shape, that enters and engages the coronary artery during the procedure. The wire is removed, out of the aorta, before the catheter engages the coronaries. We thus propose the following replace the above two sentences currently on the page: “At this point, a catheter is guided over the wire into the ascending aorta, where it can be maneuvered into the coronary arteries through the coronary ostia. "

5. We propose to add a section focusing on the importance of the cardiac catheterization as an interventional procedure to provide a better clinical context (as opposed to a purely procedural focus). In particular, we would like to use a reference on superior survival outcome after out of hospital cardiac arrest, since this condition represents the majority of clinical cases where cardiac catheterization is used as a direct intervention (as opposed to a diagnostic procedure). We thus propose to add the following: “Cardiac catheterization can be used as part of a therapeutic regimen to improve outcomes for survivors of out-of-hospital cardiac arrest. "

6. We propose to remove reference # 6 as it is from 2008. Consequently, we propose to remove the sentence(s) associated with this reference in Cardiac Catheterization#Catheterization of chambers and valves that currently reads: “It has the ability to measure the pressure gradient across a valve and derive valve area from it. Thereby, it can assist in diagnosis of, for example, aortic stenosis.” We propose to replace the above sentences with the following: “Cardiac catheterization can be used to diagnose or assess severity of valvular stenosis by measuring elevated pressure gradients across cardiac valves. ”

7. We noticed the information stated in the history section is not referenced. We therefore propose to cite the information stated in these sentences: "Clinical application of cardiac catheterization begins with Werner Forssmann in the 1930s, who inserted a catheter into the vein of his own forearm, guided it fluoroscopically into his right atrium, and took an X-ray picture of it. Forssmann won the Nobel Prize in Physiology or Medicine for this achievement, though hospital administrators removed him from his position owing to his unorthodox methods. "

Huge thank you to the Wikipedia community. We appreciate your time and welcome any feedback or suggestions you may have!

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