• • • • Usually you can return to work 24 - 48 hours after the procedure and you may drive (unless you have been otherwise advised by your Doctor). An instruction sheet and letter for your GP, will be given to you before going home. Do not hesitate to ask questions if you are unsure about anything. Make sure you have all your belongings before you go! 01- 4103550(Clerical Coordinator) • • • OPENING TIMES 0830-1700 (MONDAY TO FRIDAY) !" #$ " % • Patients and visitors should use the underground car park. There is access into the hospital by stairs or lift from here. There is a pay station in the main concourse. Call this number to confirm or if you have to cancel your appointment. Additionally if you have any questions about your appointment please also call this number. Alternatively email to confirm/ cancel your appointment: [email protected] Cardiac Department (01 4162792 / 01 4162793) OR IF ATTENDING • Falls and Blackout Unit (01-4284105) IT IS VERY IMPORTANT TO CARRY THE ACTIVATOR WITH YOU AT ALL TIMES The Cath Lab Daycare Unit is located on the ground floor. • From the main entrance take the first right. • Half way down this long corridor turn left. • The Cath Lab Daycare Unit reception desk is on your right - please queue and check in here first. www.stjames.ie www.irishheart.ie www.patient.co.uk www.hrspatients.org www.arrhythmiaalliance.org.uk PAT I E N T & C A R E R E D U C AT I O N L E A F L E T ") ( + • ' An Implantable Loop Recorder (ILR) is a small thin device that is inserted under the skin to record the activity of your heart. You should Fast 4 HOURS before your procedure. • Please bring a dressing gown & slippers to change into, on your arrival to hospital. ( • The • • • • • • • +' loop recorder is inserted beneath the skin usually in the upper left side of the chest. This procedure takes place in the Cardiac Catheterisation Laboratory. If you are on any Blood Thinners e.g. Warfarin/ Xarelto/ Pradaxa/ Apixaban you may need to stop taking it 3-5 days beforehand. Contact your Cardiologist for specific instructions. The phone number of your Cardiologists Secretary can be found on your appointment letter. Please go to your GP to have the following blood tests done a week prior to your appointment: - Coagulation screen, FBC, Urea & Electrolytes Failure to have these done, may result in delay or cancellation of your test. You may bring the results with you or fax them to the number on the back of this leaflet. Please have a shower the night before your appointment and the morning of. !"# #"$ %&# ' A small tube (cannula) is inserted into your vein in your arm so that we can give you an antibiotic pre-procedure and also for medication required during your procedure. • You will wear a hospital gown for the procedure. • The Doctor or Cardiology Nurse Specialist will explain the procedure to you including the risks and benefits, and you will then be asked to sign a consent form. • If you have any concerns or worries, please do not hesitate to ask, as we would like you to be as relaxed as possible. • (" • • • • • • • ) * + *$ ) # %' Local anaesthetic will be given to numb the skin, which has been cleaned with antiseptic solution, at the top of your left or right shoulder area. The Reveal device is placed under the pocket of your skin—this generally takes 15-20 minutes. We advise you to leave the dressing in place for 7-10 days. Try not to disturb the dressing during this time. You cannot shower while it is in place. Most of the sutures used are internal and will dissolve within 7-10 days. However you may need to see your GP after 10 days to have the end suture removed if visible. %* $ A Cardiac Technician will demonstrate how to use the reveal device ACTIVATOR ( • The recorder monitors and records the electrical activity in your heart in order to identify any irregularities with its rhythm, particularly during one of your episodes. The recorder can remain in place for up to 3 years. The device can be removed sooner depending on when you experience symptoms, such as a fainting spell and a diagnosis can be made. * • If + you develop symptoms you must activate the device by placing the hand-held activator box over the area where the reveal device was inserted under your skin (see picture) . and press the activation button. • If required a friend or family member can activate the device for you. • The device will then save 8 minutes of your heart rhythm. This can only be done 3 times. If you record a fourth event the first one will be erased. • The device should be activated for the following symptoms: Dizziness / weakness Palpitations / heart racing Chest pain A Blackout ) ),- ,"& # $"#% ,"&# "- )' Once you have recorded your symptoms for the first time, the recorder needs to be checked to see what was captured. This is done by calling us and arranging to come in to either the: • Cardiac Department 01 4162793) • (01 4162792 or or to the Falls and Blackout Unit (01-4284105) if you are attending that service.
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