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What is a heart biopsy?

Myocardial biopsy is a diagnostic procedure in which a small piece of heart muscle tissue is removed for examination. Myocardial biopsy is performed at the same time as a cardiac catheterization or as a very similar, yet separate, procedure. When myocardial biopsy is performed, the catheter is inserted through a large vein (usually the jugular vein in the neck) and then carefully threaded into the heart. Small pieces of heart tissue are then taken via a small forceps inserted into the heart in the cardiac catheter site.
This test is performed routinely after heart transplantation to watch for signs of rejection. It may also be performed when a disorder such as cardiomyopathy, myocarditis, or cardiac amyloidosis is suspected.
Instructions for your biopsy:
 
©       Please notify our office before the procedure if you are allergic to anything, especially x-ray contrast dye or iodine. This is very important.
©      Do not eat or drink anything after midnight (or 8 hours) prior to the procedure. Please take your morning medication with a small amount of water at your normally scheduled time, including blood pressure pill, Plavix, and aspirin.
©       If you are on Coumadin, warfarin, Jantoven, diabetic medication or insulin, please notify us so that we can make adjustments in medications.
©       If you are on heart transplant rejection medications, do not take these the morning of your test.
©       If you take diabetic medication or insulin, please check with the office for special instructions.
©       Do not take any diuretics (water pills) on the day of the procedure. If your diuretic is combined with your blood pressure medication, you will take it as usual.
©       Do not wear any jewelry around your neck the day of your procedure.
©       You MUST have someone to drive you home if you are given sedation.
©      You are not to do any heavy lifting (over 15 pounds), no squatting or crouching for at least a week following your biopsy. Additional discharge instructions will be given to you at the time of your procedure.

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