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Warning-sign checks

Heart bypass surgery: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe or new chest pressure, major trouble breathing, fainting, uncontrolled bleeding, or signs of stroke such as facial drooping, arm weakness, or difficulty speaking.

    Do not drive yourself.

    And for anyone, someone who:

    • has chest pain, tightness or pressure lasting more than a few minutes
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your surgical team promptly for:

    • Fever meeting the threshold in your discharge instructions
    • Increasing wound redness, warmth, swelling, drainage, or opening
    • Worsening pain rather than gradual improvement
    • New or persistent palpitations
    • Increasing leg swelling, breathlessness, or rapid weight gain
    • Vomiting or inability to eat, drink, or take medicines

    And for anyone, someone who:

    • is getting rapidly more short of breath, or has gained several pounds in a few days with swelling
    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Routine soreness, tiredness, reduced appetite, and mild swelling near a graft site can occur during recovery.

    Mention symptoms that are not improving at routine follow-up.

Every sign above is quoted from the sofidex article on Heart bypass surgery. If you are not sure, err upward — it is always reasonable to be checked.