About this question, the heart blood vessels are completely blocked, without stenting can still maintain daily exercise, if it is established a strong collateral circulation, this situation is fully realized, the following specific information about what is the collateral circulation, how to establish and strong collateral circulation.
Established a strong collateral circulationWe have a reserve army of the heart, called the collateral circulation, collateral circulation of the vascular network is part of the inherent, usually in a quiescent state, does not play a role, but when the trunk of the occurrence of obstruction will be active, these vascular networks in a few minutes to a few hours of expansion and remodeling, so that non-functional collateral branch to the development of functioning side branch of the vasculature, thickening to make the blood vessel caliber increase, blood vessel The newborn takes on some of the blood circulation tasks to supplement, or even completely replace, the main blood circulation.
That is to say, our heart has a backup, there are redundancy measures, which can ensure that the blood flow supply to the tissues is not cut off, and the blood supply provided by a good collateral circulation is about equivalent to that provided by a narrowed 90% of the blood vessels. So it's not always the case that you have symptoms when a blood vessel is blocked, much less the case that you need to put in a stent as soon as the blood vessel is blocked!
For the stable coronary artery disease patient, in the process of slowly clogging the blood vessels, the heart is also making its own way, making full use of its own network of collateral circulation blood vessels, the big road is not accessible, the small road intersects, so he doesn't have any of the typical symptoms of coronary artery disease, and he can still play basketball and jogging every day!
How to establish and strengthen the collateral circulation of the heart?Building strong collateral circulation is the most effective way to improve quality of life for patients with coronary artery disease, or those who have undergone coronary stents or bypass grafts. Patients with stable coronary artery disease who suffer from shortness of breath and palpitations when they walk should not rush to get a stent, but try what I've described, and they may be able to return to a normal life without a stent!
Moderate exercise
Here is a simple example, one of my patients suffered from a cerebral infarction, active training, from the original whole body can not move, to now be able to flexibly use a leg and an arm to live a completely self-care, which is the exercise exercise to bring the welfare of the recovery.
What we need to know is that a certain degree of myocardial ischemia is a necessary facilitation to stimulate the formation and thickening of collateral circulation. So, to build a strong collateral circulation, you need a prolonged and repeated stimulation of this myocardial ischemia, and that stimulation is what I call exercise workouts. (The collateral circulation belongs to the reserve army, and the reserve army comes in handy to be strengthened in order to defeat the mighty enemy!) Here to remind is that the exercise exercise must be reasonable, if the amount of exercise is too low, then it can not achieve the effect of stimulation; if the amount of exercise is too large, then it is likely to trigger angina pectoris or even more serious consequences. Recommended sports exercise methods are: slow walking to fast walking, playing tai chi, climbing stairs, square dancing and so on.
After insisting on exercising for a period of time and developing a good habit of exercising, you will find that the original wheezing is gone and the symptoms of angina pectoris seldom appear, and life is easier and the mood is more pleasurable, so congratulations, this is to achieve the purpose of stimulating the formation of side-branch circulatory formation and strong!
Extracorporeal Heart Shock Wave TechnologyThis technology was first developed in Switzerland and Germany, and has been applied to clinical research in Japan and Switzerland in 2004. The main principle of this technology is to carry out low-energy shock wave stimulation for the localization of ischemic myocardium, which can improve the symptoms of ventricular remodeling and chronic myocardial ischemia after myocardial infarction by promoting the establishment of cardiovascular collateral circulation in the treatment target area.
That is to say, some patients, after drug treatment, interventional therapy (stenting), or even bypass surgery, if there is still myocardial ischemia or restenosis (chest tightness and chest pain), these patients can try extracorporeal cardiac shockwave therapy, which can improve the patient's myocardial blood supply through the formation of a new collateral circulation, and achieve the purpose of the major pathway is impassable, and the minor pathway is intersected.
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