I told him that it might be heart disease and angina pectoris, and I need to see it quickly; Lao Fu's family conditions are average. It is not easy to rely on him as the main worker and his parents to follow him. I heard I was going to the hospital, but I really didn't want to go.
Last Monday night, Laofu's daughter-in-law knocked at the door, saying that Laofu was uncomfortable and broke out in a sweat, and asked me what to do. Dr. Wang Ran came and saw Laofu curled up, which was very painful. Dr. Wang asked them to call 120 immediately, and brought a sphygmomanometer to measure his blood pressure. It was 150/ 100, so he asked him if he had nitroglycerin, but Lao Fu didn't have this medicine. I told Laofu not to move. 120 will be here soon. After about ten minutes, Lao Fu recovered and felt that he had experienced a life and death. After a while, 120 came. Laofu didn't want to go to the hospital and said he was fine.
Dr. Wang told him that he had to go. Now he is well, but this is only a temporary relief. Before, you felt uncomfortable after exercise, but now you have begun to feel uncomfortable at rest, indicating that the vascular stenosis is getting heavier and heavier, and even it is almost occluded. You can't completely rule out myocardial infarction, so you must go to the hospital.
After repeated persuasion, Lao Fu was hospitalized. I arranged for Lao Fu to have a cardiac angiography, which indicated that a left blood vessel was 99% stenosed and immediately blocked. Fortunately, it was found in time. But a domestic stent costs 7500 yuan, plus tens of thousands of other surgical instruments. For a family like Lao Fu, it is really a burden. It happens that Dr. Wang is in charge of an experiment, that is, a clinical study of a technological stent. He told Lao Fu that he would like to participate and install a bracket for free. Lao Fu accepted it gladly, because after all, he could save nearly 10,000 yuan. When I sent Lao Fu back to the ward, Lao Fu still looked worried and asked him what was wrong.
Laofu said: A family depends on me. Now that I put a support, I can't do manual work in the future. The child is still young, and I can't make money or do anything else. What can I do in the future?
Dr. Wang asked: Can you still go to work normally recently?
Laofu: No, I feel chest tightness at work, and I can't do it at all.
Dr. Wang: Yes, you didn't put the stent before that, so you couldn't do it. Now you're worried that you can't work with your supporters. What does it matter whether you can work with support or not?
Laofu: That's true, but I'm just worried about what to do in the future.
Dr. Wang: Don't worry, I really couldn't do anything before I put the stent, but now the blood vessels and blood flow are back to normal, and there is no myocardial ischemia and angina pectoris. Sure, I can work.
Laofu: Really?
LaoFu said, while happy at a loss.
Laofu is at work now, the same as before. Dr. Wang still told Lao Fu to take medicine and give up smoking and drinking, which is not only bad for his health, but also expensive. The diet is light, remember to go to the hospital for reexamination.
Lao Fu let go of his support. He used to be unable to do manual labor, but now he has recovered and can do manual labor. Can I do it manually after turning the bracket?
It's not like that.
First, whether you can do manual labor must be based on your basic ability and physical fitness. At least, this does not mean that physical strength can increase with support.
Second, if it is angina pectoris, there is no heart function problem, and myocardial ischemia is improved after stent treatment, like Lao Fu, then you can return to your previous physical activity.
Third, if the heart has been complicated with cardiac insufficiency, such as acute myocardial infarction, such as long-term myocardial ischemia, such as long-term uncontrolled hypertension. , leading to heart enlargement, then it must be carefully evaluated, and physical activity is generally not recommended. Because cardiac insufficiency will aggravate heart failure after full physical activity.
Fourthly, if a stent does not solve all the stenoses that must be solved, and there are still residual stenoses, it is best to evaluate whether it can be done manually after all the lesions are treated, because manual work will induce angina pectoris.
In short, whether you can do manual labor with a stent depends mainly on whether there is any damage to your heart function and whether there is any residual stenosis. Excluding these two points, we can basically return to the original activities and labor.
[Copyright by Dr. Cardiovascular King]
Can you continue to do manual work after the heart is stented? I think this is what many patients with stents are eager to know, especially those middle-aged people, who happen to be the pillars of their families. Maybe their usual work is manual labor. If the bracket is installed, it can't be done by hand, which is a great disaster for the family.
So, can you continue to do manual work after the heart is stented? I can only say that everyone's situation is different, even if everyone has a stent, the situation is different. Whether we can continue to work can only be analyzed in detail.
The stent itself does not affect the specific analysis of physical activities. Can physical activity 1 and acute myocardial infarction continue to be done? After installing the bracket, it is best not to do heavy physical activities.
2, patients with coronary heart disease, even if there is no myocardial infarction, but if the heart function is not very good, it is not suitable for manual labor.
There is more than one blood vessel in the heart. If there are problems with other blood vessels, it is not suitable for manual labor.
Conclusion: Most people can carry out normal physical activities after cardiac stent implantation, but there are several points to be noted:
Stent thrombosis is the most worrying complication after stent implantation. Generally, three months after operation, endothelial cells will cover most of the stent, thus greatly reducing the risk of thrombosis in the stent. It is safer to resume normal physical activity at this time.
Everyone's physical condition is different, and the intensity of preoperative exercise is also different. It is difficult to define the appropriate intensity of postoperative exercise with a unified standard. There are two simple ways. First, there is no discomfort such as chest tightness, chest pain and shortness of breath after exercise. Second, the heart rate after exercise can be calculated by a simple formula. As long as the heart rate does not exceed (180- age), it is basically safe.
Some people have only one or two injuries to their blood vessels. After stent implantation, the blood vessels are almost completely normal and can perform relatively strong physical activities. However, some people's vascular lesions are very diffuse, and stents only solve the problem of severe stenosis, and there are still residual lesions. At this time, physical activity must be controlled at an appropriate level.
Some patients have resumed normal physical activity after operation, but with the extension of time, the original mild and moderate stenosis in blood vessels has progressed, or the stent has restenosis, and angina symptoms will appear when doing the same intensity of activity. At this time, they need to go to the hospital in time.
Hello, I'm Man Huajun, and I'm glad to answer your questions! Can a heart with a stent do manual labor? On this issue, our friends who have done heart stents are very concerned, because many people can't do heart stents, and only when the heart blood vessels are seriously blocked and the heart is seriously ischemic will they install heart stents. In this case, many people are the main economic pillars of family life, and I wonder if they can continue to engage in heavy manual labor after installing stents. So, today I will talk to you about this topic.
What's with the heart stent? Before that, let's introduce how the heart works.
Therefore, at this time, it is necessary to install stents to "prop up" blocked blood vessels. Blocked blood vessels are narrow and blocked seriously, which is easy to cause blood blockage. Therefore, it is necessary to widen the blood vessels through stents at the download site, which is also the reason why patients with severe coronary heart disease need stents.
The heart was implanted with a stent, which changed the blood supply to the heart. Only at this time can we alleviate the phenomenon of myocardial ischemia and prevent the occurrence of myocardial infarction. So, after installing the bracket, can you still do manual work? To answer this question, we should analyze the severity of heart disease and the classification of physical activity.
Severity of heart disease If you have a serious myocardial infarction before and after installing a heart stent, it is recommended not to do heavy physical labor, because the main purpose of installing a stent for this serious myocardial infarction is to improve ischemic symptoms. Before this, the heart may have ischemic necrosis, so in this case, manual work will undoubtedly increase the burden on the heart and lead to further damage.
In addition, patients with coronary heart disease may have a certain degree of functional damage because of their hearts. In this case, even if there is no myocardial ischemia, because of the long-term existence of coronary heart disease, the blood supply capacity of the heart is not very good, and this situation cannot be done with too much physical labor.
Second, the classification of physical activity The China Nutrition Society divides physical activity into the following three levels, namely:
1. Light manual labor
The so-called light manual labor refers to some activities that do not require great effort, such as office work, sales service, lectures, going up and down stairs, etc.
2. Moderate manual labor
Sports activities in China refer to the activities of students during recess, riding bicycles, driving cars and installing trams.
3. Heavy physical labor
Heavy physical labor mainly refers to non-mechanical labor, industrial production, dance, sports and so on.
Generally speaking, after installing the bracket, it is recommended not to engage in heavy physical labor. In severe cases, if the myocardial infarction is not dead, moderate physical labor is also recommended not to be done. It's good to do some light physical work as much as you can.
At present, the price of heart stent has been reduced, and it only needs about 700 yuan, which is no longer the high cost of 1 000 yuan in the past. Therefore, if you have a friend with a bad heart, you must pay attention to diagnosis and treatment as soon as possible and install the stent as soon as possible, so as not to delay the treatment and cause further harm to your life.
To sum up, can you do manual labor after installing the bracket? You must have your own opinion. When you have the above one, you must pay attention. What you need to do, of course, is to reduce the risk factors of coronary heart disease, and you need to go to the hospital regularly for examination. What is the specific situation after the other party installed the bracket?
Can you still do manual labor after the stent is placed on your heart? The answer to this question depends on the specific situation, and it is really impossible to generalize. But if the physical activity mentioned here includes physical exercise, it should be said that all people with heart stents can do physical exercise as long as they are not seriously cardiac insufficiency. This involves the content of cardiac rehabilitation. So, why should such patients be specifically analyzed?
First of all, patients with cardiac stents, although they all have stents, have different conditions. For example, some people are diagnosed with coronary heart disease in angina pectoris stage and given stent treatment. Such people have never had a myocardial infarction and their heart function has not been damaged. After the stent is placed, it is basically the same as normal people except for taking a series of drugs every day. Then, these people can do exercise equivalent to normal people, such as moderate-intensity exercise, 30 minutes a day, five times a week. As for the form of exercise, there is no limit. Swimming and running can be done according to your ability.
For those patients with myocardial infarction and stent placement, many of their cardiac functions are damaged, and some are still very poor. In this case, the time, intensity and form of exercise should be strictly evaluated. For example, a rigorous assessment of cardiopulmonary function is carried out first, and then a professional cardiac rehabilitation doctor will arrange a specific cardiac rehabilitation plan according to the specific cardiopulmonary function. However, this does not mean that these people can never play sports. In most cases, physical activity is ok.
In short, people with heart stents can't do physical activities, but they can. However, for some serious patients, it may be better for some professional cardiac rehabilitation doctors to formulate specific exercise programs.
Hello, I'm Dr. Intimate Blue.
The most common symptom of coronary heart disease is angina pectoris, which is often manifested as chest tightness and a feeling of oppression in the heart after exercise or physical labor. This is the manifestation of myocardial ischemia. Generally speaking, this kind of angina pectoris can be gradually relieved after a few minutes' rest, or it can be quickly relieved after taking nitroglycerin. Some patients have persistent and severe chest pain, accompanied by sweating and asthma, which may be myocardial infarction. This is the most common type of stent implantation in clinic. Once an acute myocardial infarction occurs, it will be rushed to the hospital. Nine times out of ten, stents will be implanted to save the heart and save lives. This is the problem. Many people have heard that people who implant stents will be abolished. They have to take medicine for a long time and can't work. Is it true?/You don't say. Let's find out.
1, stent implantation is to save myocardium and save lives.
Once the coronary artery blood flow is interrupted, the part of the myocardium it supplies will be seriously ischemic and myocardial infarction will occur. If the blood flow can be restored in the shortest time, this part of the myocardium without complete infarction can be "revived". Therefore, in the event of a myocardial infarction, you must seek medical attention as soon as possible. Time is the heart muscle, and time is life.
How about not having a meeting? If the blood flow is not opened in time, this part of the myocardium will lose its function, just like our five fingers. If one finger has no function, the function of the heart will be affected by the other four fingers. If the infarct site is the key site, it may cause malignant arrhythmia and endanger life. Just like our five fingers, if the broken finger is a thumb, the other four fingers can't hold chopsticks.
2. Do you need long-term medication for stent implantation?
Taking medicine reminds me of a short video about patients with advanced cancer. The doctor told him that his time was running out. Later, he found a famous doctor. The famous doctor told him that you have to take medicine 10 years. He said, "Ah, 10 years, it takes so long ..." The famous doctor laughed, and he suddenly tasted "10 years.
Should I take medicine for a long time after stent implantation? This is a very common question. Many patients mistakenly think that they don't need to take medicine after putting a stent. In fact, this is a big misunderstanding. Placing stents did not fundamentally cure coronary heart disease, but only restored the blood flow that was suddenly interrupted. Coronary heart disease still exists and needs long-term medication. Moreover, in the early stage of stent implantation (1 year), more drugs (double antibodies) are needed than those without stents.
3. Can you still do manual work after support?
I think this is from two aspects, one is the blood flow of the heart, and the other is the overall function of the heart.
(1) Cardiac blood flow: As mentioned above, patients with coronary heart disease will have symptoms of angina pectoris during exercise, that is, insufficient blood supply. After stent implantation, the blood flow is smooth, so naturally they can do more physical work than when they are not implanted.
(2) Overall function of the heart: If the treatment is not timely after myocardial infarction and the blood flow is not timely enough, this part of the infarcted myocardium cannot be recovered, which will affect the function of the heart. Even if the stent is implanted later, it can only save those myocardial infarction. "Heart function is affected" is actually different degrees of heart failure. Even if the stent is implanted, it only improves part of the heart function, and the physical activity ability is definitely impaired.
In a word, coronary stent implantation is an important method to treat acute myocardial infarction, which can quickly open blood flow, save myocardium and save lives. Long-term medication is still needed after stent implantation. If the treatment is timely, the blood flow is restored satisfactorily, and the heart function is not damaged, you can still engage in manual labor; If the treatment is not timely and the heart function is damaged, then naturally you can't do manual work; In any case, the physical activity ability after stent implantation varies from person to person.
If you put a stent on your heart, don't do manual labor. After all, the stent doesn't belong to your body, it was added. Adaptation and integration take a long time.
Some people worry that doing manual labor will cause the stent to shift or fall off. This possibility is rare, but it is suggested that patients who have had heart stents should try to avoid physical labor and take care of themselves within one year. After about a year, endothelial cells will cover the scaffold. In other words, the scaffold has grown into the meat. At this time, the stent is like a bone around a blood vessel. After integration, you can live a relatively normal life, but try to avoid manual labor. Health is the most important thing, and recurrence is not cost-effective.
If you can't help it sometimes, you must do some manual work, and be careful not to do heavy work or use great strength. I have a friend who made a heart stent and went to play basketball on impulse. He has been playing on the court for half an hour. It is best to fall in the rebound and never get up. So don't exert yourself suddenly, lest your heart can't stand it.
Hello! In this case, it is not recommended to continue to engage in manual labor. Clinically, because of heavy physical labor, there are many cases of heart disease recurrence after stent implantation. Why not suggest doing manual labor?
First, the heart foundation is weak.
First of all, patients after cardiac stenting have a history of myocardial ischemia, even if the problem of myocardial ischemia is solved by placing stents, and myocardial cells have been damaged, so the tolerance of the heart is worse than that of healthy people. Moreover, the stent can only solve the problem of myocardial ischemia in a short period of several years, not once and for all, nor can it completely restore your body to the level of a healthy person, so postoperative maintenance is particularly important. This includes reducing manual labor, especially manual labor or heavy manual labor.
Second, overwork is easy to relapse.
Appropriate physical activities can enhance the heart function and enhance the endurance of myocardial cells, such as walking, playing Tai Ji Chuan, yoga and other aerobic exercises. Proper physical activity is an aerobic interval exercise, which can make your body strengthen muscle exercise and increase the metabolic capacity of muscle cells. However, long-term physical labor will constantly consume body energy, increase circulatory metabolism, require higher continuous output capacity of the heart, increase the load of the heart, and easily induce myocardial ischemia. Even after surgery and stent implantation, once the heart is overloaded, it is easy to induce heart disease again. It's like a repaired car engine. If you continue to overload, you will definitely have problems again soon, and your condition will only get worse after recurrence. And to make it work normally for a long time, it needs special attention to maintenance.
How can patients maintain a healthy lifestyle after stent implantation?
1, choose vegetable oil in diet and use cooking methods such as steaming, boiling and stewing.
2. It is not advisable to eat foods with high cholesterol content such as animal viscera, fat, squid, egg yolk and crab yolk.
3. Pay attention to controlling blood sugar after stent implantation and eat more fruits and vegetables, including tomatoes and cucumbers. The diet should be light, with fish as the main supplement of high-quality protein.
4. Avoid overeating or overeating.
Share a little health knowledge every day to protect your health!
Before answering this question, let me share with you one of my patients.
Mr. Zhang, aged 50, is a contractor. He usually socializes a lot and has basic diseases such as obesity and high blood pressure. I was diagnosed with coronary heart disease in our hospital six months ago. At that time, Mr. Lin wanted to do a heart stent, but after examination, he found that the degree of vascular stenosis was less than 80%, and he did not choose to do a stent. In the meantime, he has been maintaining drugs. Just the night before yesterday, Mr. Zhang felt chest tightness and chest pain aggravated. Without delay, he called 120 and came to our hospital, which happened to be my night shift.
Mr. Zhang saw me and said, "doctor, my angina pectoris is particularly severe." Is my coronary heart disease committed again? " . "
Relevant examinations were arranged immediately, and angiography showed that the degree of left coronary artery stenosis had reached 85%, requiring stent treatment.
Mr. Zhang and I explained: "Mr. Zhang, your left coronary artery stenosis has reached 85%, which is obviously more serious than last time, and has reached the standard of stent placement." Please think about it. "
Mr. Zhang said: "Don't think about it, have an operation. You explained it to me before. Can the doctor choose a better imported bracket for me? "
I said, "Teacher Zhang, there is not much difference between domestic stents and imported stents in terms of service life, therapeutic effect, safety and practicality. When choosing domestic or imported stents, in most cases, it is still necessary to choose according to the patient's own situation. "
Mr. Zhang said, "Oh, I see. By the way, doctor, I still have some questions. Can you continue to work after making the support? Because my work is manual work, I heard someone say that if you put a stent in your heart, you can't do manual work. "
I said, "Mr. Zhang, the situation you mentioned should be observed according to the postoperative situation." You will recover well after the operation. You should quit all the bad habits before and stick to taking medicine. Recovery is no problem. "
Mr. Zhang said, "OK, thank you, doctor. You gave me advice before. A few days later, I turned a deaf ear and didn't take medicine on time. I feel that this disease has something to do with my habits. I must change these habits for my future health. "
Mr. Zhang is currently actively cooperating with the treatment and wishes him a speedy recovery.
What do friends think after reading Teacher Zhang? As a doctor, let me talk about my opinion.
1. After the diagnosis of coronary heart disease, Mr. Zhang did not follow the doctor's instructions for treatment.
I felt much better as soon as I recovered. As Mr. Lin himself said, no one listened. This is also an important factor leading to the recurrence of coronary heart disease.
2, after the diagnosis of coronary heart disease, especially can induce angina pectoris, drug treatment is essential.
This is because drug therapy can fully interfere with the occurrence and development of coronary atherosclerosis, which is the basis of treating coronary heart disease. As a doctor, it is the best way to fully communicate with patients, let patients fully understand their own condition and the importance of long-term treatment, maintain a good attitude and healthy lifestyle, and actively cooperate with intensive drug treatment.
3. As Teacher Zhang asked, is the imported heart stent necessarily better than the domestic one?
In fact, not only Mr. Zhang, but most of us will think that imported things will be better than domestic ones. The same is true for heart stents. In fact, this idea is wrong. Compared with the development of medical technology in China in previous years, the overall medical level in China has improved significantly in recent years. For example, there is not much difference between domestic stents and imported stents in terms of service life, therapeutic effect, safety and practicality. The root cause should be selected according to the patient's own situation.
1. The medicine can't be stopped.
Usually, after stent surgery, patients need to use more drugs, and at the same time, according to different personal constitutions, there will be different side effects, such as fatigue and drowsiness. In most cases, we don't have to worry too much.
If there is bleeding in gastrointestinal tract and other parts, or strong discomfort, you should seek medical advice in time and whether it is necessary to change the medicine.
Suggestion: If there are other basic diseases that need to stop using coronary heart disease drugs, don't stop using them blindly, consult a doctor first.
2. Do regular inspection.
Blood pressure, blood sugar, blood lipid and blood viscosity should be rechecked about half a year after stent implantation, and then a comprehensive reexamination should be conducted one year later. In particular, patients with hypertension, diabetes and cerebrovascular diseases should be examined regularly according to the situation.
3. Develop good living habits.
In fact, patients with heart disease should develop good living habits and eating habits, ensure adequate sleep and rest, eat less foods with high salt, oil and fat, quit smoking and drinking, and maintain a good mood, which is not only conducive to disease prevention, but also conducive to postoperative rehabilitation.
The intake of calories, protein and vitamins should be increased in the diet after cardiac stenting, so as to promote the recovery as soon as possible after cardiac stenting. You can eat more foods rich in fiber, such as vegetables, fruits and bean products.
Step 4 Exercise properly
Patients after cardiac stenting should keep proper exercise, which is helpful to the recovery of their condition. You can choose some exercise such as walking slowly and jogging, but you must pay attention to your own situation and don't do a lot of exercise blindly.
Conclusion: After cardiac stenting, patients recover well without adverse reactions, and it is still possible to develop good work and rest and eating habits and carry out appropriate physical activities.
First of all, the patient's blood vessel diameter must be at least 2.3 mm before cardiac stent surgery can be performed. If the blood vessel is smaller than this diameter, then the role of cardiac stent surgery is not obvious. As a doctor, you wouldn't advise people to have surgery under such circumstances.
Second, when the patient's vascular stenosis exceeds 80%, it is recommended to do heart stent surgery. In other words, the patient's blood vessels are blocked at least 80%, and it makes sense to do heart stent surgery.
Third, patients with angina pectoris or myocardial infarction will only have heart stent surgery, because heart stent surgery is specifically aimed at such patients. For these patients, time is life, and delaying time is likely to threaten the life safety of patients. In order to improve the success rate and survival rate of these patients, cardiac stent surgery is the best choice.
Conclusion: From the above three points, it can be seen that cardiac stenting is not suitable for all patients with heart disease, and how many stents to put in cardiac stenting depends on the patient's condition.
Cardiac stent surgery is a special interventional therapy for patients with coronary heart disease. By piercing the blood vessel, the heart stent is delivered to the place where it needs to be placed. By supporting the blocked part, the blood supply to the patient's heart can be improved.