Let's start with the first and most important one. Regular medication is the greatest guarantee for the life safety and health of patients with coronary heart disease (with or without stents). Generally, at least two antiplatelet drugs should be taken within one year after stent implantation. Commonly used are aspirin, plavix and statins, all of which are basic drugs. Others include trimetazidine and antihypertensive drugs and hypoglycemic drugs. Using these drugs will be very different from not using them, the safety will be greatly improved, and many problems will occur without using them.
The second point is also very important. Some people's heart symptoms have been significantly improved after stent implantation. When the scar healed a little, they immediately forgot the pain, and then they smoked and drank, leading to secondary vascular problems. The result is that making a stent can only solve the problem of a blood vessel, but it can't guarantee life. Once life is out of control, other blood vessels or blood vessels that have been stent will have problems again. When all the blood vessels are poor, it is impossible to make a stent.
Finally, the question of review. Some people may not find single vessel stenosis in angiography before stent implantation. For example, one blood vessel is blocked by 90% and the other by 70%. The doctor only blocked 90% of the blood vessels, put the stent on it, and took medicine to observe the other blood vessel because it was not serious. Then in later life, patients need regular physical examination and re-examination. If the index is not well controlled and the medication is not standardized, 70% of this blood vessel may develop to more than 90%. In addition, after the stent is made, a large number of drugs need to be taken orally for a long time, such as liver and kidney function, electrolyte, etc., which need to be monitored.
In short, the incidence of coronary heart disease is increasing. According to the official statistics of China, more than 600,000 heart stents should be implanted in China every year. As long as these points are done for this group of people, even if the stent is put, it will not have much impact on life, and patients can live longer!
With the continuous improvement and popularization of cardiac stenting technology, when patients with coronary heart disease have acute myocardial infarction, if they meet the requirements of interventional stenting, the occluded coronary arteries will be opened in time to restore blood supply to the heart, which greatly reduces the mortality rate of patients with acute myocardial infarction and the probability of major cardiac losses. However, after cardiac stent implantation, the situation of different patients is often very different, and some patients will not use it for several years. The problem of myocardial infarction and stroke appears again, and some people live healthier and healthier after a few years or more. In addition to personal health and genetic factors, the different practices of individuals after stent implantation are also one of the main reasons for this difference.
If cardiovascular health problems reach the point where stents need to be placed, they are generally serious problems. However, after the stent is placed in the narrow or occluded coronary artery, the original occluded blood vessel will be opened to improve the problem of insufficient blood supply to the heart, and many original discomfort symptoms such as chest tightness and angina pectoris will be improved. However, after stent placement, cardiovascular and cerebrovascular diseases may still come back if we do not actively pay attention to conditioning and controlling risks. After placing the stent, there are three things you are most afraid of.
First of all, I want to talk about a common misconception that cardiovascular disease has been "cured" after stent implantation: many friends think that cardiovascular disease has been "cured" after stent implantation, and there is no need to pay attention to prevention in subsequent life. This practice will make friends with cardiovascular diseases continue to eat fish and meat, continue to smoke and drink, continue to stay up late and do not exercise, and at the same time will not take the drugs that should be taken to prevent cardiovascular risks according to the doctor's advice. If we treat cardiac stents under such a wrong cognition, the risk of cardiovascular and cerebrovascular problems will increase.
The heart has been stented, although the most serious part of cardiovascular stenosis has been opened, as our atherosclerosis, some risk factors causing cardiovascular stenosis, such as hypertension, hyperlipidemia, diabetes and other problems, and the pathological basis of atherosclerosis still exist. Putting a stent does not mean that there will be no more stenosis in the stent, nor does it mean that there will be no more infarction in other vascular stenosis sites without stents. So, don't think that once the heart is stented once and for all, nothing needs to be done. What we should do more is to do a good job in secondary prevention of cardiovascular and cerebrovascular diseases. We should adhere to a healthy lifestyle and take medicine for a long time. Only in this way can we effectively reduce the risk of cardiovascular diseases and ensure the health and safety of cardiovascular and cerebrovascular diseases.
Clearly know to do a good job in life conditioning, but not strict self-discipline. In addition to wrong cognition, there are some such friends, which will also increase the risk of cardiovascular and cerebrovascular diseases. That is, I know that I have to do strict conditioned intervention in my life, but I just can't. The doctor told him to give up smoking, but he couldn't. The doctor told him to drink less, but he didn't want to. The doctor told him to eat less fat, and he just liked it. The doctor told him to take more exercise, but he said he couldn't remember clearly. The doctor told him not to stay up late, but he always stayed up late. The doctor told him not to be anxious and angry all the time, but he just couldn't change his short temper. Such bad habits will have a negative impact on cardiovascular and cerebrovascular health.
Friends who have already undergone stent surgery want to further control the risk of the second attack of well-intentioned cerebrovascular diseases. First, they should pay attention to the health prevention of cardiovascular and cerebrovascular diseases psychologically. In life, they should keep healthy living habits and resolutely get rid of unhealthy living habits. The intervention of healthy lifestyle can be beneficial to cardiovascular and cerebrovascular health and prevent cardiovascular diseases, which can't be done by any medicine. Long-term persistence can better reduce the risk of secondary diseases and better protect our cardiovascular and cerebrovascular health.
Long-term fear of taking drugs, it is also common to stop taking drugs or eating them. Friends who usually have cardiovascular stents need to take related drugs for a long time to control the risk of cardiovascular and cerebrovascular diseases on the basis of strict life conditioning intervention. However, some friends are particularly afraid of all kinds of adverse reactions caused by long-term medication, so the medicine prescribed by the doctor stops after a period of time. Or eat when you remember, but don't eat when you can't remember. It is also very undesirable to stop taking drugs or not eat, and it will also increase the risk of cardiovascular and cerebrovascular diseases.
There are two main reasons for taking medicine for a long time after cardiac stent implantation. One is to further control related diseases, such as the "three highs" problem, such as the need to stabilize the heart rate of coronary heart disease and relieve angina pectoris, but to do a good job in disease risk prevention. Statins and antiplatelet drugs are two major secondary preventive drugs that need to be taken for a long time after stent implantation. Statins control blood lipid level. Controlling low density lipoprotein cholesterol below 1.8 can better delay the process of atherosclerosis, stabilize plaque and reduce the risk of plaque rupture. Anti-platelet aggregation drugs, such as aspirin and clopidogrel, are designed to prevent the aggregation of coagulation substances and the risk of further infarction of cardiovascular and cerebrovascular diseases when plaques rupture. These drugs usually need to be taken for a long time and cannot be stopped privately.
Of course, whether the drug can be stopped or not should not be treated absolutely. We must attach equal importance to the effectiveness and safety of drug use. When the long-term medication leads to the risk of major diseases in the body, of course, or when the patient's physical condition has already appeared the relevant contraindications to taking the drug, it is not appropriate to stop taking the drug reasonably, seek medical advice in time, and insist on taking the drug for a long time.
In short, friends with cardiac stents should pay more attention to risk control and secondary prevention of cardiovascular diseases. Only by maintaining a correct attitude, strict self-discipline, maintaining a healthy and good lifestyle, and further strengthening disease prevention through reasonable and safe medication can we better protect the cerebrovascular health of well-intentioned people and reduce the risk of secondary illness.
Stent thrombosis is the most feared thing after stent implantation. Clinically, stent thrombosis is divided into: 1, acute stage, within 24 hours after operation; 2, subacute stage, 24 hours to 30 days; 3. Late thrombosis, 30 days 1 year; 4, ultra-late thrombosis, more than one year. Although the probability of thrombosis in stent is very small, the drug stent does not exceed 0.7%, but the mortality rate can reach about 20.25%. In essence, thrombosis in the stent, the patient's original diseased blood vessels are blocked by thrombus again, which is equivalent to myocardial infarction in the original diseased site. Serious complications such as malignant arrhythmia, acute heart failure and cardiogenic shock will occur, leading to sudden cardiac death.
As for in-stent restenosis, it is a chronic process, which can be treated by drug balloon dilatation, and the condition is far from the risk of in-stent thrombosis.
Precautions:
1. Pay attention to adequate antithrombotic load before operation. Aspirin enteric-coated tablets 300mg+ Belinda 90mg and aspirin enteric-coated tablets+Plavix 600mg can fully inhibit platelet aggregation within 2 ~ 4 hours.
2. In the process of PCI, the operator should pay attention to the full expansion of the stent and close to the blood vessel wall, and pay attention to the full coverage of blood vessel dissection. If there is slow blood flow during the operation and there is not enough treatment, such as injecting sodium nitroprusside and tirofiban into coronary artery, use thrombus suction device to suck thrombus and plaque fragments.
3. After operation, strengthen antiplatelet therapy 1 ~ 1 year and a half, and anticoagulation therapy for 5 ~ 7 days. After operation, patients enter the intensive care unit of coronary heart disease, and medical staff should pay attention to monitoring and observation. If the patient has persistent chest tightness and chest pain, he should immediately review the electrocardiogram and myocardial enzyme spectrum to make sure that the thrombus in the stent will come to power immediately and undergo PCI treatment again.
After cardiac stent implantation, it is generally emphasized to fully use aspirin combined with clopidogrel as dual antiplatelet therapy, referred to as DAPT therapy.
It is emphasized that the main reason for using anticoagulants is to prevent stent thrombosis.
The incidence of stent thrombosis is not high, generally 0.6% within 30 days and 2.9% within 3 years. However, its mortality rate is as high as 45%. Therefore, prevention deserves special attention.
Risk factors related to stent thrombosis mainly include: (1) high-risk patients, such as diabetes, renal insufficiency, cardiac insufficiency, high reactivity of residual platelets, premature withdrawal of DAPT, etc. (2) High-risk lesions: such as B2 or C complex coronary artery lesions, complete occlusion, thrombosis and diffuse small vessel lesions; (3) Operating factors: implantation of multiple stents, long stents, poor adhesion of stents, overlapping stents, extrusion technology, small diameter of stents or small inner diameter of lumen at the end of operation, structural deformation of stents, bifurcated stents, slow postoperative blood flow, positive vascular remodeling, incomplete lesion coverage or torn interlayer, etc. (4) Self-factors of stent: allergic to drug coating or polymer of stent, local inflammatory reaction of blood vessel caused by stent, stent breakage, delayed endothelialization of blood vessel, etc.
I can always meet people who have done heart stents, and I worry about this and that, sometimes I will ask for a long time. Of course, I understand. After all, anyone who keeps foreign objects in his heart will be worried. Today, we will talk about what we are most afraid of and what we should pay attention to after heart stent surgery.
First, I am most afraid of being banned again.
After cardiac stent implantation, what our doctors are most afraid of is that the stent is blocked again, which is of course the patient's greatest concern.
1, acute thrombosis in stent
It's not luck that the heart is released from the stent. In-stent thrombosis and in-stent restenosis are unavoidable at present 100%. The causes of acute thrombosis may be related to patients' poor sensitivity to drugs and improper operation, but the incidence rate is very low, and all patients are hospitalized after stent implantation, which can generally be found in the first time and rescued in time.
2. Restenosis in stent
It is also common that the stent is narrow again, that is, the stent is discharged after being finished, and after a period of time or years, the stent is blocked again.
The main causes of stent restenosis are failure to take medicine regularly on time, or to adhere to a healthy life, or to control the index ideally.
Aspirin and clopidogrel/Grelleaud should be taken one to one and a half years after stent implantation. If you don't take it for enough time, the risk of stent restenosis will increase.
After stent implantation, the blood vessels are really unobstructed, but if you can't adhere to a healthy lifestyle, you will produce more vascular garbage again, aggravate the plaque again, and even appear plaque in the stent, thus causing restenosis in the stent.
Others who take medicine but have no low-density lipoprotein stool will also increase the risk of vascular plaque formation, thus causing restenosis in the stent.
Acute thrombosis in stent is like an acute myocardial infarction, and restenosis in stent is like normal blood vessels being blocked again, so what I fear most after stent implantation is thrombosis or restenosis in stent.
Second, how can we ensure that the stent is unobstructed?
1, take medicine regularly and on time.
After stent implantation, take aspirin, clopidogrel or Grelleaud 1 to 1.5 years, and then stop clopidogrel or Grelleaud.
Take aspirin and statins for a long time and monitor the side effects. If there are no side effects, you can't stop using it.
Drugs to control three high levels must be taken for a long time, and blood pressure, blood sugar, blood lipid and heart rate, especially blood lipid and low density lipoprotein, should be lower than 1.8.
2. Review regularly
At 1 month, 3 months and 6 months after stent implantation, blood routine, liver function, renal function, blood lipid, blood glucose, creatine kinase and electrocardiogram need to be rechecked, and heart color ultrasound should be rechecked if necessary. On the one hand, we can know whether the drug has side effects, on the other hand, we can see whether the blood sugar and blood lipid are up to standard, on the one hand, we can see whether there is myocardial ischemia, on the other hand, we can see the heart function.
3. Adhere to long-term healthy living habits.
With the stent, we should pay more attention to healthy life, quit smoking and drinking, insist on proper exercise, don't stay up late, keep your mouth light, adjust your mood, and don't be too fat, so as to effectively control the further aggravation of plaque.
Three. Frequently asked questions after support
1, support life
The stent itself has no fixed number of years, so it doesn't need to be replaced, and it can't be replaced, because it can't be taken out after implantation. As long as the above three points are achieved, blood vessels can remain unobstructed for a long time.
2. Will the bracket fall off?
It said, if you can't take it out, how could you fall?
3. Can you still exercise after you have finished?
Whether the stent can move or not has little to do with the stent itself. Key heart function and the degree of cardiovascular stenosis, exercise is not recommended if there is heart failure or residual severe stenosis; If there is no heart failure, no residual stenosis and no angina pectoris, then it is necessary to insist on proper exercise.
4. Can I drink alcohol after stenting?
Even if you don't put a bracket, it is not recommended to drink alcohol. Long-term drinking is not good for Sangao and cardiovascular diseases, and naturally it is not good for stents.
5. Can I fly behind the bracket?
This is not directly related to the stent. You could have flown. After treatment, there is no heart failure or severe residual stenosis, and you can continue to fly.
In short, a simple understanding of stents is a way to open blood vessels, restore blood flow and save lives when acute myocardial infarction occurs; Or severe cardiovascular stenosis, angina pectoris that can't be controlled by drugs, stent is a method to support stenosis and improve blood flow.
When the stent is implanted in the body, most of the tasks of the stent are completed, and then how to treat it.
100% Some people say that stents treat the symptoms rather than the root cause. Actually, what you said was a joke.
If you don't save people when you have a heart attack, is there tomorrow? Severe angina pectoris, no stent treatment, what do you tell everyone? Don't be mysterious, pretend to understand, and spread rumors there.
Don't say whether this bracket is good or not, just tell everyone, what should I do? If there is a better way, no one will support it!
Stenosis and thrombosis in the stent are the most feared after cardiac stent implantation.
First of all, the interventional therapy of coronary artery stenosis has gone through three different stages. They are simple balloon dilatation stage, bare metal stent stage and drug-eluting stent stage. At present, it is in the stage of drug eluting stent.
Simple balloon dilatation only uses balloon to expand the position of coronary artery stenosis, and no stent is implanted, so the restenosis rate is as high as 30%-60% 3-6 months after operation.
In bare metal stent stage, the probability of restenosis in stent decreased after balloon expansion, but it was still quite high. The probability of in-stent restenosis after 3-6 months is 10-40%.
At present, all cardiac stents are implanted with drug-eluting stents, which can be released slowly, thus delaying stent stenosis caused by endothelial hyperplasia. The incidence of restenosis after drug-eluting stents is less than 10%.
Second, stent thrombosis Although drug-eluting stents have a lower incidence of in-stent restenosis than metal stents. However, studies have shown that the incidence of late stent thrombosis after drug-eluting stent surgery is higher than that of bare metal stent. It is mainly related to drug-eluting stent delaying vascular re-endothelium.
Therefore, for patients with cardiac stent implantation at this stage, the most feared thing is stent thrombosis.
Three. Precautions after stent implantation The formation of thrombus in stent is not only related to the characteristics of stent, but also related to the characteristics of patients with coronary artery disease and the technology of stent implantation.
1. In view of the high incidence of drug-eluting stent thrombosis, dual antiplatelet therapy should be adhered to 1 year after operation.
2. For the primary disease, long-term continuous medication should be taken after stent implantation, such as diabetes, and blood sugar should be controlled.
If possible, find a skilled doctor to operate.
According to Chen Ximing, chief physician of Cardiovascular Department of the Third Affiliated Hospital of Guangzhou Medical University, some patients received cardiac stent implantation and a coronary heart disease was cured. In fact, this is not the case, because there are still problems such as stent thrombosis and restenosis after stent implantation, so patients should pay attention to the following four points after discharge.
1. Adhere to antiplatelet therapy: aggregation therapy. The implanted stent is a foreign body in the human body, which is easy to form thrombus at the stent implantation site, leading to restenosis of blood vessels. Therefore, we must adhere to the regular anti-platelet aggregation therapy, that is, we must take clopidogrel and aspirin after surgery to prevent platelet aggregation. Generally, the course of clopidogrel is 1 year after operation, and one of clopidogrel or aspirin can be taken for life after 1 year. Because the above two drugs will affect platelet aggregation, it is necessary to pay close attention to whether there is skin and mucosal bleeding.
2. Strictly control blood sugar and blood pressure. Hypertension, diabetes, hyperlipidemia, obesity and smoking are risk factors for coronary heart disease. Therefore, blood pressure, blood sugar, blood lipid and smoking cessation must be strictly controlled after stent implantation. Blood pressure should be controlled below 140/90mmHg; Fasting blood glucose should be controlled at 6-7 mmol/L and 7-9mmol/L after meals, which can greatly reduce the damage to vascular endothelium after hyperglycemia and reduce the risk of thrombosis. At the same time, statins should be taken regularly, and lipid-lowering treatment should be strengthened to stabilize plaque and avoid blood vessel lipid deposition blocking the lumen again.
3. Be alert to chest tightness and chest pain. If chest tightness and chest pain occur again after stent implantation, we should be highly alert to the recurrence of coronary heart disease, and the patient should be admitted to hospital again for coronary angiography to determine whether there is stent thrombosis or restenosis.
4. Develop good living habits. Patients after stenting should develop healthy living habits, have good work and rest rules, avoid overwork and emotional excitement, emphasize quitting smoking and drinking, and at the same time take appropriate physical exercise according to their own abilities, such as walking and playing Tai Ji Chuan.
What are you most afraid of after cardiac stenting? What should I pay attention to? This is indeed a concern of many friends who have implanted stents in coronary heart disease. To tell the truth, to say that the heart is most afraid of stent placement, it should be said that there are many preventive measures, such as controlling blood pressure, blood lipid and blood sugar, insisting on taking anti-platelet aggregation drugs and statins. But among many precautions, if the most feared thing is mentioned, my personal opinion is "smoking". Why do you say that? Listen to Dr. Zhang's detailed introduction
No matter what is said in textbooks or the clinical experience of doctors in the real world, smokers have a higher incidence of coronary heart disease, because smoking can obviously promote the occurrence and development of atherosclerotic diseases. For many people who already have atherosclerotic plaques, as long as they smoke, even if they are implanted with heart stents, the results will not be too good. Generally speaking, as long as you smoke, even if you have implanted a heart stent, it is possible that the stent will be occluded again in the later stage, or even new lesions will grow in other parts outside the stent, and it may be necessary to implant the stent again.
So that cardiologists often see patients who have put down their stents before re-operation on the operating table, and they can't help but ask: "Didn't you quit smoking?" Have you smoked? "The reason why doctors ask this question is because doctors are experienced. As long as they see the stent problem again, they instinctively think it is caused by smoking. In fact, for all patients with heart stents, almost all doctors will keep telling them to quit smoking, but many people just don't listen. So many people finally regretted it, so what did Dr. Zhang mention that patients were most afraid of after stent implantation? My understanding is that I am most afraid of smoking and I am most afraid of not quitting smoking!
In fact, in addition to quitting smoking, it is also suggested that the majority of patients with coronary heart disease should manage their blood pressure, blood lipid and blood sugar well, and at the same time pay attention to improving their lifestyle, insist on taking medicine and review regularly. As long as these points are done well, it should be said that most patients with cardiac stents will have a good result and will try their best to control the lesions.
I didn't take any medicine for heart disease, and no doctor in any hospital judged that I had a heart disease. My hospitalization was only based on an abnormal ECG s-t, which is the consistency of ECG in three hospitals. On the day of hospitalization, I was pushed into the operating room for cardiac angiography, and then two stents were installed.
I knew nothing about brackets before installing them. Because it's none of our business, who will pay attention to the stent? Because of the installation, I can only read books and inquire about the patient's condition, and I find that the biggest problem in installing the stent is to maintain the normal operation of the stent. A little carelessness will not only give up all previous efforts, but also bring endless troubles. Why do you need a bracket? The important problem is that your long-term living habits have caused your blood vessels to block; If you can't change your living habits effectively, then your vascular problems can't be cured, even if the problem of medication is only to raise the soup to stop boiling.
Scientific living habits are the most important.
Cardiac stent implantation is the most effective method to unblock coronary artery obstruction or stenosis. In many cases, the effect of stent implantation is immediate, so it is an effective way to prolong life. The management of cardiac stent implantation is very important. Let's look down together
Moreover, with the centralized procurement of high-value medical consumables jointly carried out by the National Medical Insurance Bureau in June this year, the price of stents dropped from the average price10.3 million yuan to 700 yuan. The implementation of this policy of benefiting the people means that more people with indications for cardiac stent can choose this operation, which is very encouraging.
But after heart stent surgery, it doesn't mean you can sit back and relax. I shared the story of a patient I experienced personally, about seven or eight years ago. Now that I think about it, I still feel sorry. Is a 50-year-old rural patient, because of myocardial infarction, did a heart stent implantation surgery, after the completion of the effect is very good. However, patients have to face the reality that stent surgery alone has spent all their savings and even owed money. However, after reluctantly taking several anticoagulants and other drugs, I felt that my body was not unwell and stopped taking the medicine on my own. In addition, there is the biggest practical problem, that is, he is the pillar of the family, and he has a child who is attending school, so he can't work hard to earn money to support his family.
/kloc-One day after 0/year, after overwork, he felt sick again. In his own words, he heard an abnormal sound below his neck. The purpose of coming to the hospital is not to continue to receive examination and treatment, but to take medicine home. He insisted on going home after many people failed to persuade him. On the way home, the patient fell to the ground and never stood up again.
This incident gave me a great shock. Let's put aside economic conditions. After cardiac stent implantation, there are indeed many places to pay attention to. Not to mention the stent problem, the disease just before the stent indicates that the patient is terminally ill. Why put a heart stent? It's because of a heart problem.
Such as acute myocardial infarction; In addition, the coronary artery is severely narrowed, that is, the stenosis exceeds 75%, and the symptoms are obvious; Some patients with acute coronary syndrome have no serious vascular obstruction, but unstable plaques, which are easy to rupture and induce thrombosis; In addition, if the symptoms are not obvious, but the patients with vascular stenosis are above 90%.
Therefore, coronary stents are treated only when they are serious. So the subject asked what is the most feared after heart stent implantation? The most feared thing after cardiac stent implantation is that it is not well managed for various reasons. Some people think that everything will be fine with a heart stent; Some people reduce the anticoagulant drugs they should take because of economic and other reasons; There are still some people who have not done a good job in daily lifestyle management and so on.
We said that we should not put too much ideological pressure on the stent, but at the same time we should not relax management, so we are afraid that we will not pay enough attention to the stent.
Since the coronary stent is placed, it needs to be carefully maintained to maximize its help to its own health. This needs to be done: first, after heart stent implantation, we should get rid of the previous bad eating habits and lifestyle. Heart disease requires stent placement, largely because of incorrect diet and lifestyle.
For example, pay attention to diet, low-salt diet, less than 6 grams of salt every day, and pay attention to the intake of invisible salt such as soy sauce and pickled food. At the same time, we should have a low-fat diet and eat less high-fat and high-cholesterol foods such as fat meat and animal offal. Don't overeat every meal.
Furthermore, activities and labor should be carried out step by step, especially avoiding strenuous exercise and heavy physical labor. At first, you can move things indoors. Then, when you feel no difficulty, you can start walking. The speed and pace of starting walking are based on comfort. In the future, step by step. In order to improve the heart rate and breathing rate, start with a comfortable walk, and then gradually increase the walking time and distance, whichever you can bear. According to your actual situation, do manual labor slowly. If you feel better, you can start doing housework, engage in some minor housework initially, and also pay attention to avoiding violence and exertion, combining work and rest, and so on.
At the same time, manage emotional problems, don't be in a lost mood for a long time, and don't be too angry and nervous. Work and rest regularly to avoid staying up late.
In addition, there is another important aspect, that is, we must give up smoking. Try to drink less. Quit if you can.
Second, take medicine actively under the guidance of a doctor.
Especially in the first year after cardiac stent operation, it should be managed well, and then continue to manage. Because restenosis or thrombosis may be the most critical in the first year after operation.
Drug therapy includes anticoagulants, antiplatelet aggregation drugs or drugs for regulating blood lipid. These drugs need to be taken under the guidance of a doctor. If there are no special adverse reactions, some of them need to be taken for life.
If you need to stop taking medicine, you also need to stop taking medicine under the guidance of a doctor.
Third, we must manage other basic diseases.
Because hypertension, hyperlipidemia, diabetes, smoking, alcoholism, obesity, lack of exercise and mental stress are all important risk factors for the recurrence of coronary heart disease. Therefore, besides lifestyle management, the management of other basic diseases is also very important.
It is necessary to control blood sugar within the normal range. For example, the blood pressure of young people should be below 130/80mmHg, and that of the elderly should be below 140/80mmHg. Fasting blood glucose should be lower than 6.1mmol/L. For example, low-density lipoprotein in blood lipids should be controlled below1.8 mmol/L.
The control of these basic diseases is stricter than before stent implantation.
Fourth, we must do a good job in postoperative review.
Under normal circumstances, a comprehensive review should be done 3 months after operation. Or make an appointment with the surgeon when to review.
Most importantly, if you have any discomfort or problems at home, don't hesitate to contact the local hospital or the hospital in operation as soon as possible and see a doctor in time.
Therefore, although the symptoms of coronary heart disease can be alleviated or disappeared after cardiac stent surgery, cardiac stent surgery only solves the most serious local problem of coronary artery disease and cannot change the occurrence and development of atherosclerosis. Therefore, after coronary stenting, besides actively managing the thrombosis after stenting, it is also necessary to actively manage the important risk factors of coronary heart disease recurrence, which need lifelong management. I'm a general practitioner. Thank you for your support and attention!