At 2 am, 58-year-old Uncle Zhang was sent to the hospital for emergency treatment due to a heart attack. Although his life was picked up, Uncle Zhang still became worried when he learned that the doctor put the stent on him: said that after putting the stent, he would not live long? Hearing Uncle Zhang’s question, the doctor told Uncle Zhang that putting a stent would indeed affect life, but it was an indirect and positive effect.
Due to the therapeutic effect of the heart stent, the life span of heart disease patients may be prolonged.
For the following two types of heart disease patients, stents are especially necessary
Heart stent, that is, Place a stent in the coronary artery stenosis area to remove the narrowed blood vessel The road supports to allow blood to flow smoothly, thereby improving the blood supply of the myocardium. The invention of the heart stent technology is a great thing. It is no exaggeration to say that some patients with coronary heart disease are reborn because of the heart stent.
For the two types of coronary heart disease patients, the heart stent is particularly important.
One is a patient with acute myocardial infarction. The so-called acute myocardial infarction is coronary artery acute, persistent ischemia and hypoxia leading to myocardial necrosis . If the patient's blood vessels cannot be opened in time, most of the patients will not survive. This is the critical moment when the heart stent comes in handy. Therefore, the effect of the heart stent on patients with acute myocardial infarction can be said to be Related to Life .
The other category is patients whose angina pectoris is difficult to relieve. Angina pectoris has been difficult to alleviate, and meeting greatly reduces the patient’s quality of life . Moreover, the blood vessels of these patients are mostly in a severely narrowed state, which is close to being blocked. Placing a heart stent to open up blood vessels can not only effectively improve the quality of life, but it is also the best way to plan ahead to reduce the risk .
Moderate maintenance after stent operation is necessary.
Many patients have doubts about heart stents because they believe that placing a heart stent will affect lifespan . In fact, this is because many people have a wrong understanding of the role of heart stents. Heart stents can only relieve the temporary crisis or relieve symptoms, but do not fundamentally treat coronary heart disease. If you want to effectively extend life, patients still need to pay attention to maintenance after stent surgery.
Control the three highs
Patients with three highs must actively control the three highs.
Hypertension Easy Increases the blockage of cardiovascular and cerebrovascular vessels and even causes rupture ; High blood sugar is also prone to aggravate blockage, even worse than high blood pressure; Hyperlipidemia is the culprit of coronary heart disease, especially low density lipid The protein cholesterol concentration has the greatest impact . These three hyperemias are extremely harmful to patients with coronary heart disease, and they must be strictly controlled even after stent surgery.
Scientific use of drugs: antiplatelet + statin
Patients with coronary heart disease cannot stop taking the drug even after placing a heart stent.
On the one hand, blood vessels may re-stenose or produce in-stent thrombosis, anticoagulant drug must be taken for life; on the other hand, it is necessary to solve the fundamental problem of coronary heart disease, which is to lower blood lipids and try to avoid Cholesterol deposits appear on the blood vessel wall again, causing new stenosis, so statin drugs should be taken consistently and for life.
Quit smoking and alcohol
Tobacco and alcohol are independent risk factors for coronary heart disease.
Various harmful substances in cigarettes can cause vasospasm, increased blood pressure, increased cholesterol, arrhythmia and other problems; large amounts of alcohol canIncrease the fat in the blood. These problems will aggravate coronary heart disease, so even if you have a heart stent surgery, you must actively quit smoking and alcohol.
Regular review
After coronary stent surgery, patients with coronary heart disease should also insist on regular review. Pay attention to the level of blood pressure, blood glucose, blood lipids, blood viscosity and other indicators. If these aspects are not well controlled, the patient may face the risk of recurrence once every six months. If you have a patient with three hyperemia or cerebrovascular disease, it is necessary to maintain the frequency of re-examination once every 2 to 3 months in order to take timely measures for abnormal conditions.
Regarding the stent, you still need to know these
The symptoms disappear, and you must continue to take the medicine
As mentioned earlier, the heart stent is just a life-saving Temporarily or relieve the symptoms, and did not fundamentally remove the risk factor of coronary heart disease. Therefore, after heart stent surgery, patients still have to continue to take medication to solve the fundamental problem. In addition to anticoagulation and lipid-lowering, patients with hypertension or diabetes should also continue to take antihypertensive drugs or hypoglycemic drugs.
Moderate exercise within the body's tolerance
Moderate exercise is one thing that patients with coronary heart disease must insist on after placing a heart stent. It is recommended that properly and reasonably arrange the amount of exercise under the guidance of a doctor, and at the same time pay attention to avoiding high-calorie diets, and to adhere to it for a long time.
If you feel uncomfortable, see a doctor in time.
After heart stent surgery, the patient may feel that the symptoms are relieved and comfortable, but it must not be taken lightly. Once skin or gastrointestinal bleeding or fatigue occurs Symptoms such as weakness are likely to be side effects caused by drugs, so you must go to the hospital in time, and should not stop or change the medicine by yourself. .
After reading this article, do you still have doubts about the heart stent? Just remember that the heart stent does not solve the fundamental problem, and coronary heart disease still needs long-term treatment.
References:
1 Shen Farong. Expert clarification: Heart stent surgery "four deadly sins". Health and life. 2014 Issue 12
2 Heart stents are not terrible. Weifang Evening News. 2015
3 on February 12, 2014 Who needs to put the bracket? The truth is here! .Medical Cardiovascular Channel. 2019.11
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