Introduction: Some time ago, there was a rumor on the Internet that cardiac stent surgery is about to be stopped because the risk is too great. It also claims that Beijing TV station reported that the installation of cardiac stent will be gradually stopped in China, and instead in clinical promotion, using a polishing probe to clear hard plaques in the heart blood vessels as a treatment method.
There are even many people who say that Shanghai Chest Hospital has started this treatment method, and this treatment method will be quickly promoted nationwide, and a video of the operation has even been attached. Therefore, this news has attracted everyone's attention. So is this statement true or false?
1
will the heart stent surgery be gradually stopped in China?
Actually, there is a rumor about this statement, and this rumor has appeared in 2019. Recently, many people have sorted out this rumor again.
Chief physician of the Department of Cardiovascular Medicine at , Beijing Anzhen Hospital affiliated to Capital Medical University, said that the blood vessels shown in the video are more like organs connected to ureters, and more like the plaques in the kidneys in the body that are broken, and they look like stones, so this is actually a process of graveling stones, not the removal of blood vessel plaques as mentioned on the Internet.
Plaques appear in the blood vessels of the heart. Can they really be crushed by rotary grinding?
In fact, this technology does have clinically called this technology. It is called coronary arthroplasty technology, which is mainly used to treat severe calcification lesions in patients with coronary heart disease .
When people are treated, they use the high-speed rotating head with diamond particles to protrude into calcified plaques in the blood vessels, grinding the plaques into smaller particles than Red blood cells , and then as the blood is unblocked to the distal end of the coronal can remove the plaques.
1 stent implantation can reconstruct the patient's coronary blood flow. Moreover, coronary aryngeal membrane technology cannot replace heart stent surgery. It is more of a good helper with heart stent implantation.
In real life, many people have many different opinions on heart stent surgery. Many people believe that heart stent surgery has long been eliminated abroad, and only Chinese people have been using it. Some people even say that heart stents are equivalent to placing time bombs inside the body. So is this the case for this statement?
2
Heart stent is a time bomb placed in the body?
In fact, in response to the above statement that "cardiac stent surgery is equivalent to burying a time bomb in the body", medical experts have also made relevant analysis. In recent years, almost every hospital has had the same situation, with patients and families who have acute myocardial infarction and have also refused emergency stent surgery.
Everyone should understand that "time is the myocardium, myocardium is life". There is no doubt that emergency stents are the best way to treat acute myocardial infarction. "The heart stent is like a time bomb placed in the body" is purely a rumor . If everyone is misled and delayed treatment and life-threatening, I really don't know who is immoral. Malicious speculation and slander are actually the patients who are injured.
Expert also emphasized that there are two main problems after cardiac stent surgery that deserve everyone's attention. First, after implanting the drug stent, 5% to 8% of patients will be narrowed again. It can be solved by taking medication or stent or coronary artery bypass, and the latest drug-coated balloon expands the stenosis.
Then the second problem is that 1% of patients are likely to form acute thrombosis within one year. Once an acute thrombosis occurs, it is equivalent to acute myocardial infarction.
In fact, the current mortality rate of myocardial infarction has gradually dropped to about 6% due to medical advancement and popularization of stenting. Therefore, it is not as terrible as a time bomb, and for most patients a year later, this risk is almost gone.
3
So why do patients with coronary heart disease need to take medication for life?
The reason for taking drugs after heart stent surgery is mainly coronary heart disease. That is to say, due to cardiovascular stenosis, we need to take drugs to control the aggravation of blood vessel stenosis again, and to prevent plaque rupture and thrombosis, and to prevent myocardial infarction.
Then we have to say that after finishing the stent, we must protect the stent from bleeding often or the stent is narrower again. The drugs that need to be taken include statins , aspirin, ticagrek or clopidogrel .
ticagrelor or clopidogrel is a drug that needs to be taken for 1 to 1.5 years after the stent. If there is any difference in medication for patients with coronary heart disease without stents, then ticagrelor/clopidogrel is the only difference.
That is to say, people who put the stent only have more ticagrelor/clopidogrel than those who don’t put the stent.
, and aspirin statins, which reduce the three highs, reduce the heart rate , and expand the blood vessels, etc., whether it is not allowed to put the heart stent, it requires long-term or even lifelong use.
So the reason why you need to take medicine for a lifetime is not because the doctor puts a heart stent, but that coronary heart disease has occurred before putting it in the heart stent. If there is no coronary heart disease, you don’t even need to put a stent, so don’t put it in a very stent, so don’t put it in a very stent and say that you must not put the stent. If you put it in, you need to take medicine for a lifetime.
4
Is the disease cured after the stent surgery?
In life, many patients with acute myocardial infarction have undergone interventional surgery and have implanted their heart stents in a series of care and gradually returned to normal state. They think that their condition has completely improved and no longer have to worry. So is this really the case?
is actually wrong and relatively macro-oriented to this idea. The heart stent is only a means of first aid. It can help patients open up blocked blood vessels faster, alleviate the problem of myocardial ischemia , and temporarily get rid of life danger. But everyone should understand that this treatment surgery is a treatment of symptoms but not the root cause.
That is to say, after performing cardiac surgery stents, patients still need to follow the doctor's instructions, pay attention to their life and diet, so as to effectively reduce the risk of thrombosis and stent stenosis in the stent, and avoid the problem of recurrence of myocardial infarction.
5
What are the precautions after heart stent surgery
. After putting it in the heart stent, the patient should follow the doctor's instructions, insist on taking the medicine, and pay attention to his own observation.
. After heart stent surgery, patients need to follow the doctor's instructions and check regularly. Blood pressure, blood lipids , blood sugar, liver and kidney function and other items;
primary disease patients, such as diabetes hypertension, cardiovascular and cerebrovascular diseases should pay more attention to treatment and regular examinations. If the indicators are higher than the normal range, active treatment measures need to be taken.
3. After heart stent surgery, patients should pay attention to moderate exercise and maintain a positive and optimistic attitude. This is also a principle that must be followed after stent surgery, but patients with coronary heart disease are exercising and dysfunctioning.
patients with coronary heart disease should combine their actual situation when exercising, and gradually follow the doctor's advice. At the same time, they should also quit smoking and drinking, maintain a low-fat and low-sugar diet, be unhurried when encountering problems, and combining work and rest is beneficial to their health.
4. After placing the heart stent, the patient's chest pain and the symptoms of chest compression disappear. However, this operation only solved a small part of the blood vessel problem, such as hyperglycemia , hypertension, hyperlipidemia and hyperlipidemia still exist, and it will also cause damage to the inner wall of the blood vessels. Therefore, this type of patients need to persist in taking antihypertensive drugs, antihypertensive drugs, and lipid-lowering drugs for a long time after the heart stent surgery.
5. After heart stent surgery, patients should eat foods rich in dietary fiber, such as various fruits, vegetables, brown rice, whole grains and beans, which can help the feces be better excreted, prevent constipation, stabilize blood sugar and blood lipids.
