Precautions after stenting

  Coronary heart disease is caused by atherosclerotic plaques in the coronary arteries (the blood vessels supplying the heart itself) that narrow or occlude the lumen of the blood vessels, affecting the blood circulation of the heart and leading to its own ischemia, causing angina symptoms or even threatening life. Currently, medication is the basis of treatment, but stenting is effective for severe stenosis. However, stenting is not a “one-and-done” procedure, and the restenosis rate after stenting is about 5%. What are the common concerns of patients and families after coronary intervention?  1. Regularly taking the medication package for coronary artery disease: This is basically the lifelong medication for coronary artery disease, and has little to do with stenting or not. a antithrombotic drugs: to continue to take two antithrombotic drugs (commonly used in China, such as aspirin, Bolivar or Tegretol) for about 12 months to avoid thrombosis, and then use aspirin for long-term maintenance. b statins to control blood lipids, especially to reduce low-density cholesterol, while stabilizing coronary atherosclerotic plaques. c control blood pressure, to control blood pressure below 140/90mmHg; d In patients with combined diabetes, fasting blood glucose or postprandial blood glucose should be controlled at normal levels. Drug treatment must be under the guidance of cardiovascular specialist.  2.Appropriate exercise: regular exercise promotes the growth of myocardial collateral vessels in the ischemic area, which helps to keep the coronary lumen open and the recovery of cardiac function. The level of postoperative activity should be determined according to the preoperative physical condition, activity habits, and the different environments in which they are located, such as walking, jogging, swimming, etc., 3-5 times a week, 30-45 minutes of aerobic exercise each time. Especially after myocardial infarction, the heart function is usually restored to stability after three months, and it is recommended to review the heart ultrasound to understand the heart function before deciding. Note: Exercise must be gradual, positioned as a rehabilitation exercise, combining work and rest, and avoiding excessively strenuous exercise.  3. Quit smoking and abstain from drinking alcohol. Smoking and drinking can cause the formation or rupture of atherosclerosis and the formation of new blockages and stenoses, and the current domestic smoking cessation environment is good.  4, regulate the diet: there is no absolute taboo, the principle should be to talk about the diet, eat more new r vegetables, fruits. Protein should be mainly fish, other beef, mutton, chicken, duck, soybean products and dairy products, etc. Eat less animal offal, squid, crab yolk, egg S, and fried, fried, barbecued and other foods, do not overeat or eat too much.  5, to maintain emotional stability: many patients with coronary heart disease have varying degrees of psychological stress, which may accelerate the progression of atherosclerotic lesions and increase the occurrence of cardiac emergencies, should avoid great joy or mental depression.