Post-coronary artery bypass grafting considerations.
Coronary artery bypass grafting (CABG), also known as coronary artery bypass grafting, is an effective method for the treatment of mid- to late-stage coronary artery disease. Bypass grafting is generally divided into two types: stopping and non-stopping. Nowadays, most of the procedures are performed by non-stopping bypass grafting, i.e. bypass grafting is done with the help of fixators while the heart is beating. Generally, the internal mammary artery and the anterior descending branch are used to anastomose, and the aorta is anastomosed through the saphenous vein and other branches.
Indications for surgery.
1.Significant left main lesion;
2.Proximal lesions of the left anterior descending branch or left circumflex branch similar to the left main lesion;
3.Vascular lesions of three branches of the coronary artery;
4. Non-surgical treatment cannot be performed or is not the best option.
Coronary artery bypass grafting is not a radical surgery, it does not change the etiology and pathology of coronary artery disease; it only changes the pathway of blood flow supplying distal vessels. Therefore, it is very important for the comprehensive treatment and conditioning of patients after bypass surgery, and there are several aspects that need to be noted as follows.
I. Lifestyle.
1, after bypass surgery patients require regular life, regulate their own endocrine and hormone regulation;
2, moderate exercise, help calorie consumption, mediation of blood sugar and lipid metabolism;
3, prevention of constipation.
Second, control blood pressure and blood sugar.
Actively treat hypertension and diabetes, so that blood sugar and blood lipid control in the normal range.
Third, quit smoking and alcohol.
This is nothing to say, smoking must be quit, drink less wine, you can drink a small amount of red wine.
Fourth, lipid-lowering treatment.
The reason why it is listed separately is that research now shows that lipids and the onset of coronary heart disease have an important relationship, coronary heart patients have a condition of high blood lipids; there is another kind of lipids in the normal range, but may be the lipid utilization disorder caused by the lipid deposition in the intima, so bypass patients must control the lipids at a lower level than normal, the most important low-density lipoprotein control at 2.0 mmol /l.
V. Diet.
Low-fat diet, this is well understood; northern patients must pay attention to low salt.
Sixth, drugs.
Aspirin 100mg/day for life;
Coronary expansion drugs (such as Lunan heart Kang, Isradine, etc.), oral for 3 months;
Oral anti-inflammatory drugs: 1 to 2 weeks;
Betalactam 25mg, 2 times/day (to lower heart rate and reduce myocardial oxygen consumption), can be taken for a long time, slightly affects blood glucose metabolism;
Lipid-lowering drugs, many kinds, can be taken orally for a long time, need to regularly review liver and kidney function and lipid reduction to the amount;
Other drugs, such as hypoglycemic drugs, myocardial nutrients, etc., can be taken according to the condition and other options.