Can you get a clean bill of health after coronary stenting?

Coronary stent implantation (PCI), one of the powerful weapons in the treatment of coronary heart disease, can effectively relieve angina symptoms and save the lives of patients with acute myocardial infarction. However, many patients believe that stent implantation is a “radical” surgery, which can solve coronary heart disease once and for all. This is one of the most common misconceptions, because after stenting, we have to continue to carry out routine drug therapy and lifestyle management. First, follow the doctor’s instructions to take medication 1. Aspirin If there are no adverse reactions and contraindications, aspirin needs to be taken for life, you can choose aspirin enteric-coated tablets (0.1g/tablet). 2. Clopidogrel (etc.) Postoperative generally need to take two kinds of antiplatelet drugs, including the above aspirin, the other one is also commonly used drugs are clopidogrel, and just listed in China’s Tegretol. The duration of taking these drugs should be determined according to the type of stent and the patient’s condition, and generally they should be taken for 1 year. 3. Statin lipid-regulating drugs such as atorvastatin and resuvastatin. Patients have a serious misunderstanding of this drug, and many people stop taking the drug after their blood lipids are checked to be “normal”, which is a big mistake. Coronary heart disease patients lipid levels, and ordinary people are different, unless some special circumstances, even if the blood fat in the “normal” level, but also to take the drug for a long time, such as blood fat does not meet the standard, may also need to increase the dose of drugs. 4. Other drugs such as angiotensin-converting enzyme inhibitors (e.g., “xx Puli”), beta-blockers (e.g., “Betalucil”), such drugs as the cornerstone of coronary heart disease, the role of the drug can not be ignored, especially for those patients with myocardial infarction, but not all patients need or Not all patients need or can tolerate, need to follow the doctor’s instructions to take. Second, regular follow-up General need timely follow-up after surgery, the doctor will be based on the patient’s individual situation, review the relevant laboratory tests, and adjust the dose of drugs. It must be noted that the dosage of many coronary heart disease medications is not fixed, such as statins, angiotensin-converting enzyme inhibitors, β-blockers and so on, please be sure to keep in mind. Moreover, each drug may have side effects on the organism, which should be followed up and monitored. For example, statins may trigger side effects such as elevated liver enzymes. Exercise Each surgical patient’s tolerance of exercise varies, and is related to factors such as heart function, degree of stenosis, and stent opening. Some patients can gradually return to the normal state of health, while others may not be able to return to the original level, and should gradually resume exercise according to the doctor’s advice, and should not suddenly increase the amount of exercise in a short period of time. 2. Diet: Follow the principle of “low salt and low fat”, eat more fresh vegetables, fruits, fish, soy products and dairy products, etc. It is not advisable to eat a lot of animal offal and high-fat, high-cholesterol food. At the same time, you should also limit alcohol consumption. 3. Quit smoking Quit smoking, no doubt. Cigarettes can not only accelerate the process of atherosclerosis, but also directly lead to coronary artery damage, spasm and so on. Therefore, patients with coronary heart disease, especially after stenting, should strictly quit smoking. 4. Weight control Obesity is the “root of all evil”, hypertension, diabetes, high blood fat, can be secondary to obesity. Teach you a way to estimate whether you are obese or not, calculate the body mass index (BMI), with weight (kg)/height x height (m), the normal value of 18.5-23.9, >24 is called overweight, >28 is called obese. You calculate, if overweight, hurry to lose weight. 5. Optimistic mood, adequate sleep Research has proved that most patients with coronary heart disease have psychological problems, including anxiety, depression, and so on, and adverse emotions may aggravate and induce myocardial ischemia attacks, so it is particularly important to maintain a stable, optimistic mood. At the same time, enough sleep will make you full of energy for the day, I personally recommend to ensure at least 7-8 hours of sleep. 6. Monitor blood pressure and control blood sugar To treat coronary heart disease, it is important to control blood pressure and blood sugar at the same time. Summing up In conclusion, after coronary stenting, patients should not be careless and pay attention to the medication prescribed by the doctor, together with a reasonable lifestyle in order to maximize the maintenance of health and slow down the progress of the disease.