When is it appropriate to have a stent for myocardial infarction?

Patient: Male, 40 years old, previously in good health. He was admitted to hospital a week ago for myocardial infarction. Main symptoms: chest tightness, cold extremities and transient coma. He was resuscitated in a local hospital and had a coma, but now he is improving. The hospital has issued a notice of critical illness. When is it appropriate to do stent surgery? Is there any nano-robot for arterial vascular cleaning in ZII? What is the effect? If there is no nano-robot, what is the effect of vascular robot? What are the side effects? What is the cost? Can I be transferred to ZJII now? If angiography was done in the local hospital (not yet available), is it redone in ZJII? Sun Yong, Department of Cardiovascular Medicine, The Second Hospital of Zhejiang University School of Medicine: There is no clinical nano-robot to deal with vascular problems. You are currently having a heart attack for a week, you can be transferred to our hospital, and the angiogram and intervention will be available after the holiday (October 4-5). Patient: Director Sun, I was considering going to your hospital for surgery, but considering all factors, I would like to ask you to come out to our local hospital to do stent surgery for me if it is convenient, because Dr. Liu Xianbao of your hospital and Chen Wenai of our local hospital said you are the best in doing this type of surgery. I wonder if it is convenient for you? Patient: Director Sun, I finally considered going to your hospital for this surgery, and I hope you will personally preside over this to do the surgery. I hope you will reply to me as soon as possible. Thank you! Sun Yong, Department of Cardiovascular Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine: Yes, welcome to our hospital! Patient: Director Sun, under your personal surgery, I have been successfully discharged from the hospital, thank you very much for the care and treatment given in your hospital. I went home to look at a large bag of drugs, the choice of the time to take drugs feel very confused, the following is my own production of a table you see whether it is appropriate? Please answer in your busy schedule, thank you! Sun Yong, Department of Cardiovascular Medicine, The Second Hospital of Zhejiang University School of Medicine: Yes. Adhere to the medication, basic vegetarian, quit smoking and limit alcohol, appropriate exercise, relaxed mood, outpatient follow-up. Patient: Director Sun, it’s been almost a month since the surgery, and I’ve already had my blood drawn for routine blood tests, blood biochemistry, and blood lipids here at the ZJU general clinic today. I would like to register for your specialist number tomorrow, please give me an extra number by then. Thank you! Sun Yong, Department of Cardiovascular Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine: Okay. Patient: Dr. Sun, it’s been almost 3 months since my stent surgery. The current condition is fine, with occasional angina and panic. In recent times, my blood pressure has occasionally been measured at about 140/90. I am going to go to you for follow-up next Tuesday. 1. I would like to ask what tests need to be done beforehand? Thank you! 2.A colleague just said that a friend of his had 8 stents before and after, and he felt uncomfortable in his chest when he heard this situation. I’m sorry. What is the probability of re-clogging in my case? The second hospital of Zhejiang University School of Medicine, Department of Cardiovascular Medicine, Sun Yong: liver function lipid blood routine Patient: Hello Dr. Sun, I had a stent placed in your surgery on October 11 last year. Before the Spring Festival (January 17), I had a checkup with you at Zhejiang Second Hospital, and a few days ago (February 14), I had a checkup at a local hospital, and the results are attached. It feels like the glutamyl transferase index 105, which is obviously about 3 times higher than the reference range (1 – 35), and also triglycerides 1.84, which is higher than the reference range. The high-density lipoprotein cholesterol and low-density lipoprotein cholesterol indicators are low, as shown in the two attached report sheets. 1. I would like to ask if this lab result should be taken seriously? What do I need to pay attention to? Do I need to adjust my medication? 2. Is it possible to take some supplements, such as iron bark maple? Sun Yong, Department of Cardiovascular Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine: The test is not a big problem, and the medication does not need to be adjusted, but you should not drink alcohol. Whether or not to eat iron bark is up to your own will. Patient: Dr. Sun, last time I went to you for a follow-up, thank you for your patience. I am basically sure that I will go to you next month for a coronary angiography. These days, because the right wisdom tooth is firmly on top, the tooth is a bit painful. I wonder if it is convenient to pull it out together with the hospitalization, because it is safer there. Sun Yong, Department of Cardiovascular Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine: Don’t pull out the tooth until it’s absolutely necessary.