High 80s – not a no-go area for heart bypass surgery

For more information, please click: Coronary Artery Disease Bypass Professional Network http://www.cabg120.com] As we all know, coronary heart disease is a rich disease, with the continuous development of social economy, many “civilized diseases” caused by wrong lifestyle are significantly increased than before, and it is expected that the incidence of coronary heart disease in China will peak in 2020. It is expected that the incidence of coronary heart disease in China will reach its peak in 2020. At the same time, with the significant increase in the average life expectancy of the people, the aging of the society in China has begun to appear, according to the definition of the World Health Organization, before 65 years old is considered middle-aged, from 65 to 74 years old is considered middle-aged and elderly, and from 75 to 90 years old is really considered elderly. In the past, due to the limitation of medical conditions and the backward concept, patients over 80 years old rarely received heart bypass surgery, but with the progress of science, advanced age is no longer a contraindication to surgery; at the same time, people have a higher pursuit of quality of life, more and more aged people also optimistically walked onto the operating table, accepting the bridge of life again, and the quality of life after surgery After the surgery, the quality of life is significantly improved and they enjoy the second rebirth brought by modern civilization. The heart pumps out blood day and night to deliver nutrients to all organs and tissues of the body. As the pump of life, the heart itself also needs a very sufficient amount of oxygen and nutrients, which are provided by a system called coronary arteries. If the coronary vessels become diseased, causing narrowing or occlusion of the lumen, it will lead to ischemia of the myocardium supplied by this coronary artery, which will increase the burden on the heart and cause an attack of angina when there is emotional excitement, sudden climate change, or even dry stool; and more serious coronary artery lesions are like an untimely bomb, which will cause a large area of myocardial infarction and sudden death. If effective treatment is not carried out, the number of attacks will become more and more serious and frequent, and even lying in bed all day to infuse nitroglycerin will cause angina attacks, which will seriously affect the quality of life, and the psychological pressure is extremely high, and the life is in a dangerous state at any time. Only surgical heart bypass surgery can solve the fundamental problem of such a serious lesion, therefore, patients who have the conditions should try to choose surgical treatment. Coronary artery bypass grafting (CABG), commonly known as “bypass grafting,” involves taking the patient’s own blood vessels (such as the internal mammary artery, the saphenous vein in the leg, the radial artery in the arm, etc.) and connecting the distal end of the narrowed coronary artery to the aorta This allows the blood to bypass the stenosis, just like a “bridge” over the heart, allowing the blood to reach the distal part of the ischemic artery, thus improving the blood supply to the heart muscle, relieving angina symptoms, improving heart function, improving the patient’s quality of life and extending life expectancy. Of course, we must not avoid the medical risks associated with advanced age, as the body of an elderly person is like an “old car”, which should not be touched easily. Surgery on the heart is inherently riskier than other surgeries, not to mention that the surgery is performed on elderly people, so the age group above 80 years old was once considered a no-go area for coronary artery bypass surgery. Medical studies have shown that age is an independent risk factor for surgical risk, and the older the age, the greater the risk of surgery. The reasons for this are, on the one hand, that cardiac surgery itself is very risky, and that the organs of the elderly are in a state of degeneration, and the compensatory capacity of each organ in the body is reduced after an intraoperative blow, resulting in poor tolerance of the surgery. On the other hand, most elderly people have chronic diseases such as hypertension and diabetes, and their postoperative resistance to infection and recovery are slow. Although age is one of the risk factors for surgical risk, with the advancement of medical technology and equipment, as long as the condition is fully grasped, thorough preparation and correct surgical treatment plan is made, advanced age is no longer a forbidden area for bypass surgery, and coronary artery bypass surgery for elderly patients over 80 years old can still achieve satisfactory results. A medical study has shown that physicians should not only perform conservative treatment but also consider surgical treatment for older adults over the age of 80, and that the success rate of cardiac coronary artery bypass surgery in people over the age of 75 is no different from that of younger people. After heart bypass surgery, the risk of death decreases by half compared to patients of the same age in the same situation, and the life expectancy is significantly longer than that of patients of the same age who did not undergo surgery; at the same time, the frequency of angina attacks is significantly reduced and the quality of life is significantly improved. The number of elderly patients over 70 years of age who receive coronary artery bypass grafting at our hospital each year has increased significantly, and the success rate of the surgery remains at the leading level in China, thanks to the full trust and cooperation of patients and their families in our team. Today’s medical level keeps advancing, under the guarantee of superb professional team, leading medical technology and advanced professional equipment, advanced age is no longer an absolute contraindication to heart bypass surgery, but the ideological concerns of patients and families are the main contraindication to restore health, we should realize that although coronary heart disease cannot be cured, modern medicine can stop or delay its development, and early death can be avoided. “Improving the quality of life” has been a common understanding of more and more elderly people and their families, to live and enjoy life, quality of life, enjoy every day. Before the surgery, these seniors had many restrictions on their lives, and could even be described as cautious, but even then, symptoms such as angina would come on frequently. After the surgery, these restrictions they suffer are significantly reduced, and generally the angina disappears and is relieved immediately after the surgery, and the psychological burden largely disappears. We say that the change in quality of life has become a new criterion for evaluating whether or not coronary artery bypass surgery is performed in elderly patients, and that heart bypass allows the elderly to live better, and heart bypass keeps the family away from “heartache”.