Management of coronary artery disease after stenting

In order to improve the initiative of patients’ follow-up and medication compliance, to help them understand the disease correctly, to do a good postoperative rehabilitation, and to reduce the occurrence of recurrence and other cardiovascular events. I collect relevant literature on postoperative management in the hope that the majority of patients will benefit. Regular follow-up to reduce postoperative morbidity: The majority of physicians have a consistent understanding of the importance of adhering to dual antiplatelet medication for at least 12 months after PCI, but patients often do not understand this, leading to postoperative relapse. Therefore, regular follow-up, strengthening compliance with drug therapy, and regular patient health education is a very important task and an important way to reduce post-PCI morbidity. Adherence to antiplatelet therapy to reduce recurrence: Patients who continued to use dual antiplatelet agents (bye aspirin + poliovirus) for 1 year compared with those who did not use it up to 1 year, the mortality rate of the latter increased nearly 3.5 times than the former. Post-stenting precautions: 1. Regular review: After discharge from the hospital, patients return to the hospital regularly for a physical examination and necessary ancillary tests at the post-operative follow-up clinic or at the doctor in charge of your surgery. The doctor can decide whether to adjust the dosage and type of medication according to whether the artery is open or not to achieve the best efficacy. In addition, if you feel some symptoms similar to those you had before the surgery again after the surgery, please do not ignore them and you should go to the hospital to see the doctor as soon as possible. Patients should adhere to long-term regular medication (antiplatelet drugs, antihypertensive drugs, lipid-lowering drugs, and hypoglycemic drugs) and adhere to regular follow-ups. Follow-up after surgical treatment is especially important, and patients should be instructed to adhere to regular, scheduled follow-up. After discharge from the hospital, patients should visit the outpatient clinic at the time points of 1 month, 3 months, 6 months, 9 months, and 1 year to receive follow-up examinations. Patients over 40 years of age should insist on annual testing of blood lipids, blood pressure, liver and kidney function, lung X-ray, and electrocardiogram. 2. Drug use: We use anti-platelet drugs to: (1) prevent the blood from becoming sticky; (2) prevent clots from forming in the blood vessels. The stent implanted in your body does ensure that your blood vessel does not narrow for a period of time, but at the same time there is inevitably slight damage to the endothelium of the vessel. The damaged endothelium grows back along the stent. At this point, the platelets start to help again, and a large group of platelets will build up and form another clot in the damaged area, which may block the vessel again. So we must use anti-platelet drugs to prevent this from happening. 3. Daily diet: Malt: It is formed when wheat seeds are germinated. For the recovery of heart patients, the protein of malt is superior to any other animal protein. Post-stenting patients who are able to do so will benefit greatly from consuming a bowl of malt porridge every morning. Corn: It removes excess cholesterol from the body and has a preventive effect against atherosclerosis. Soy products: People with high blood lipids can lower their blood cholesterol by regularly eating some tofu, bean sprouts, and various kinds of bean foods, which are greatly beneficial in preventing atherosclerosis and coronary heart disease. Vegetables: Studies have found that taking 1 gram of raw garlic per kilogram of body weight, or 2 grams of raw onion per day can have the above preventive effect. If your weight is 70 kg, half a raw garlic or a raw onion can help to remove the “garbage” – cholesterol from the inner wall of blood vessels in time. 4, moderate exercise: post-stenting patient exercise should master the intensity of exercise, reflecting the intensity of the most practical indicators is the size of the heart rate. Here to teach you a formula: 170 – age = the fastest heartbeat per minute limit when you exercise, for example, if your age is 65 years old, the calculation is 105 beats per minute. This is the upper limit, and you must keep your heart rate within the limit when exercising. The following are some suitable physical exercise programs for post-stenting patients: Walking: walk for 45-60 minutes each time, or walk 1000-2000 meters daily, with even stride, stable gait and natural breathing to prevent falls. Bicycling: If you have the conditions, you can use an exercise bike to exercise indoors. Other exercise programs are tai chi, gymnastics and qigong, etc., can be selected according to the specific circumstances. 5, other habits: post-stenting patients should be selective when watching television, you can watch some content of the light-hearted programs, and do not watch the thrilling and fearful films and competitive sports programs. Also pay attention not to turn on the volume of the TV too much, and not to watch TV for too long, and the duration should not exceed 2 hours. No matter what program you watch, do not be too involved, every half hour, to move your body, close your eyes for a while.