With the increasing improvement of people’s living standard in China, the incidence of coronary heart disease is increasing. The treatment of coronary heart disease mainly includes three methods: medication, medical intervention and surgical coronary artery bypass surgery. For severe coronary heart disease, coronary artery bypass surgery is still the most effective way to treat coronary heart disease, and more and more people are receiving heart bypass surgery. So, how valuable is heart bypass surgery in treating coronary heart disease? How should patients face the choice of bypass surgery or heart stents? Coronary artery stenosis: heart stent or coronary artery bypass surgery? After a patient is diagnosed with coronary artery disease, if there is no severe stenosis of coronary arteries or only non-major coronary artery stenosis, and if angina can be better controlled with medication, medication should be preferred, while changing bad habits and adopting a healthy lifestyle to minimize the time and degree of coronary artery sclerosis and obstruction, of which lipid-regulating medication is the most important of the medication for coronary artery disease. progress.
When the stenosis is more severe, such as when imaging reveals severe stenosis in only one or two coronary arteries, or non-major coronary stenosis, consider whether medical interventional treatments such as balloon dilation and stenting can be chosen first. For patients with more than two branches or severe stenosis of the left main coronary artery, especially those with combined diabetes, or those whose angina has failed to respond to medical treatment, bypass surgery is required. What is coronary artery bypass surgery? In patients with coronary artery stenosis, the myocardium behind the stenotic vessels becomes ischemic and the patient develops angina pectoris and myocardial infarction. Coronary artery bypass surgery uses a section of the patient’s own blood vessel to connect between the proximal and distal ends of the narrowed vessel, allowing blood to pass through the “new” vessel to the distant myocardial tissue, which is like building a highway bridge over a river, hence the image of bypass surgery. Coronary artery bypass: do I need to take medication after the surgery? However, the surgery does not eliminate the causes of coronary artery disease, such as high blood pressure, high blood cholesterol, diabetes and other high-risk factors, and new sclerosis and stenosis may occur in the coronary vessels. Therefore, after the surgery, patients must strictly follow the doctor’s instructions and adhere to medication and lifestyle adjustments in order to best maintain the results of the surgery. Coronary artery bypass: Is the safety and cost acceptable? Thanks to the advanced surgical technology, coronary artery bypass surgery has become a routine procedure in our hospital, relieving the pain of many patients with coronary heart disease, of which more than 30% are over 70 years old, and the success rate of the surgery is over 99%; at the same time, we strictly control various medical practices, for example, the ratio of medication cannot exceed 45% as stipulated by the Ministry of Health, but our ratio is just less than For example, the Ministry of Health of the People’s Republic of China stipulates that the drug ratio cannot exceed 45%, but our drug ratio is only less than 10%, which significantly reduces the medical costs of patients and also reduces the adverse effects of unnecessary drug treatment to patients. In conclusion, we can see that the most appropriate treatment for severe coronary artery disease must be individualized. The choice of when and how to treat coronary artery disease should be discussed by cardiologists and cardiac surgeons, and an optimal treatment plan should be developed for the patient based on the patient’s age, symptoms, and the location and extent of the coronary artery lesion itself.