After coronary artery bypass surgery, there is a gradual recovery process for both the heart function and the general condition. There are some precautions to be observed during this period, which will help you to recover as soon as possible so that the surgery will have satisfactory results. 1. Diet: During the recovery period after coronary artery bypass surgery, it is usually necessary to increase the intake of calories, proteins and vitamins to promote the recovery as soon as possible after the surgery. However, after this period, dietary treatment, i.e., control of hyperlipidemia, is a long-term task for patients with coronary artery disease. This is because coronary artery bypass surgery only treats the myocardial ischemia caused by the blockage of coronary arteries, but not the cause of coronary heart disease. Therefore, in terms of diet, attention to control hyperlipidemia is one of the important measures to prevent and slow down coronary artery or post-operative re-clogging. 2. Exercise: Initially, you can walk around the room and the house, holding on to something while walking. Then, when you feel no difficulty, you can start walking, which is a good and effective exercise method. This method can improve blood circulation and increase the strength of muscles and bones, and start walking at a speed and pace that feels comfortable. Later, gradually accelerate the pace. To increase the heart rate and respiratory rate, can be three times a day, each time five minutes, starting from a comfortable walk, and then gradually increase the time and distance of the walk, to be able to tolerate themselves, more walks a day, than a long walk is more beneficial, adhere to the daily walk, and the daily walk distance gradually increased, as long as it can be tolerated, you can slowly go up the stairs, up a small hill, in the movement and exercise In the process, if chest pain occurs, it should be stopped immediately, shortness of breath, asthma and fatigue should also be stopped immediately, if these symptoms disappear, you can continue the activity at a slower pace, and then increase day by day. Fatigue is inevitable until you fully recover your strength. You may feel your heart beating very strongly when you are active, but as long as the heartbeat rules are not particularly fast, this is normal and should not be a cause for concern. In a few cases, some people feel a sudden loss of control of their heart or a rapid heartbeat, and may feel mild dizziness, weakness, and irregular pulse. If any of these conditions occur, please contact your doctor. Here are the training recommendations. First week (week 1): Two five-minute walks per day. Second week (week 2): two ten-minute walks per day. Third week (week 3): two twenty-minute walks per day. The fourth week (fourth week): you should increase to one kilometer of walking per day. In winter or hot summer, it may not be possible to walk outdoors. If so, you can rent or buy an indoor bike or exercise machine and exercise twice a day for 30 minutes each time, which can replace your exercise outdoors, and you can walk slowly on your jogging machine (exercise machine). 3. Work: Recovery from work depends on your post-operative energy and physical recovery status Avoid making major decisions, such as: investment, financial, work, family and other major decisions, as much as possible (at least within one month after surgery). It is normal to feel exhausted and have a feeling that you are going to cry after the surgery, which has consumed a lot of energy during the surgical hospitalization. As each person’s situation is different, different physical ability, as well as the time and intensity of the work engaged in different, all these factors, must be taken into account. 4.Household chores: Labor about two weeks after surgery, if you feel well recovered, you can start your household chores. Initially engage in some light household chores, such as removing dust, managing flowers, plants, helping to prepare meals, but those activities that require a lot of physical strength, such as vacuuming floors, carrying children, moving furniture or participating in sports, should be postponed to a later time. 5. Post-operative review: When you leave the hospital, you should make an appointment with your doctor when you will have a review. If you have any discomfort or problems while you are resting at home please do not hesitate to contact your local hospital or the hospital where you had your surgery as soon as possible. Usually, a full review should be done once in 3 – 6 months after surgery. If the local hospital is familiar with your situation it can also be done locally, or you can go to the hospital where the surgery was completed. 6.Wound protection and treatment: Within a few weeks after surgery, there will usually be varying degrees of pain in the wound and sometimes local redness, usually after a period of time, the above performance will disappear, sometimes the above situation will be more than a few weeks. However, if there is more severe pain, redness and swelling, as well as discharge from the wound, it is important that you seek medical attention as soon as possible. Patients with coronary artery bypass grafting usually have an incision in the leg. It is helpful to elevate your lower extremity while you are resting and sitting to reduce discomfort or swelling in your leg. If you feel discomfort in the wound on your chest or leg (lower extremity), give a local heat pack for 15 to 20 minutes, and also take some oral pain medications if needed under the guidance of your doctor, they will gradually reduce your pain, but if the pain problem of the wound persists, it is better for you to go to the hospital at this time. Some factors can cause general discomfort or pain, including changes in body temperature, infection, holding a body position for a long time, etc. If there is wound pain, you can try shrugging your shoulders forward to relieve the pain. The correct posture to maintain after surgery is to hold your chest up as high as possible when your body is in an upright or sitting position, and to hold both shoulders slightly back, although maintaining this posture is a bit uncomfortable in the early postoperative period, the local tissue is still elastic (like a rubber bandage) during this phase of wound healing, but once the wound heals into a scar it loses its elasticity, and if If you do not maintain the correct posture during this recovery phase, you will feel a tightening sensation on your chest when you stand up straight. The small gauze on the surface of the wound is temporary and should be removed three days after the stitches are removed. A week or so after the stitches are removed, you may wash the area of your wound with clean water and soap as long as the wound is healing well. Do not swim or do throwing sports until the wound has healed. 7, visits, hospitality: In your first few weeks back home, should try to avoid noise, avoid contact with injuries, colds, sore throats and other signs of infection, if you are discharged from the hospital cold will aggravate your wound local pain, in your body until fully recovered, unless your doctor allows, you should try to avoid people to come to your bedroom, visit or participate in various other types of parties. 8, stockings: In the initial recovery period, white elastic stockings, can improve the blood supply to your lower extremities, and reduce fluid, body fluids gathered in your lower extremities, in the four to six weeks after surgery, you should wear such elastic stockings (stockings) when you leave the bed, and then take off this elastic when you return to bed to rest. 9. Sternal healing: Do not lift more than 10 to 15 pounds during the first three months. Due to the wound recovery, it takes about six weeks, (each individual varies slightly) the healing of the sternum takes about three months, during this recovery process, although your sternum will not be cracked by light activity, it is still necessary to protect them, during the recovery period, avoid large strain on the sternum, such as, lifting heavy objects, holding children, pulling overweight objects, moving furniture, etc., these actions on your healing sternum These actions create a tension on your healing sternum. According to your previous concept and feeling, you can lift heavier objects, but your wound may not be able to tolerate it. A reasonable exercise should not hurt your sternum, but also keep your upper limb muscles under a certain tension, and at the same time avoid stiffness of your shoulder, which will help you recover as soon as possible. You can repeat the posture shown in the figure twice a day for one month after discharge from the hospital. If you feel localized pain, increased movement of the sternum. Or there is a discharge from the local flow of the wound, or increased local redness and swelling of the wound, you should seek medical attention from the relevant doctor as soon as possible. 10, drinking alcohol: Drinking alcohol for a heart patient, whether it has a good effect or a bad effect, can not be absolutely said, moderate drinking is feasible, but for patients with diabetes, high triglycerides or poor heart function to completely avoid drinking alcohol, because drinking alcohol will aggravate the already existing condition, if there is no above problem, you can still enjoy a small glass of wine before meals or bed, but you’d better limit your drinking to two times a day Two times a day, a glass of wine or a glass of beer (containing about 120 calories), from this aspect, alcohol is a good source of energy, drinkers still have the possibility of weight gain, in addition, alcohol is still harmful to the main organs of the body, as alcohol will increase the side effects of sleeping pills, if you are taking medication, do not mix sleeping pills, sedatives and alcohol. 11, sex: knowledge about sex has changed in recent years, it is now believed that the energy required for sex is no more than the usual load of other physical activities for heart disease, if you can walk at a moderate speed and climb the stairs easily; you can resume sex, but you must remember that it takes about three months for the sternum to heal, so you should pay attention to protect them during the process to avoid compression of the sternum. You should pay attention to the presence of pain and extreme shortness of breath, extreme fatigue or feel abnormal heartbeat, rhythm and sudden stop of the heart, if these symptoms appear, you should stop the activity immediately and go to the hospital. You should clearly know that coronary atherosclerotic heart disease does not have the slightest effect on your sexual organs and sexual function, therefore, heart disease does not lead to reduced sexual function in men or women, however, patients with this heart disease, accompanied by other classes of vascular disease or taking certain drugs which can interfere with normal erection or cause impotence, you suffer from heart disease and cause psychological stress, which can also cause you in terms of sexual function The psychological stress caused by your heart disease can also cause you to malfunction in sexual function. You and your sexual partner should not feel any pressure in this process, should allow yourself a sufficient time to adjust step by step, usually, to return to normal life, need a good mental state and good physical state. 12.Medication: The doctor will bring you some drugs to take after the operation when you leave the hospital. These drugs have a therapeutic effect on you, and you should pay attention to the following points in the process of taking the drugs: (1) You should know the name and appearance of each kind of drugs you take. (2) Take your medications on time and as prescribed by your doctor. (3) Do not stop taking your medication without your doctor’s permission. (4) Do not give your medication to your family and friends, as it is good for you and may be harmful to others. (5) Please tell your doctor about any side effects you experience while taking the medication. Some medications have mild side effects that will go away over time, but some may persist and should not be ignored. We believe it is essential to clearly understand how each drug works for you.