Complications that may be induced after heart stent surgery, to draw your attention! There are three main treatments for coronary heart disease, one is to take medicine, the other is to put stents, and the third is to do bypass surgery. When the symptoms are mild, medication can be used. When the coronary artery stenosis exceeds 75%, the blood supply to the heart will be significantly affected, and relying on medication alone, it simply cannot completely eliminate the symptoms. When the disease has progressed to this level, patients either choose to have stents or bypass surgery. Although the two treatments are different, the goal is the same, which is to make the narrowed coronary arteries open again and ensure the blood supply to the heart. Compared with bypass surgery, people prefer to choose the former. Putting a stent is relatively simple and less traumatic to the patient, while it is the first choice for patients when they have an emergency. A. Remember to continue taking medication after heart stenting Stenting for coronary heart disease has an immediate effect. Many patients think that the symptoms of coronary heart disease are gone, the disease is cured. In fact, it is not. The full name of coronary artery disease is coronary atherosclerosis, which means that people with coronary artery disease have all the coronary arteries of the heart narrowed, only the degree of narrowing is different, some are less severe, some are more severe. The length of the stent is limited, and the stent is for the most severely stenosed coronary artery, so it is impossible for the doctor to put the stent in the whole coronary artery. The purpose of taking medication is twofold, one is to prevent restenosis at the stent, and the other is to prevent other coronary atherosclerosis from getting worse again. After the stent is placed, aspirin must be taken. While stents open up the narrowed blood vessels, they also damage the endothelium of the blood vessels. The human body has the function of self-repair, when the endothelium is damaged, the body will mobilize platelets with hemostatic function to “put out the fire” at the damaged location, which is the reason why there is a restenosis rate of about 10% after stenting. Aspirin happens to be an anti-platelet clotting agent, 75-300mg a day (you should listen to your doctor), and it’s very cheap, just a dozen dollars a month. Clopidogrel tablets are also anticoagulants, combined with aspirin, can reduce the rate of stenosis, take one tablet a day (75mg/tablet). Clopidogrel tablets are more expensive, costing about$300 a month, and it does not need to be taken for life, just for 1 to 1 1/2 years. Statins should also be taken with the aim of lowering blood lipids. In the blood, LDL and cholesterol are the bad molecules, and when their indicators are higher than normal, the fat in the blood will be deposited on the walls of blood vessels and make them narrow. Statins, which lower LDL and cholesterol, should also be taken for life and at night for best results. Beta-blockers are a good drug, never forget that it can reduce the number of heartbeats and lower the oxygen consumption of the heart. Second, the heart stent surgery to have a “exercise prescription” after the stent surgery patients, easy to go to two extremes, one is to feel better, crazy exercise; the second is always thinking about a “wire ring” in the heart, everything cautious, basically do not exercise. After stent surgery, patients should have an “exercise prescription”, the general principle is that activities should be gradual, from light workload gradually to normal work status, the maximum workload should not exceed 70% to 80% of the pre-operative, can adhere to swimming, walking, jogging, cycling, playing tai chi, etc.. After putting the stent, just start exercising, you can walk around the room and the house, and hold something when walking. After discharge, you can walk, which is a good and effective exercise method. This method can improve blood circulation and increase the strength of muscles and bones. The speed and pace of walking at the beginning, to feel no panic as the standard, later can gradually speed up the pace. In the process of sports and exercise chest pain, should immediately stop, shortness of breath, asthma and fatigue, should also stop immediately. In a few cases, when someone feels a sudden loss of heart control or excessive beating speed, or feels mild dizziness, weakness and irregular pulse, he or she should call 120 or ask for help from an accompanying person in time. Third, the heart stent must face several small problems after surgery 1, after the stent may appear symptoms after surgery may appear anterior heart discomfort or pain, there may be two reasons, one is the stent as a foreign body propped up in the coronary arteries, as if the installation of dentures will have discomfort, coupled with the patient’s psychological excessive tension and anterior heart pain discomfort, but completely different from the pre-operative angina, ECG results are normal, and can be self-healing in the short term. It can be self-healed in the short term. The second is postoperative acute vascular occlusion, intracoronary thrombosis or acute myocardial infarction. In this case, emergency coronary angiography is required to confirm the diagnosis and emergency re-intervention to cure. In addition, symptoms such as abdominal distension, back pain, nausea, vomiting and insomnia may occur, which usually disappear in 1~3 days. 2.When to get out of bed after stenting The time for patients to get out of bed after surgery should be determined according to their conditions. Patients with acute myocardial infarction need a longer recovery period due to partial myocardial necrosis, and generally 4~5 days to get out of bed after surgery, but 5~10 days to get out of bed when serious complications such as heart failure occur. Generally, patients with coronary artery disease can get out of bed 24 hours after surgery, and can be discharged after 3~4 days. 3.Whether the stent will collapse, shift or rust in the body The stent is generally made of stainless steel alloy material, which has strong support, corrosion resistance and shaping memory function and will not rust or collapse. The high pressure given during the operation to expand the stent is more than 6~8 times the pressure of a car tire, so that the stent is tightly embedded in the coronary artery wall and therefore will not be displaced. 4.When can you go to work after stenting? After the interventional stenting for patients with coronary artery disease, the quality of life of patients is obviously improved, and generally patients can go to work 7 days after surgery. Patients with acute heart attack can go to work after 3~8 weeks after surgery.