Is it really better to have a stent for coronary heart disease patients?

  Nowadays, more and more patients with coronary heart disease choose to install stents in hospitals, and heart stenting is an emerging treatment method for coronary heart disease developed in recent decades, which indeed has many benefits, but many patients actually have a great misunderstanding about stenting for coronary heart disease. Stenting is only the first step in the treatment, and stent restenosis is likely to occur if follow-up treatment is not paid attention to.  Don’t think that the probability of recurrence is small, this kind of thing is really not uncommon in clinical practice. Recently, there was a patient who said that he came to the hospital six months ago because of regular chest pain, and was diagnosed as: coronary angina. He was discharged from the hospital on the third day after the operation, and the doctor prescribed him a lot of medicine and gave him relevant precautions when he was discharged. A few days ago, he came to the hospital because of chest pain after activity, and found that the “heart vessel” was blocked again, and the situation was even worse than before, so we had no choice but to give him a “second stent implantation”.  He said he felt fine after he was discharged from the hospital, he could eat and sleep, he was already like a healthy person, and his coronary heart disease had been completely cured, so he stopped all his medications one month after he was discharged, and he did not follow the doctor’s requirements for regular checkups.  Many patients have the same mentality as this patient, thinking that after the heart vessel surgery, unblocking the blood vessels and putting in the stent, the coronary heart disease should be cured, so they should not take medication anymore; in fact, the stent is only a “pipe”, only treating the most serious part of the lesion, solving the problem of only one section of the blood vessels, and not “High blood pressure, high blood pressure, high blood fat, high blood sugar and other factors still exist, and will still cause damage to the inner wall of the blood vessels. So in order to ensure the smooth flow of blood vessels throughout the body, the follow-up medication must be followed up, and a healthy lifestyle should also be cultivated From this patient, we can actually summarize two relatively common problems, one is the problem of medication after stenting, and the other is the problem of review, which are also decisive factors for whether coronary heart disease can be well after stenting. If this patient had followed the doctor’s instructions at home, he would not have been in this situation today, at least not so soon.  It is true that the stent placed in the body will ensure that this section of the blood vessel will not be stenosed for a period of time, but at the same time there will inevitably be slight damage to the endothelium of the vessel, which will grow back along the stent. The purpose of postoperative medication is to prevent restenosis and thrombosis, so patients with coronary artery disease need to take a lot of medication for one month after stenting, and they should insist on taking medication on time and in the right amount during this period, and they should seek medical attention promptly if they are uncomfortable or abnormal.  There are many patients who do not pay attention to the follow-up examination after the stent surgery and live irregularly, which is actually very incorrect. The first, third and sixth months after the stent installation should be checked regularly, including the monitoring of blood pressure, blood sugar and blood lipid level, if these indicators are not maintained at a good level, the patient will face the risk of recurrence in about six months.  Patients with coronary heart disease do stent actually can not fundamentally treat coronary heart disease, in order to coronary heart disease can really be cured, must do a good job of follow-up treatment, good maintenance in order not to recur, the occurrence of coronary restenosis can be better controlled from the root.