What is the rehabilitation treatment after stenting for coronary artery disease?

After coronary intervention, what are the problems that patients with coronary artery disease should pay attention to and how to achieve the maximum recovery after surgery. Some patients with coronary artery disease in the clinic think that their heart has been operated, which is a kind of minimally invasive “major surgery”, so they dare not move after the operation, and they have to stay in bed to recuperate well, and even make up for it with big fish and meat. In fact, this is not true. What are the main rehabilitation treatments after coronary intervention? Rehabilitation treatment includes 5 aspects: exercise, proper diet, weight control, smoking and alcohol cessation, psychological adjustment and drug treatment. 1.Appropriate exercise After coronary intervention, patients with coronary artery disease should implement cardiac rehabilitation therapy based on reasonable exercise. Some patients with coronary artery disease always have fear of exercise after stenting, and always worry whether they can’t exercise because of coronary artery disease, and whether they have to rest more. In fact, the occurrence of coronary heart disease and sedentary, little exercise has a certain relationship, often engaged in physical activity can help prevent the occurrence and development of coronary heart disease. Exercise therapy is an important part of the prevention and treatment of coronary heart disease, and has an important role in improving the quality of life of patients, enhancing physical fitness, improving the ability to take care of themselves and restore their ability to work. 2.Rational diet Attention should be paid to a reasonable diet, controlling total calories and reducing saturated fatty acids, trans fatty acids and cholesterol intake. Patients with coronary heart disease should have a low-salt and low-fat diet. Low salt means limiting salt intake to less than 6 grams per day, and eating less high-salt foods such as pickled vegetables, soy bean curd and soy sauce. Low-fat diet means that patients should eat as little animal fat and cholesterol-rich food as possible, and eat more fresh vegetables and fruits. 3, weight control Overweight and obese people should lose 5% to 10% of their body weight within 6-12 months, so that the body mass index is ≤25 kg/m2; the waist circumference should be controlled to ≤90 cm for men and ≤85 cm for women. overweight can increase the risk of coronary heart disease, especially centripetal obesity (abdominal obesity) is a high risk factor for coronary heart disease. Therefore, it is very important to reduce weight and avoid obesity for the rehabilitation of coronary heart disease patients after stenting. 4, quit smoking and limit alcohol Patients with coronary intervention should completely quit smoking and avoid passive smoking; strictly control alcohol intake. Smoking can cause atherosclerosis, induce coronary artery spasm, lead to increased blood pressure and induce angina attack. The incidence of coronary heart disease, hypertension, cerebrovascular disease and peripheral vascular disease are significantly higher in smokers. Large amounts of alcohol can also induce coronary heart disease, so patients with coronary heart disease who have smoking and drinking habits should also pay attention to quitting smoking and limiting alcohol as much as possible. 5, psychological adjustment Some studies have shown that post-stenting anxiety and depression in patients with coronary heart disease are associated with increased all-cause mortality 10 years after surgery, with depression being an independent predictor. Thus, it is especially important to adjust the psychological state of patients after stenting. (1) Patients need to be programmed several times and patiently, which is one of the keys to help them overcome their bad mood. (2) Patients’ psychosomatic problems need to be identified and given symptomatic treatment. (3) Provide health education and counseling to patients. Promote the participation of the patient’s partner and family members, friends, etc. in patient education and counseling. (4) Mild anxiety and depression treatment is based on exercise rehabilitation, symptomatic medication is given to those with obvious anxiety and depression symptoms, and psychiatric consultation or referral for treatment should be requested when the condition is complex or severe. 6.Medication Medication is the most important part of the rehabilitation treatment after coronary intervention, remember to take the medication according to the doctor’s prescription, and do regular review so that the doctor can understand the patient’s physical condition and changes in condition and adjust the treatment plan in time.