After intracoronary stent placement, the most critical thing is to prevent in-stent thrombosis and in-stent restenosis, and to prevent new arterial plaque formation or aggravation.
Risk factors for coronary artery disease include smoking, hypertension, hyperlipidemia, diabetes, weight, age (age >55 years), lack of physical activity, and genetic factors, etc. Except for age and genetic factors, all other factors can actually be controlled or avoided.
Specifically the following should be noted.
I. Daily life.
1, quit smoking, limit alcohol
2.Adjustment of blood lipid level: target value: LDL<2.6mmol/L, TC<4.1mmol/L, TG<1.7mmol/L.
3.Control body weight: target value: weight(kg)/height(m)2<25
4.Appropriate physical activity: adhere to 3-4 times a week physical activity, 20-30 minutes each time, the intensity of exercise should be appropriate, in order not to cause discomfort as the principle.
Second, drugs.
1, aspirin enteric soluble tablets: 100mg/day, antiplatelet with. Side effects are mainly gastrointestinal reactions, such as stomach discomfort, acid reflux, black stool, etc. If the above situation occurs, you should consult your doctor in time.
2.Clopidogrel: 75mg/day, for antiplatelet. At least one year, the drug should be discontinued after reducing the dosage, and should not be stopped suddenly. One month after taking the drug should pay attention to recheck the blood routine once. If there is more than bleeding (such as tooth bleeding when brushing teeth) and other conditions should promptly consult a doctor.
3, statin drugs: such as simvastatin, atorvastatin, etc., for lipid-regulating drugs. Because they can stabilize the endothelial cells of blood vessels and prevent the progress of atheroma plaque or reduce the degree of plaque stenosis, they should be taken for a long time. However, since this drug has side effects such as liver function damage and muscle lysis, liver function, cardiac enzyme profile and blood lipids should be checked regularly (usually once/month at the beginning, and once every six months after stabilization). If the liver function is not normal, you should consult a gastroenterologist and add liver-protective drugs in time. The use of statins should be reduced if the blood lipids are low. Abnormal myocardial enzyme profile should consult a doctor in time.
4.Nitrate drugs: side effects are very small and can be taken for a long time, but the benefit is not great.
Third, health care summary.
Diet is the cornerstone, especially to pay attention to.
Weight is the yardstick, must not increase.
Exercise should be appropriate, adhere to become a habit.
Mood is more important, be sensible to illness.
Medication should be adhered to, pay attention to the side effects.
Seek medical attention for chest congestion and get an electrocardiogram.
Work and rest, balance and master.
Body, mind and nature, harmony and health.