How should I use medication after coronary stenting? After stenting, patients often think that the disease has been cured, the root of the disease has been removed, and they can take the medication for a year, and after the stent grows in the blood vessel, everything will be fine, forgetting that they are still a coronary heart disease patient. Most of the patients, 10 years after the first stenting, enter the hospital again because they do not adhere to the regular medication. Doctors’ advice to patients: patients who have had stenting are all patients with serious coronary heart disease, and stenting can only cure or temporarily support the diseased blood vessels, but has no therapeutic effect on other diseased blood vessels without stenting. The drugs to prevent the growth of thrombus in the stent are aspirin (BAY aspirin 100mg/day), clopidogrel (Poliovel 75mg/day, or TEGA 75mg/day). If purpura and subcutaneous bruising occur after taking anticoagulants, it is important to promptly recheck platelet function and count, coagulation function. Urine and stool routine and occult blood test, etc., to prevent serious complications from appearing. Song Yi, Department of Cardiac Surgery, Qilu Hospital, Shandong University, China, is the main drug to prevent the progression of vascular lesions in other parts of coronary artery disease is lipid-lowering drugs, including various statins. This is the best drug for atherosclerosis, which must be taken regularly and in sufficient quantity for a long period of time, and the indicators of blood lipids must be tested annually to reach the standard of preventing atherosclerosis (low-density lipoprotein controlled below 100mg). It is also important to treat and control hypertension and diabetes. The drugs to control hypertension are: 1. Betalac, mainly to control sympathetic excitation, control blood pressure caused by mental factors to increase. The majority of patients with coronary heart disease are impatient, irritable, poor patience, emotional contrasts, high volatility of the nervous system, need to take this drug for a long time to regulate. 2. drugs to control the increase in vascular tension: many drugs with the word “priligy” at the end, such as captopril, ramipril. By taking the above drugs for a long time, we can remove many unfavorable factors affecting vascular lesions and achieve the purpose of controlling vascular lesions in other parts of coronary heart disease. Taking medication is about prevention and inhibition. If you do not adhere to the principles, do not listen to the doctor’s guidance, their will is not strong, do not change their temperament, can not persistently adhere to the fight against the disease, then it is your “life” is bad, planted in your “human” hands. Therefore, do not blame God and others, there is no savior in the world, only by themselves. Doctors are just people who help you, not people who decide your fate. -From Zhou Xuchen, Affiliated Hospital of Dalian Medical College Why do I need a review after heart stenting? Interventional stenting is only one part of treatment and does not cure coronary heart disease. Since coronary atherosclerosis is a diffuse lesion, interventional treatment only deals with vessels with more than 70% diameter stenosis and does not deal with mild to moderate lesions, patients still have the possibility of re-occurrence of angina pectoris and myocardial infarction; secondly, there is a certain recurrence rate of successful interventional treatment, and vessels that have been unblocked still have the possibility of stenosis again. Therefore, timely coronary angiography review after intervention is necessary, especially for patients with combined diabetes, multiple coronary lesions and critical lesions, to assess the efficacy and guide the future treatment strategy. The review should be combined with clinical symptoms. If there is still a typical symptom attack, it is recommended to review coronary angiography; if the condition is stable, blood lipids, blood sugar, ultrasensitive C-reactive protein and electrocardiogram can be reviewed every six months; if there is a heart attack, cardiac ultrasound should be checked every six months. In addition, because there is a possibility of restenosis between six months and one year, you can consider having a coronary multi-row spiral CT first. If the coronary arteries are fine, there is no need to have an imaging, and if there is restenosis, it is better to review the imaging again to decide further treatment plan. When choosing foods for patients with coronary artery disease, they should choose foods that are low in fat and cholesterol and high in vitamins, dietary fiber, beneficial inorganic salts and trace elements, and have lipid-lowering and anticoagulant properties. Specific food can be selected from the following categories: (A) foods that can be eaten freely ① various cereals, especially coarse grains. ②Soybean products. ③Vegetables, such as onions, garlic, golden cauliflower, mung bean sprouts, lentils, etc. ④Mushrooms and algae, such as mushrooms, fungus, seaweed, nori, etc. ⑤ Various kinds of melons, fruits and tea. (B) Appropriate food ① lean meat ② fish ③ vegetable oil, including soybean oil, corn oil, sesame oil, peanut oil. ④ milk, including defatted milk and its products ⑤ eggs, including egg whites, whole eggs (2~3 per week). (C) Eat less or avoid food ① animal fat, such as lard, butter, mutton fat, chicken fat, etc. ②Fatty meat ③Inner organs such as brain, bone marrow, etc. ④Avoid shellfish ⑤Sugar, tobacco, alcohol, chocolate, etc. -From Pan Guangming, Guangdong Provincial Hospital of Traditional Chinese Medicine How should I exercise after stenting? It is recommended to exercise in the afternoon. If you have the habit of exercising in the morning, it is recommended to drink a glass of warm water (not cold and not hot) after washing and brushing up in the morning, and go to exercise in the morning only after 5 minutes, and avoid intense exercise in the morning. If you are 60 years old, it should be controlled at 180-60=120 beats/min or less. When you wake up in the morning, do not get up and get out of bed immediately, you should be awake for about 5 minutes before sitting up, then rub your face with both hands and pat your limbs, then get off the floor. It is not advisable to engage in work that causes excessive mood swings. Control smoking and alcohol. -What should I do if I encounter such a situation after interventional surgery? Acute attack: If you have an acute attack of angina after coronary intervention, keep sedated, stop all activities and rest on the ground. Immediately take 1 tablet of nitroglycerin under the tongue or 10 capsules of quick-acting heart pills. If the effect is not good, it should be taken every 5 minutes. If it is not effective even after 3 times, you may have an acute myocardial infarction and should immediately call “120” or “999” and go to the hospital as soon as possible. If you take the medication on your own, you should also go to the hospital as soon as possible to review the coronary angiogram. If the symptoms of angina pectoris are similar to those before surgery, the possibility of in-stent restenosis should be considered. If the symptoms are different from those before surgery, there may be a new coronary lesion. Before an important event: Before an important event, patients often experience elevated blood pressure and increased heart rate due to mental stress. To avoid the resulting angina, patients may take an additional 2-4 tablets of cardiac pain and half or one tablet of betalactone before the important event, depending on the blood pressure and heart rate at that time. If there is still an angina attack, rest in place and immediately take sublingual nitroglycerin or quick-acting heart pills. If the medication provides rapid relief, you can finish your business and then seek medical attention and review the coronary angiogram. If the attack is more severe than before, with sweating and panic, stop all activities and seek medical attention quickly. Travel: After coronary intervention, patients should bring their own emergency medicine box (nitroglycerin, quick-acting heart pills, etc.) and daily oral medicine, especially aspirin and clopidogrel taken after intervention should not be forgotten. When you travel, your diet is often irregular, but you must take your medication on time. If you have an angina attack that cannot be relieved by oral medication, you should immediately go to the nearest local hospital and take a nitroglycerin every 5 minutes on the way, or if you have a fast pulse (>70 times/minute) you can take or chew a piece of betalactone orally. If the acute attack of angina is well controlled by drugs and does not recur, you can go home and be hospitalized nearby to review coronary angiography. If angina is frequent or acute myocardial infarction occurs, you should immediately go to the nearest hospital with interventional conditions to actively control your condition and avoid possible dangers on your way home. Couple life: Couple life is very physically demanding. After intervention, if there is no restenosis of the stent and no new lesions in the coronary arteries, etc., normal couple life should not be affected. However, patients should proceed at their own discretion according to their conditions. If patients are worried about inducing angina, they can take anti-cardiac pain and/or betalactone beforehand, which will be effective in preventing angina attacks. Cold, fever, diarrhea: There is no conflict between current post-coronary intervention medications and anti-cold medications, antipyretics and medications for diarrhea in general. However, patients should be aware that blood volume is often insufficient during cold, fever and diarrhea, and patients should reduce or stop antihypertensive drugs according to the blood pressure situation at that time to avoid excessive blood pressure reduction. However, beta-blockers such as betalactam and atenolol should not be discontinued as much as possible. Other examinations such as MRI: After coronary intervention, patients are generally not affected by other examinations, but for special examinations such as MRI, it is recommended that patients should be examined 3 months after the intervention. Before having other tests, patients should inform their doctors that they are taking aspirin, clopidogrel, statins and other medications after the intervention. Patients with coronary artery disease should inform the surgeon of their past medical history before undergoing other procedures so that the surgeon can weigh the pros and cons. Anticoagulants such as aspirin and clopidogrel should be discontinued prior to general surgical procedures to avoid intraoperative hemorrhage. However, patients who are within 3 months after bare metal stent placement or within 1 year after drug stent placement, discontinuing the above drugs can induce in-stent thrombosis, causing acute myocardial infarction and threatening the patient’s life. Therefore, post-interventional patients should try not to undergo surgical procedures during this period. If surgery is necessary, aspirin and clopidogrel can be discontinued for 5-7 days under close supervision in hospital and subcutaneous injection of low molecular heparin can be applied at the same time, but there is still a possibility of myocardial infarction. Trauma: Trauma often triggers angina pectoris due to factors such as pain and stress, and the treatment medication is the same as in an acute attack, but trauma may lower blood pressure due to blood loss, so the amount of nitroglycerin contained should be reduced as appropriate. The most common problem encountered in trauma is bleeding. If the bleeding is localized on the body surface, compression may be applied to stop the bleeding and anticoagulants such as aspirin and clopidogrel should not be discontinued. However, if internal bleeding or intracranial bleeding is suspected, aspirin and clopidogrel must be discontinued and hospitalized as soon as possible and treated under close observation.