Precautions for patients after coronary intervention

Post Interventional Coronary Heart Disease Patient Considerations Instructions Coronary heart disease is a geriatric condition that manifests itself gradually with the progression of age. Your condition has now been clearly diagnosed and a stent has been implanted at the site of the most severe stenosis, so we will continue to follow you for a year or more to maintain your health. I. After the coronary intervention, you will receive the following materials 1. Coronary angiography and treatment results provide detailed imaging materials of your coronary heart disease condition and treatment, which are easy to refer to during future visits. 2. After the procedure, you will receive a special follow-up booklet, which records your general condition, coronary artery disease and treatment, medication, follow-up time, test time and results, and reminds you of the follow-up time. 3, to read the manual carefully, remember the follow-up time and the content of follow-up visits, and your attending doctor for a full understanding and communication in 1, 3, 6, 9, 12 months after surgery for laboratory tests to monitor the changes of various biochemical factors in the blood, to determine the effectiveness of the medication, to avoid the occurrence of side effects, and to adjust the medication in a timely manner to make reference. The test results not only indicate the stent condition after surgery, but also control the indicators of blood lipid, blood sugar and metabolism to slow down the process of atherosclerosis and prevent the disease from continuing to progress. Please have your lab tests done on time and before your follow-up appointment so that you can present them to your doctor at the appointment. On the day of the lab test, you should fast, but you can drink water and take medication. You cannot drink dairy products or soy milk. Second, the problem of taking medication after coronary intervention The purpose of follow-up after coronary intervention is 2, one is to monitor the stent to maintain patency and prevent the emergence of thrombosis and restenosis, and the other is to prevent the progression of coronary artery disease and to prevent and treat coronary artery disease from the root cause. 1, the drugs to prevent blood clots are clopidogrel (Bolivir, Tega) and aspirin. Clopidogrel: According to the different construction of the drug stent, the period of taking the drug is long or short, usually about 1 year after the implantation of the drug stent. The shorter ones are also usually around 3-6 months and 9 months. The recommended dose is 75mg/day. Aspirin: Generally to be taken for life, as a preventive medicine for vascular disease in the elderly, its role has been confirmed by many bases. Recommended to take enteric-coated tablets aspirin 100mg / day, patients with stomach problems can also be safe to take the drug. 2, to prevent the progression of atherosclerosis drugs statins. The dosage of this drug will be adjusted in time within the one-year follow-up after the operation, so please follow the doctor’s requirements. Taking this drug, please follow the doctor’s instruction, adjust the dosage of the drug on the basis of laboratory results, and never stop taking the drug rashly. 3, the prevention and treatment of hypertension, diabetes, reduce the burden on the heart of the drug Beta-blocker: there are Koncin (Bisoprolol), Be it Lek (Metoprolol), etc., have to lower the heart rate, inhibit arrhythmia, etc., the general dose of Koncin (Bisoprolol) 5mg / day once, Be it Lek (Metoprolol) 25-50mg / day twice orally. The main side effect is a slow heartbeat. Reduce or stop the drug if the heart rate is <50 beats/minute or if the blood pressure decreases. These drugs are mandatory for patients with coronary artery disease and should not be stopped at will. Calcium antagonists: Baxin Tong, Lovastatin, etc. Take one tablet daily. One morning and one night to measure blood pressure, blood pressure control indicators: 24-hour blood pressure fluctuations between 140/90mmHg-100/60mmHg, you can adjust the medication according to the value of blood pressure. Third, the life after coronary heart disease operation problems The purpose of coronary intervention is to open the lumen and restore the normal shape of the lumen. Anterior chest discomfort that occurs in a quiet state occurs occasionally and does not mean that the procedure is unsatisfactory. A simple way to test for stent patency is exercise. Do as much exercise as you can, and if there is no chest pain after the activity, it proves that the vessel is patent. If you have chest pain or it worsens after activity, come in for a visit. It is important to maintain a normal rhythm of life, stop smoking and drinking, and watch what you eat.