How to continue treatment after discharge from coronary heart disease intervention

  At this stage, coronary artery disease is still a chronic progressive disease that cannot be cured, and interventional therapy only plays the role of “unblocking”. Therefore, after coronary intervention, it does not mean that everything is fine, and follow-up treatment must be carried out. This follow-up treatment includes both intervention-related and non-intervention-related components.  The main components that are directly related to the intervention are: ① Continue to take clopidogrel. Dosage: clopidogrel 75 mg once daily; ticlopidine 250 mg twice daily for the first week after surgery, and then 250 mg once daily after 1 week. It is generally considered that the above drugs should be continued for more than 1 year after interventional treatment.  ②Aspirin 100 to 300 mg once daily; for life.  The main elements not directly related to interventional therapy are “water quality improvement” and “water conservation” measures, including: ① Lipid-lowering therapy. In recent years, many large-scale clinical trials have confirmed that statin lipid-lowering drugs (such as atorvastatin, simvastatin, pravastatin, lovastatin, fluvastatin, rasulvastatin, etc.) are effective in reducing the chance of cardiac events in patients with coronary artery disease (with or without intervention). Therefore, as long as there is no reason why these drugs cannot be used, they should be taken for life.  ②b-blockers. Numerous studies have demonstrated that b-blockers can reduce the incidence and mortality of myocardial infarction in patients with coronary heart disease and narrow the scope of myocardial infarction. Therefore, these drugs are also routinely taken for life. For example, Medocin, Aminocin, Bisoprolol, etc.  ③Control other risk factors of coronary heart disease, including treatment of diabetes, hypertension, quit smoking and change other bad habits.