Precautions after stenting for coronary artery disease

  Coronary stenting (PCI) is one of the most powerful weapons in the treatment of coronary heart disease, which can effectively relieve angina symptoms and save the lives of patients with acute myocardial infarction. However, many patients believe that stenting is a “radical” surgery and can solve coronary heart disease once and for all, which is one of the most common misconceptions, because after stenting, conventional medication and lifestyle management should be continued.  Aspirin If there are no adverse reactions and contraindications, aspirin needs to be taken for life, and aspirin enteric tablets (100mg/tablet) can be used.  2.Clopidogrel (etc.) Two kinds of anti-platelet drugs are generally needed after surgery, including the above-mentioned aspirin, and the other commonly used drugs are clopidogrel, and tigretol, which has just been marketed in China. The duration of administration needs to be determined according to the type of stent and the patient’s condition, etc., and is generally taken for 1 year.  3, statin lipid-regulating drugs such as atorvastatin, rasulvastatin patients have a serious misunderstanding of the drug, many people stop taking the drug after the blood lipid examination “normal”, a big mistake. Unless there are some special circumstances, even if the blood lipids are at the “normal” level, the drug should be taken for a long time.  4, other drugs, such as angiotensin-converting enzyme inhibitors (such as “xxpril”), beta-blockers (such as “betalactam”) such drugs as the cornerstone of coronary heart disease, the role should not be ignored, especially for those patients with myocardial infarction. However, they may not be needed or tolerated by all patients and should be taken according to medical advice.  Second, regular follow up usually 2-3 weeks after the operation of the first follow-up, the doctor will review the relevant laboratory tests and adjust the dosage of drugs according to the patient’s individual situation. Be sure to keep in mind that the dosage of many coronary heart disease medications is not fixed, such as statins, angiotensin-converting enzyme inhibitors, beta-blockers, etc. Moreover, each drug may have side effects on the body and should be monitored on a follow-up basis, for example, statins may cause side effects such as elevated liver enzymes.  Each surgical patient has a different ability to tolerate exercise, which is related to heart function, degree of stenosis, stent opening and other factors. Some patients can gradually return to a normal healthy state after surgery, while others may not return to the original level, and exercise should be resumed gradually according to the doctor’s advice, not to increase the amount of exercise suddenly in a short period of time.  2. Diet Basically follow the principle of “low salt and low fat”, eat more fresh vegetables, fruits, fish, soy products and dairy products, etc. It is not advisable to eat a lot of animal offal and high fat and high cholesterol food. Limit alcohol consumption, the recommended daily limit: 50ml of white wine, 300ml of beer, 100ml of red wine. 3, quit smoking Quit smoking, there is no doubt. Cigarettes can not only accelerate the process of atherosclerosis, but also directly lead to coronary artery damage, spasm, etc.. Therefore, whether or not suffering from coronary heart disease, should be strictly quit smoking, including second-hand smoke.  4, control weight obesity is the “source of all evil”, hypertension, diabetes, hyperlipidemia, can be secondary to obesity. Teach you a method to estimate whether you are obese, calculate the body mass index (BMI), with weight (kg) / height x height (m), the normal value of 18.5-23.9, > 24 called overweight, > 28 called obese, and the eighth edition of the internal medicine, has been > 24 called “obesity”. You calculate, if overweight, hurry to lose weight.  5, optimistic mood, adequate sleep Research has proved that most patients with coronary heart disease each and psychological problems, including anxiety, depression, etc., and, bad mood may aggravate, induce myocardial ischemic attack, so it is particularly important to maintain a smooth, optimistic mood. At the same time, sufficient sleep will make your day full of energy, I personally recommend at least 7-8 hours of sleep.  6.Monitor blood pressure and control blood sugar To treat coronary heart disease, it is essential to control blood pressure and blood sugar at the same time, one of these links is indispensable.  In summary, I believe that if each patient can actually fulfill the above recommendations, they will be able to maintain their health and slow down the progress of the disease to the greatest extent. Of course, stent surgery is not a panacea, not all patients with coronary heart disease need or can be treated with stent implantation, and a professional doctor needs to evaluate before and after the surgery.