Mr. Xu, 41 years old, went to the hospital for examination more than a year ago because of frequent chest pain, and was diagnosed with coronary heart disease, which showed 90% stenosis, and had coronary stent implantation surgery on the same day, and the postoperative symptoms basically disappeared.
Due to the special nature of his work, he needs to go out often to socialize, and it is common for him to drink and stay up late, and Mr. Xu has already left the doctor's instructions behind when he was discharged from the hospital for half a year, drinking and smoking every day, and staying up late to socialize is also 2 days a week.
In the early morning of January 13, 2022, the chest pain that had disappeared for a year reappeared, and compared with the previous simple pain, this time there was a serious feeling of suffocation, when he was sweating profusely and his face was extremely pale, which frightened his lover and hurriedly dialed the 120 emergency number, and was told that the heart attack was sudden after being sent to the hospital.
Why is it possible to have a heart attack after stenting?
Coronary stenting is a first aid measure, not a routine treatment.
It does not have the effect of reversing the disease or curing the disease, it only treats the blocked area, allows the blocked blood vessels to re-expand, temporarily restores the blood supply to the myocardium, eliminates abnormal symptoms, and improves the quality of life.
Although the stent artificially dilates the blocked blood vessels, the cause of the vascular blockage has not been resolved, and the probability of blood clots in the stent is not small, so patients after stent surgery not only can not relax their vigilance, but should be more cautious and careful, and on the basis of continuing to take aspirin, add clopidogrel for dual anticoagulation, delay the further deterioration of the condition, and postpone the time of re-stenting.
There are multiple blood vessels in the human body, there is a close connection between each other, when a blood vessel is blocked, other blood vessels will be more or less narrowed and blocked, the only difference is the location, the degree of difference, and the implantation of the stent is only the most seriously blocked part of the artificial dilation, greatly restore blood circulation, but it cannot be forgotten that "the blockage of other blood vessels has not been solved" As a result, over time, other blood vessels may become narrowed and clogged again, requiring a stent or bypass, at which point myocardial ischemia will appear again, and symptoms will follow, for which second, tertiary, or even quadruple stents will be required.
Mr. Xu had a heart attack and found it himself!
Mr. Xu lacks sufficient health knowledge and insufficient understanding of coronary heart disease, and judges whether he is healthy or not by his own symptoms.
Not only did he not make corresponding dietary changes and moderate exercise according to the doctor's instructions, but continued to smoke, drink, and stay up late to accelerate the progression of the disease, so that he suffered myocardial ischemia and myocardial infarction again in just over a year.
So, do all patients with coronary heart disease have to have a stent?
As I mentioned above, stents are only a temporary first aid measure and have no therapeutic value.
If we want to treat patients with coronary heart disease, we should start from the root cause, find the main cause of coronary artery blockage, and then treat it in a targeted manner, which is the best solution.
In my more than 30 years of clinical work, I have met countless patients with heart diseases, and I have found some problems in them: many patients with coronary heart disease have certain things in common, they have serious lesions on their spine (thoracic spine, cervical spine), which will cause compression and stimulation to the nervous system, and then cause the corresponding blood vessels to spasm and contract, which will not only affect the blood flow immediately, but also cause the smooth muscle to tear and bleed, accelerate the formation of plaque thrombosis, and make the patient's condition worsen rapidly.
In this regard, we should take a two-pronged approach to treatment, on the one hand, to remove the patient's responsible lesions and solve the root problem, and on the other hand, to regulate the disordered nervous system, dilate and spasm the constricted blood vessels and restore the blood supply, so that the patients with coronary heart disease can truly recover.
I hope my popular science can help you!
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