With the improvement of the level of intervention in China, more and more patients undergo cardiac stent surgery. Cardiac stent surgery is like building a path in the patient's coronary arteries, sending the appropriate type balloon or stent to the lesion site for expansion, and after the balloon and guide wire are withdrawn, the expanded stent is supported in the narrowing of the heart blood vessels, improving the blood flow supply of the coronary arteries.
Cheng Gong, chief physician of the Department of Cardiology of Shaanxi Provincial People's Hospital, found in the long-term follow-up process that some patients have several deficiencies in understanding.
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Cheng Gong, chief physician of the Department of Cardiology, Shaanxi Provincial People's Hospital
Myth 1
The drug can be discontinued without authorization after surgery
After the stent is placed, over time, the patient's symptoms disappear, there were chest tightness, chest pain these symptoms, now there is none, many people feel that their symptoms are relieved, they think that coronary heart disease is also cured, thereby reducing the use of coronary heart disease drugs. Because such patients discontinue the drug, they may cause serious adverse cardiac events in the future, resulting in catastrophic consequences.
Dr. Cheng Gong:
For example, some time ago, I had a patient who had been 8 years after coronary heart disease stenting, and in the first 4 years he took the drug regularly and reviewed it regularly, and after 4 years, the patient thought that his disease was cured, so he stopped using the heart disease drug.
Not long ago, he did coronary angiography again and found that there was a serious blockage of the blood vessel and the need to be placed in the stent again. This shows the harm caused by unauthorized drug discontinuation.
Therefore, Dr. Cheng Gong particularly emphasized: "Coronary heart disease is a lifelong disease, once diagnosed and requires lifelong treatment, the drug may accompany the patient for a lifetime." ”
Myth two
After the bracket is placed, it cannot be moved
Many people think that the stent is placed, the heart problem is very serious, and even walking, daily activities, life and work are affected, in many cases some activities do not dare to engage, can only rest at home, in fact, this is very bad for the prognosis of the heart.
Under the guidance and advice of doctors, a regular diet and lifestyle, the prognosis of patients can be significantly improved.
In addition, after stenting, if it is complete vascular reconstruction, then the patient's quality of life should be better than before, we can dispel doubts, on the basis of a regular diet, appropriate activities, in order to obtain a good prognosis.
Myth three
Lipid-lowering and antihypertensive drugs can be not taken without symptoms
Many patients with coronary heart disease need to take a variety of drugs after being placed in a stent, such as hypoglycemic drugs, antihypertensive drugs, antiplatelet drugs, lipid-lowering drugs and so on. Many patients think that they do not have high blood lipids and no high blood pressure, so they stop these drugs privately.
Dr. Cheng Gong emphasized:
The mechanism of action of these drugs is not only to lower blood pressure and lipids, but may play a very important role in improving the prognosis of patients, improving the quality of life of patients, and prolonging survival.
Therefore, we can not just according to the instructions of the drug, we can not stop the drug privately, we need to consult and discuss with the doctor who makes the stent for ourselves. Stick to regular medication for a better prognosis.
Finally, Dr. Cheng Gong said that stenting is like building a road, and after the road is repaired, long-term maintenance is also very important:
● Improve lifestyle, quit smoking and limit alcohol, control weight within a reasonable range, eat a light diet, especially low salt and low fat.
Maintain a good attitude and don't let anxious emotions affect your life.
● Take the drug regularly according to the doctor's instructions, if you have hypertension or diabetes, hyperlipidemia, you must control blood pressure, blood sugar, and blood lipids to the standard.
● Regular re-examination, oral administration of the above drugs should pay attention to bleeding tendencies, pay attention to monitoring blood routine, coagulation function, liver and kidney function, blood glucose, blood lipids, ECG and other indicators changes.
● Scientific exercise and exercise
Hopefully, our patients will all have a good prognosis.
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