What to pay attention to after a heart stent

What to expect after cardiac stenting.

1.Pay attention to the medication.

After cardiac stent surgery, antiplatelet drugs are required, the most commonly used is aspirin, and of course, clopidogrel bisulfate is also required. The combination of these two drugs has a relatively good effect on the recovery of patients after cardiac stent surgery. The approximate time of use is one year, and after one year, you can choose to take either of these two drugs.

2.Pay attention to the physical examination.

After cardiac stent surgery, it is necessary to control the blood pressure and blood lipids in the body, and at the same time, it is also necessary to have regular blood sugar checks. Under normal circumstances, it is measured once every three months or so, or you can buy your own measuring instrument and add testing. At the same time, it is also necessary to go to the hospital regularly to check the blood routine and coagulation cells.

3.Be mindful of exercise.

If you have a heart stent surgery, you need to rest a lot, but you can't stop exercising completely. Through exercise, you can effectively balance the blood lipids and blood sugar in the body, and you can walk slowly after meals every day, but at the same time, you need to pay attention to the intensity of exercise is not too large, otherwise it is easy to increase the burden on the heart.

4.Be mindful of what you eat.

Patients after cardiac stent surgery should try to eat some relatively light food, and some fried and sweet foods should be controlled. When cooking, try to put a little less salt and don't overeat too salty.

2. Care after cardiac stent surgery.

1.ECG monitoring.

Continuous ECG monitoring is required within 24 hours of cardiac stent surgery. It is necessary to closely observe whether the heart rate is abnormal and whether the myocardium is ischemia.

2.Drink proper water.

After heart stent surgery, you need to drink a little more water, which can speed up the excretion of contrast agent in the body, and drinking water is also conducive to ensuring normal needs.

After cardiac stenting, it should be noted that: First, the regular drugs should be taken persistently, including those that prevent platelet aggregation and lipid-lowering. Second, check blood lipids regularly, especially cholesterol and low-density lipoprotein, and be sure to lower to the middle of the standard range.

Third, pay attention to blood pressure and blood sugar. Fourth, diet, thickness and thickness, eat less greasy, pay attention to drinking more water, and reduce blood viscosity. Fifth, exercise, do more aerobic exercise and less strenuous exercise.

I hope mine can help you.

Precautions after cardiac stent implantation:

1. Life requires a low-salt, low-fat diet, pay attention to rest, moderate activity, quit smoking and limit alcohol;

2. Surgery-related upper limbs can not lift heavy objects within 1 month after intervention, patients with femoral artery approach can not squat for a long time or squat frequently, control the range of motion of the lower limbs, if pain or mass is found at the puncture site, pay attention to whether there is bleeding at the puncture site;

3. Long-term use of aspirin, Plavix or aspirin Belinda dual antiplatelet **, taking statin lipid regulation, receptor blocker acei or ARB and other drugs to prevent stent thrombosis, stabilize atherosclerotic plaques, and help patients recover better. Plavix or Belinda should be used for at least 1 year after surgery, patients should not stop the drug without authorization, and need to pay attention to whether there is bleeding during the medication, and go to the hospital for diagnosis and treatment in time once the bleeding occurs;

4. After stent surgery, go to the hospital for follow-up in January and March, re-examination once in half a year, re-examination once in 1 year, check blood routine, liver and kidney function, blood glucose, blood lipids, muscle enzymes, electrocardiogram, cardiac color ultrasound, etc., once chest tightness and chest pain occur again, go to the hospital for diagnosis and treatment immediately.

Pay attention to regular re-examination after stenting**. After cardiac stent surgery, patients should not feel that coronary heart disease has been completely resolved, and ignore basic coronary heart disease drugs**, such as statins (lipid-lowering), antiplatelet drugs, etc., should be taken according to the doctor's instructions. Patients with coronary heart disease can only achieve the ideal effect by insisting on taking drugs after cardiac stent surgery, so that the effect of surgery and the effect of these drugs are "strongly combined".

The dietary principle after cardiac stent surgery is to eat more vegetables and fruits and less food; The diet should be light, and it is best to eat less meat; Eat more freshwater fish, not egg yolks; Drink milk in moderation, quit smoking, and drink less alcohol. Appropriate exercise can improve the condition, no matter which exercise method you choose, you should be gradual, persistent, and happy; Try to avoid sports that are intense, excessively amplitude, or heavy on the body.

Pay attention to developing healthy living habits, such as eating lightly, trying not to stay up late, controlling weight, etc., the traditional metal stent is permanently left in the body after implantation, but now there are bioresorbable stents, which are made of degradable materials, such as the bioresorbable stent of Lepu, the first listed in China in 2019, which is fully degraded and absorbed about 3 years after implantation, and will not remain in the body permanently, and the blood vessels have returned to normal.

What to expect after cardiac stenting.

Heart disease is a very common disease in daily life, which not only seriously affects the life and health of patients, but also affects the quality of life of patients and their families. Some patients with coronary heart disease have chest tightness and shortness of breath due to myocardial ischemia caused by extremely narrow blood supply vessels. However, when medications** fail, cardiac stent surgery may be considered.

So, what do you need to look out for after cardiac stent surgery?

What details do I need to pay attention to after placing a cardiac stent?

1.Take your medication as directed by your doctor.

After the installation of cardiac stents, anticoagulant and antiplatelet aggregation drugs need to be taken for a long time, and the drugs should not be stopped without authorization. In addition, each person's constitution is different, so the type and dosage of the drug are also different. Therefore, when taking these medications, you should follow your doctor's instructions and do not increase or decrease the dosage without authorization.

These medications should be reviewed regularly. If the concentration of the drug does not meet the requirements, the dose should be increased under the guidance of a doctor, and if it is excessive, the dose should be reasonably reduced under the guidance of a doctor.

2.Be mindful of what you eat.

After the heart stent is placed, try not to eat high-fat, high-calorie foods, such as fatty meat, chocolate, etc. In addition, when cooking, try to put as little salt as possible, and eat lightly. It is advisable to eat more fresh vegetables and fruits.

In addition, after the installation of a heart stent, there is one thing to pay special attention to, that is, you should not drink alcohol. Alcohol not only damages the liver and other organs, but also increases the burden on the heart.

3.Do moderate exercise.

After the heart stent is placed, you can still do some moderate exercise, which can make the blood circulation smooth and enhance the body's ability to resist diseases. However, patients with cardiac stents should pay special attention when exercising and do not overdo it. And they should also choose low-intensity exercises, such as walking, jogging, tai chi, which are all good options.

In addition, the exercise time should be well controlled, generally no more than 40 minutes, and it is advisable to sweat slightly.

4.Avoid excessive mood swings.

Mood swings have a big impact on the heart. If mood swings are particularly high, it may cause coronary artery spasm, which in turn can lead to cardiac ischemia, which in turn can lead to myocardial infarction. People with cardiac stents should pay more attention to self-regulation and avoid excessive mood swings.

5.Prevent colds.

Colds will also aggravate the patient's condition, and the heart of patients with cardiac stents will become more sensitive, so when the weather changes, it is necessary to increase or remove clothing in time to avoid the occurrence of colds.

How long does it take to get a follow-up after heart stent surgery.

1.After cardiac stenting, long-term use of antithrombotic drugs is usually required. After three months, we can check for coagulation disorders and ultrasound.

2.Blood sugar, lipids, and blood pressure need to be checked regularly, usually after six months.

3.Six months after the stent is implanted, a repeat coronary angiogram is needed to see if the stent is recanalized. This test requires hospitalization**.

Coronary artery stenosis can easily recur within one year after cardiac stenting, so it should be taken seriously during this period. If you have symptoms such as chest tightness and shortness of breath, you should go to the hospital immediately for examination, because it is very likely that this is a stenting lesion.

Cardiac stents enter the coronary arteries through peripheral blood vessels, and under the high-pressure dilatation of the balloon, the stent is tightly attached to the vascular endothelium, and over time, the vascular endothelium will gradually regenerate, and finally completely cover and wrap the stent. Once coronary heart disease is diagnosed, almost all of them need to take medicine for a long time, unless there are relevant contraindications! Stent implantation is a common method for patients with coronary heart disease, only when there is an acute cardiovascular event or angina that cannot be controlled by drugs, the primary reason for taking medication after stent surgery is to prevent reinfarction caused by the stent itself, but after one year, the risk of reinfarction caused by stents is greatly reduced, and we can even stop clopidogrel in dual antiplatelet drugs.

If there is no serious arrhythmia in the later stage, the later stage may be ** training, and appropriate physical exercise should be done year by year, which is conducive to the growth of physical strength and work ability, after 2 or 4 months of physical activity and exercise, as appropriate, after the recovery of part or light work, after a full meal, there will also be a large amount of fat metabolism after eating, dyslipidemia, and high blood viscosity, which is also a factor that is easy to induce myocardial ischemia. Stent surgery with stenosis of a branch of the coronary artery is not possible in principle to avoid rapid heart rate and increased myocardial oxygen consumption, which aggravates the condition. But long-term inactivity is also not good for your health.

People who have had a heart stent are different, their hearts are already very fragile, they have to rely on stents to maintain normal beating, and then they have to do strenuous exercises to increase their burden, which is undoubtedly breaking the fortress for their lives. If the cardiac function is good, and there is no obvious severe stenosis of other blood vessels, although the heart stent can be exercised normally, this exercise has a very important impact on the heart function, the quality of life of the individual, and the mental health. Heart failure, at this time, the systolic function of the heart decreases, the blood supply to all organs of the body is insufficient, and symptoms such as fatigue and fatigue will occur.

Heart stent surgery is done by people who have heart stent surgeryGenerally, because of coronary arteriosclerosis and stenosis, resulting in insufficient blood supply to the heart, resulting in "coronary heart disease", the stent is to make the narrowed coronary artery with a wire frame to stretch it.

Thus providing blood flow to the coronary arteriesThe heart muscle gets a relatively normal blood supply. As long as you understand this truth, it will be easy to understand the precautions after making a stent.

Precautions after cardiac stent implantationAfter heart stent implantation, we must pay attention to the following situations: 1. Standardized medication, take drugs in strict accordance with the doctor's instructions, take them in a standardized manner, and take them on time。Second, we must pay attention to regular diet, light diet, low-salt, low-fat diet, avoid overeating, three meals a day should be regular, eat more fresh vegetables and fruits, and supplement vitamins.

IIIIt is necessary to strengthen physical exercise, combine your own physical conditions, and choose exercise methods, such as jogging, brisk walking, and cycling, which can promote blood circulationring, which improves the elasticity of blood vessels. Fourth, change bad habits, mainly to quit smoking, stop drinking, and avoid staying up late. Fifth, to maintain a good mood, to avoid emotional agitation, anxiety, the most important thing is to be sure to go to the hospital regularly for follow-up, once a new situation appears, we must go to the hospital as soon as possible, according to the condition, the adjustment of the drug and the adjustment of the first.

What problems need to be paid attention to after stent maintenance with drugs is a very common problem in clinical practice. Patients often ask the question of whether the stent is installed once and for all。In fact, after the bracket is installed, it is equivalent to repairing a road, and the road that is repaired still needs to be maintained.

At this time, it is necessary to standardize the medication, blood pressure, blood lipids, blood sugar, uric acid, homocysteine, smoking, drinking alcohol and other risk factors must be well managed, otherwise the stent restenosis will occurIt will be called another blockage, and it will be more troublesome. Therefore, it is hoped that after the stent is installed, the patient will take medicine according to the doctor's instructions, especially antithrombotic drugs。In addition to the control of risk factors, antithrombotic drugs such as aspirin, clopidogrel, ticagrelor, etc., should be taken in accordance with the requirements of the doctor, that is, double antiplatelet aggregation, plus the control of risk factors, and the relevant maintenance is integrated.

Maintain the bracket so that it doesn't cramp anymoreThis is an issue that needs special attention from the majority of patients. After the stent implantation, a small number of patients will feel comfortable and feel as if they have no symptoms, and they will think that everything is fine

After cardiac stenting, there should be an "exercise prescription".

Patients who have undergone stent surgery are prone to go to two extremes: one is to feel better and exercise frantically; The second is to always think that there is a "wire ring" in the heart, be cautious in everything, and basically do not exercise.

After stent surgery, the patient should have an "exercise prescription", the general principle is that the activity should be gradual, from light workload to normal working state, the maximum workload should not exceed 70% 80% before the operation, and you can insist on swimming, walking, jogging, cycling, tai chi, etc.

It is still necessary to insist on taking medicine, and you can exercise appropriately, such as swimming, jogging, walking, cycling, etc., and do appropriate exercise, not too much exercise.

After making a stent, you should take medication regularly, and you should not do strenuous exercise, avoid getting angry, and you should not smoke or drink, and you should also go to the hospital for regular check-ups.