Can coronary heart disease be surgical? Ask for an introduction

If you have coronary heart disease, you can have surgery. Of course, not all patients with coronary heart disease need surgery**, and the decision depends on the patient's specific situation. Patients with coronary heart disease can have coronary angiography first to understand the specific situation of vascular lesions to decide the next step.

Whether or not coronary heart disease can be operated on should be determined according to the patient's condition changes and the extent of the lesion. If the patient has mild coronary artery stenosis or myocardial ischemia, which is not very severe, drugs may be used**. If the drug is not effective, you can choose the corresponding method after coronary angiography, and coronary artery stent surgery can be performed for patients with severe stenosis

It is also possible to take medications for a long time**; It can affect the normal work and life of the patient, and the severe condition may cause myocardial infarction, resulting in insufficient blood supply to the brain, decreased physical tolerance, and inability to perform large-scale labor.

At present, there is no other way for coronary heart disease except surgery, because coronary heart disease is very urgent and can only be maintained by surgery. Coronary heart disease is particularly prone to heart disease, which can induce hepatitis, nephritis, cerebrovascular disease, increased blood pressure, and sudden death.

No, in fact, surgery is also very dangerous, if you have coronary heart disease, it will affect your kidneys and liver and cause cancer.

Control the blood viscosity well, and take anticoagulants for a long time.

The conditioning of traditional Chinese medicine is good, and the comprehensive conditioning of heart disease is very good.

Do I need surgery for coronary heart disease?

There are many methods of coronary heart disease, except for oral drugs, ****, etc., the rest are interventional surgery and surgery.

So is it true that all coronary heart disease requires surgery**, the answer is, of course, no!

Which patients don't need surgery?

1.Patients with mild coronary artery disease do not need surgery.

Coronary artery disease is mild, stenosis is not severe, and there are almost no onset coronary artery disease, which does not require interventional surgery and surgery**.

2.Surgery is not required for those who cannot tolerate surgery.

Surgery is not required if the patient is severely ill, or has other inoperable diseases, or is unable to tolerate surgery for other reasons**.

3.Patients who may have a poor surgical outcome do not need surgery.

If the patient has poor results after surgery due to vascular reasons or other reasons such as his or her own condition, it may be better than no surgery, so the patient does not need interventional surgery or surgery**.

4.Patients who do not have surgery if they wish to do so or if their clients do not want to do the surgery.

This, without explanation, you know.

Which patients need surgery?

1.Patients with acutely onset coronary heart disease.

In patients with acute myocardial infarction, whether ST-elevation or non-elevation, emergency surgery is the best option, and there may be no better approach.

2.Patients with life-threatening coronary artery disease who must be operated on for left main lesions, severe stenosis coronary artery lesions, and other patients who may be life-threatening require interventional surgery**or surgery**.

3.Other surgeries are required, but the heart cannot be uncomfortable.

Patients who require other major surgeries, but whose coronary arteries are poor and cannot tolerate surgery, require interventional surgery** or surgery**.

4.Coronary heart disease that affects heart function or other functions.

Although the patient has no symptoms of coronary heart disease, the coronary heart disease has symptoms of ischemic cardiomyopathy, or coronary heart disease that causes arrhythmia or abnormal function of other organs, and requires surgery**.

Regardless of whether surgery is performed or not, secondary prevention of coronary heart disease is the basis of the first disease.

Regardless of whether it is surgery or not, secondary prevention of coronary heart disease is essential, and without good secondary prevention of coronary heart disease, even if it is operated, it will not be good there.

No, coronary heart disease mainly depends on recuperation in life, can not do heavy work, diet should be light, can not be angry, and then cooperate with the assistance of drugs**.

Coronary heart disease mainly includes non-drug, drug, and surgery. The specific ** method depends on the severity of coronary heart disease (coronary artery disease). Generally speaking, non-drug** and drug** are the basis, and if the degree of coronary artery lesions is more severe, surgical intervention should be considered when the effect of drugs alone is not good.

Non-pharmacological control of risk factors, such as smoking cessation, alcohol restriction, dietary control, moderate exercise, etc.

Drugs ** are the basic, mainly drugs for the secondary prevention of coronary heart disease, including antiplatelet drugs, vasodilators, drugs to control blood pressure, blood sugar, blood lipids, etc.

This cannot be generalized, and surgery should be done according to the situation. If the drug cannot be controlled, and the effect of other ** methods is not good, then surgery needs to be considered. Generally, coronary artery stent surgery is performed, which is less invasive and more effective.

If it is mild coronary heart disease, it is generally not operated on, and it can be maintained and regulated by drugs.

Coronary heart disease does not necessarily require surgery, coronary heart disease is coronary atherosclerotic heart disease, that is, on the heart, the blood vessels of the heart, there is a stenosis, it is called coronary heart disease. The blood vessels of the heart are called coronary arteries, and when it appears narrowed, we call it coronary atherosclerotic heart disease. If you are not stenosis enough, more than 50%, but less than 70%, then in this case, medication** is fine, and surgery is not necessarily necessary.

Not all patients with coronary heart disease need surgery. It is recommended that coronary angiography can be completed first, and then according to the results of coronary angiography to decide whether surgery is needed**, if coronary angiography shows that the degree of vascular stenosis is greater than 75%, coronary artery stent implantation can be done, if the vascular lesion is too severe, then coronary artery bypass surgery can be selected.

Coronary heart disease is caused by atherosclerosis or plaque formation in the coronary arteries of the heart, just like a water pipe with rust stains, a lot of dirt on the pipe wall, resulting in the pipe blockage and obstruction of the flow of water, blood can not flow smoothly in such blood vessels, resulting in insufficient oxygen supply to myocardial cells, which will cause ischemia and hypoxia and cause consequences such as angina pectoris, myocardial infarction and so on.

Think about it, what can be done to restore such a rusty and damaged water pipe to its normal condition completely? This is obviously impossible, and the measures that can be taken are only to avoid the further development of rust, and to dredge the place that has been rusted and blocked, but it is really impossible to dredge, so we have to reconnect a section of water pipe to bypass this section of the blockage, so as to achieve the purpose of water flow through.

Coronary heart disease is similar, first of all, we must take active measures, such as controlling blood sugar, blood pressure, blood lipids, quitting smoking and drinking, to avoid the further development and aggravation of atherosclerosis and plaque, and secondly, to stabilize and shrink atherosclerosis and plaque as much as possible, to reduce the degree of vascular blockage, and to reduce the degree of myocardial cell ischemia and hypoxia caused by poor blood flow, which needs to be achieved by taking corresponding drugs, and requires lifelong medication.

If taking medication does not improve the condition of myocardial cell ischemia and hypoxia, indicating that the blood vessel is seriously blocked, it is necessary to dilate the blocked blood vessel with the help of external force. At present, cardiac interventional surgery, which is commonly referred to as stent placement, is mostly done in the cardiology department. However, the premise of this surgery is that the blood vessel is not completely occluded and the blood vessel can withstand the support of the stent, otherwise the stent cannot be placed and there is a risk of "bursting" the blood vessel.

If this happens, you have to reconnect a section of blood vessel to bypass the severely diseased section and bypass the blood supply to the myocardial cells, which is often referred to as heart bypass surgery. This type of surgery often requires a thoracotomy and is a larger surgery that is done in cardiothoracic surgery.

It can be seen that whether or not to have coronary heart disease is determined by the condition, even if surgery cannot be used for coronary heart disease, and without surgery does not mean that coronary heart disease cannot be effectively controlled. You must know that once you have coronary heart disease, because atherosclerosis and plaque formation are irreversible, coronary heart disease cannot be effectively controlled, that is, to delay the progression of coronary artery disease as much as possible, reduce the degree of vascular stenosis and blockage as much as possible, and reduce the long-term ischemia and hypoxia of myocardial cells as much as possible.

In short, coronary heart disease needs to be lifelong**, and it must not be taken lightly because there is no acute attack and no symptoms.

Coronary artery bypass graft surgery (CABG) is best done for severe coronary heart disease: The main principle of CABG is to use its own blood vessels (internal mammary artery, radial artery, right gastroomental artery, saphenous vein) to create a bypass ("bridge") between the aorta and the diseased coronary artery, so that the blood in the aorta can be directly perfused across the site of vascular stenosis to the distal end of the stenosis, thereby restoring blood to the myocardium**.

Yes! Coronary arteries have atherosclerosis or plaque formation, just like a water pipe is rusty, and a lot of dirt grows on the pipe wall, causing the pipe to be blocked and blocked, blocking the flow of water, blood cannot flow smoothly in such blood vessels, but good.

The right way can get through the clogged pipes, so as to achieve health!

There are different methods, depending on which one you are suitable for.

The case of coronary heart disease is more complex. It is recommended to further clarify the diagnosis and diagnosis, and you can do a 64-slice CT scan or coronary angiography to determine the location and degree of the blockage. If the blockage is less than 70%, medications may be used.

Some symptoms of coronary artery disease can be relieved by other methods without surgery, but they vary widely from person to person. To choose which one** is more suitable for a specific patient, it is recommended to consult an authoritative expert in this area in person.