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Heart bypass surgery is an operation that everyone has heard of, but after this operation, can it be the same as a normal person? I believe that this question is what many patients want to know, so let's follow along to understand this problem.
Is it possible to do it once and for all after heart bypass surgery?
Before understanding this problem, we need to understand that most heart bypass surgeries are caused by coronary heart disease.
And how is coronary heart disease caused? The organs in our body need blood all the time, and they need to provide oxygen and nutrients through blood circulation, and at the same time metabolize some harmful substances and carbon dioxide out of the body with blood circulation. The same is true for the heart, which needs to be supplied with blood through blood vessels.
Under the combined effect of a series of factors such as age, smoking, and three highs, several major arteries in our body are prone to arteriosclerosis. As a result, the heart cannot receive sufficient blood supply, resulting in coronary heart disease.
Heart bypass surgery is to artificially place a blood vessel in the narrowed part of the artery so that blood circulation can proceed normally. However, this is actually a palliative rather than a cure, and some factors that cause coronary heart disease still exist.
Heart bypass surgery only temporarily alleviates the lack of blood supply to the heart, if you continue to live as before, it will continue to cause coronary heart disease, and most patients still need to take medication to control it after this surgery.
In life, how can we prevent the occurrence of coronary heart disease?
1. Diet control.
In life, we must learn to control our diet and minimize the intake of high-fat, high-calorie and high-sugar foods.
Because the causes of coronary heart disease are usually caused by the intensification of arteriosclerosis in the body, the increase in blood lipids, and the viscosity of the blood. These factors are inseparable from daily diet, so it is necessary to reduce the intake of these foods as much as possible. Eat more fresh fruits and vegetables and low-calorie, low-fat foods every day.
2. Keep exercising.
Exercise is the best way to prevent disease, and exercise is a convenient thing to do. Walking in daily life is also a kind of exercise, for some middle-aged and elderly people whose physique is not as good as that of young people. You can choose to walk more every day, which is very good for physical and mental health.
It can effectively prevent the occurrence of many diseases, and coronary heart disease is also one of them.
3. Emotional conditioning.
We should maintain a good attitude in life and not get angry and angry about everything. Especially for middle-aged and elderly people, anger will cause blood pressure to rise sharply, which is very bad for physical health. It is easy to induce heart problems, so it is important to avoid this phenomenon.
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The lifespan of a patient after heart bypass surgery is uncertain. During the perioperative period of coronary artery bypass grafting, some patients die. Some patients live for one year, some for three years, some for five years, some for 10 years, some for 20 years or more, and some die of non-coronary heart disease.
<> survival time after cardiac bypass grafting should be comprehensively considered according to the number of preoperative coronary lesions, the degree of stenosis, the degree of distal patency of the lesion, the change of heart morphology, myocardial infarction and infarction area, complications, and the degree of patency after bypass. and postoperative patient maintenance.
The life of the postoperative patient will be related to the following factors:
The first is the lesion of coronary heart disease itself. The more severe the preoperative lesion, the more severe the coronary artery occlusion, the higher the surgical risk, and the greater the probability of postoperative complications.
Second, whether there are complications. For example, if patients have high blood pressure, diabetes, emphysema, renal failure, etc., if the patient is comorbid, the heart load will increase, and the probability of postoperative complications will also increase.
The third is to see which grafts are used during the surgery. In general, patients will have better long-term outcomes if arteries are used as bridging vessels.
In general, the patency rate of bridging vessels is about 90% -95% for about 5 years after surgery, and about 70% -80% for 10 years after surgery. The three factors I mentioned above are all uncontrollable, but if you go to the hospital regularly for follow-up check-ups after surgery and take the medications prescribed by the doctor on time, you can improve the life of patients after heart bypass surgery. Therefore, it is very important for every postoperative patient to take their medication on time and review on time.
Normally, it does not affect the lifespan and can survive for decades. Heart bypass surgery is a major surgery that requires a thoracotomy to establish cardiopulmonary bypass.
Therefore, postoperative care is very important for patients. Generally, it takes 3 months to 6 months to return to normal physical condition. During this period, regular follow-up visits should be conducted, nitrates and calcium channel blockers should be used as directed by the doctor, and antiplatelet aggregating drugs such as aspirin should be continued.
In daily life, it is necessary to avoid angina pectoris, and to prevent postoperative complications of pericardial effusion, which may cause an inflammatory reaction, so it is necessary to return to the hospital regularly for follow-up examinations half a year after discharge to avoid dangerous complications that may affect their lives.
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Heart bypass surgery is a very common method in heart disease. After this surgery, the survival time of patients is about 12 to 30 years, and the survival time of older patients after surgery is about 5 to 8 years. However, the specific time needs to be judged according to the individual's physical condition, but after the operation, if the patient wants to prolong his life, he needs to take medicine on time, pay attention to diet control, and pay attention to exercise.
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Some professionals say that after heart surgery, you can generally live about 12 to 30 years longer. The main basis is the patient's own physical condition, if the physical condition is better, then the life expectancy will be longer.
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You should be able to live for about a few years, depending on the patient's condition. Bypass surgery can alleviate the condition of the disease, and can also carry out basic treatment, which can alleviate the disease of the heart, and can also cause complications, so that the heart can be effectively restored, and it can also prolong life.
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How long can you live after heart bypass surgery? What dietary issues should I pay attention to?
How long can you live after heart bypass surgery? What to pay attention to when it comes to diet, a heart bypass is a surgical procedure that simply involves removing a blood vessel from another part of the body, such as a leg, and stitching it to the heart. The previously narrowed or blocked blood vessels of the heart are not affected, and a new bridge is made to improve blood flow to the distal part of the heart.
Cardiac stent surgery is a medical procedure. To put it simply, it is to open the previously narrowed or occluded blood vessel and support it with a stent. After stenting**, the original narrowed heart vessels will return to normal lumen and blood flow.
<> heart bypass, most of the time the heart has to be opened, the heart has to stop, general anesthesia is performed, and the patient has to remove the blood vessels and sew them around the heart in the state of anesthesia. This surgery is relatively large, but with the newer technology, some are not needed, you can also use a small incision, the heart does not stop, you can also do bypass surgery. The stent does not require surgery, it only needs to be threaded through the blood vessel with a needle, and the heart is entered with a catheter, and the stent is held up, and the patient is fully awake, and the operation is relatively small.
But no method is better than the other. Depending on the patient's heart and blood vessels, the choice of which surgery is more suitable for the patient.
After heart bypass surgery, patients need to stay in the ICU for a long time. After the patient is stable and moves out of the ICU, he can be discharged after a few days of observation. After being discharged from the hospital, it does not mean that the disease is **, coronary heart disease is almost incurable, and it needs to be treated for a long time or even for life.
Therefore, it is important to continue to maintain a healthy life, take your medications regularly, and have regular check-ups. Coronary heart disease requires a healthy life, especially heart bypass, quitting smoking and drinking, eating a low-salt, low-sugar and low-oil diet, avoiding staying up late, maintaining a good attitude, and determining the amount of activity according to the specific heart function and cardiovascular conditions.
Patients who cross the bridge need to take aspirin and statins for a long time to stabilize the plaque, prevent plaque rupture, prevent thrombosis, and prevent myocardial infarction. In addition to these two basic medicines, it is necessary to take drugs to control the three highs, vasodilators, drugs to control heart rate, and drugs to control heart failure. After bypass surgery, it is also necessary to have a re-examination once every six months, including blood routine, liver and kidney function, electrolytes, blood glucose, blood lipids, coagulation function, electrocardiogram, cardiac color ultrasound, etc.
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How long can you live after bypass surgery? What are the precautions? When Dr. Zhang saw the problem about the heart, he wanted to read a few words about this topic.
In recent years, there have been more and more patients with coronary heart disease, and many of them are no longer eligible for cardiac stents, and can only choose bypass surgery. For patients with coronary heart disease who have undergone bypass surgery, the most concerned thing is how long they can live after bypass and what problems need to be paid attention to. Next, Dr. Zhang will give you a brief answer.
2021 Spring Festival Medical Road Guard
In Dr. Zhang's medical career, he has seen patients who have survived heart bypass surgery for more than 20 years, and the subsequent re-examination of coronary angiography also shows that the coronary bridge is in a smooth state. Then the patient I experienced was the surgery performed by Professor Wu Qingyu, the former vice president of Beijing Fuwai Cardiovascular Hospital. In the later stage of the re-examination of coronary angiography, Dr. Zhang also personally participated in it, so I can take out this real case and explain it more clearly.
However, this does not mean that all patients with coronary artery bypass surgery will be so lucky, after all, each patient's personal physique, living environment, and family genetics are different, and the length of life is still based on the specific situation of each person, and it is certainly not possible for all bypass patients to survive for 20 years. However, having such real-life cases can increase the confidence of coronary heart disease patients who have the same experience in life. Say goodbye to the old and welcome the new
In addition, many patients are also very concerned about what to pay attention to after heart bypass surgery? Dr. Zhang's personal advice is to insist on taking standard medications, such as aspirin, receptor blockers, statins, lipid-lowering drugs, sartans, and even some friends need to take some anti-heart failure drugs, such as sacubitril-valsartan, etc. In addition to taking medication consistently, it is also important to have regular check-ups, especially at the surgeon's office, and it is very necessary to maintain smooth contact with the surgeon, after all, the surgeon is the best to know what the patient has experienced during the operation, and has the most right to speak.
Finally, it is necessary to warn the majority of patients with coronary heart disease who have crossed the heart to improve their unhealthy lifestyles, such as quitting smoking and limiting alcohol, strengthening physical exercise, controlling weight, eating reasonably, and having a peaceful mind.
In short, whether a patient with coronary heart disease has undergone cardiac stent surgery or heart bypass surgery, as long as they adhere to regular medical treatment, the survival time in most cases is greatly improved compared with before. About that. Everyone must have confidence and not be anxious and pessimistic.
At the same time, we must pay attention to the details of daily life, pay attention to improving the bad lifestyle, and at the same time cooperate with the regular **, regular review, and the life span will not be shortened.
To find Dr. Zhang, you can click on the consultation card below.
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