What medicine is good to take after the heart is put with a stent

Long-term oral medications are required after cardiac stents, first of all, oral antiplatelet drugs, such as aspirin, clopidogrel, and clopidogrel is generally required for 9 to 12 months after oral surgery.

Secondly, it is necessary to stabilize plaque lipid-regulating drugs, such as atorvastatin and rosuvastatin.

Drugs that lower the oxygen consumption of the heart muscle, such as metoprolol, which can control the ventricular rate and reduce the oxygen consumption of the heart muscle.

Cardiac stents, also known as coronary stents, are commonly used medical devices in cardiac interventional surgery and have the effect of unblocking arterial blood vessels. The main materials are stainless steel, nitinol or cobalt-chrome alloy. It first appeared in the 80s of the 20th century, and has experienced the development process of metal stents, drug-coated stents, and bioresorbable stents.

Not every patient with coronary heart disease is suitable for cardiac stents, and about 20% of patients who really need intervention** are needed.

Acute myocardial infarction.

Within 6 hours after the occurrence of myocardial infarction, you should go to a qualified hospital for intervention**, and quickly open the occluded blood vessels, and the effect of cardiac function recovery is better than that of thrombolysis and drugs**.

Unstable angina.

Because of the possibility of developing acute myocardial infarction, a cardiac stent is appropriate.

Exertional angina.

Patients who walk a little farther may experience uncomfortable symptoms such as chest pain and tightness. And sitting quietly or resting for a while will relieve the symptoms.

Tetralogy of Fallot.

Patients have anatomical coronary arteries and percutaneous right ventricular outflow tract stents are less risky than surgery alone.

Complex congenital heart disease.

For complex congenital heart disease such as severe pulmonary artery stenosis or pulmonary atresia, percutaneous arterial catheter placement of a stent is appropriate.

First, let me come to your first question. A stent is not necessary for a heart attack.

Myocardial infarction, also known as myocardial infarction, is a coronary artery that originates in the aortic sinus at the root of the aorta and is divided into left and right branches. If one or more of these two blood vessels is chronic, slightly blocked, it is called chronic myocardial infarction.

At present, patients with chronic occlusive lesions account for 20% of the total number of patients with coronary heart disease, and the onset is young and very insidious, and chronic total occlusion is often accidentally found during physical examination or traumatic examination. However, this type of myocardial infarction does not necessarily require a stent before it develops into a total blockage.

If one or more of these two blood vessels is acutely and completely blocked, it is called acute myocardial infarction, and acute myocardial infarction is the most dangerous of all heart diseases.

At this time, the heart may go into arrest at any time, and the myocardium will die due to ischemia and hypoxia. Then, the only first aid method is to pass the blood vessels, and the effect of the blood vessels determines the patient's chances of survival!

What are the more effective ways to open blood vessels?

1.Thrombolysis, a type of plasminogen activator, is used to dissolve fibrin in the blood clot, either directly or indirectly, thereby recanalizing the blocked blood vessels. Although this method is cheap, there are no hard requirements for the level of hospitals and doctors, but the probability of opening blood vessels is low, that is to say, many people may not be able to penetrate blood vessels through thrombolysis, which delays the opportunity.

Low-salt and low-fat foods are the best, it is recommended to eat less greasy things, eat less things with high cholesterol, quit smoking, drink more water, ensure nutrition, eat more fruits and vegetables, exercise moderately, insist on taking medication, and insist on taking Bolivix after stenting.

After making a cardiac stent, it is necessary to carry out corresponding assistance** and strengthen self-care to maintain the long-term patency of the coronary lumen, and generally pay attention to the following points:

1. Antithrombotic drugs should be taken consistently

There is still a certain risk in the early stage of stent intervention, and it is easy to form blood clots, so it is necessary to continue to take anticoagulant drugs according to the doctor's instructions after stent surgery to avoid thrombosis.

In addition to antithrombotic drugs, people with dyslipidemia should also take oral statins. Patients with hypertension and diabetes mellitus should be given antihypertensive and hypoglycemic drugs at the same time**.

2. Post-stent diet:

1) Dietary principles: The dietary principles after cardiac stent surgery are to control the diet, low sugar, low fat, low cholesterol, low salt, high protein, high dietary fiber, appropriate supplementation of vitamins and trace element preparations, deep-sea fish oil, soybean phospholipids, etc.

2) The doctor recommends that in addition to the staple food rice noodles, it should be appropriately paired with cereals and beans. Proteins such as fish, lean meat, chicken, duck, rabbit, soy and dairy products, etc. Don't eat or eat less fatty meat, eat less animal offal, but don't be absolute, it's still beneficial to eat some liver in moderation; Vegetable oil should be used for cooking, and animal oil should not be used or used sparingly; Eat more fresh vegetables and fruits; Do not overeat or overeat.

3. Actively control risk factors

Risk factors such as hypertension, hyperlipidemia, diabetes, obesity, and smoking are still needed after stenting. At the same time, we should have a regular life, pay attention to controlling emotions, avoid excessive tension and mood swings, avoid dry stools, etc.;

4. Appropriate exercise:

After coronary intervention**, do not lie in bed and sit still all day, and exercise appropriately under the guidance of a doctor to help maintain the patency of the coronary lumen and promote the growth of myocardial collateral blood vessels in the ischemic area. The postoperative activity level should be determined according to the physical condition, activity habits, cardiac condition after the operation, and the environment in which the operation is located, and aerobic exercise, such as walking, doing health exercises, tai chi, etc., should be promoted.

5. Regular follow-up:

Patients who have undergone interventional surgery should pay attention to the relevant examinations regularly after surgery. If symptoms of chest tightness and chest pain occur within one month after intervention, it is necessary to consider whether there is thrombosis; Chest tightness and pain within six months should raise suspicion of restenosis. If you have these symptoms, you should see a doctor promptly.

First, supplement proteins, such as milk: cow's milk, goat's milk, mare's milk, etc. Eggs:

Eggs, duck eggs, quail eggs, etc., but egg yolks are not only rich in protein, but also rich in cholesterol, so do not eat egg yolks. Nuts: melon seeds, walnuts, pine nuts, etc.

There are also fish, lean meats, etc. Second, eat more fruits and vegetables, such as grapefruit, bananas, dragon fruit, celery, papaya, tomatoes, etc. Thirdly, the diet is mainly light and easy to digest food, such as rice porridge, millet porridge, etc.

Oh, after coronary heart disease interventional surgery is implanted with a stent, in order to prevent thrombosis in the stent and local occlusion is re-occluded, so we must combine antiplatelet **, that is, aspirin + clopidogrel (Plavix)**, aspirin is recommended to be taken for life, clopidogrel (Plavix) If the ordinary stent is stable and the condition is stable, it is generally at least 6-9 months, and the drug-eluting stent is at least 1 year, if the patient is relatively serious and easy to restenosis, Then clopidogrel must be taken for a longer period of time, such as at least 2 years in diabetic patients.

You convince the stomach to feel uncomfortable after the medicine, this may be there, especially aspirin has the greatest impact on the gastrointestinal tract, the general dose of aspirin is 100 mg a tablet, you can reduce it to 75 mg appropriately, this can have a domestic small dose of aspirin 25 mg tablet, you can take it once after breakfast, it is not necessary to take it in separate doses, clopidogrel has a direct *** on the gastrointestinal tract is relatively small, you can continue to take it in the original dose. If it is not good, especially if you have digestive tract problems, you can consider combining proton pump inhibitors such as omeprazole, of course, such ** is expensive. Or consider using famotidine instead of omeprazole.