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Precautions After Coronary Artery Stent Installation

Precautions After Coronary Artery Stent Installation

At present, the incidence of coronary heart disease continues to increase. Cardiac stent placement, which began more than 20 years ago, provides a safe and convenient minimally invasive method for the recanalization of coronary heart disease. The problem of vascular recanalization was solved after the coronary  stent was installed, but because the implanted stent is a foreign body, it will bring some other problems, such as an increase in the incidence of thrombosis, so corresponding treatment changes need to be made, let's talk about what problems to pay attention to after installing a heart stent.

1. Limit strenuous exercise within three months after coronary stenting

Within three months of installing a coronary stent, try not to exercise vigorously, because after the stent is installed, the vascular intima on the edge of the stent will proliferate and cover the stent. Swim, run fast, etc.

2. Continue to control risk factors after coronary stenting

Do not stop the drugs that control the risk factors of arteriosclerosis and cardiovascular diseases. Some people think that after the installation of coronary stents, the disease will be cured, and all drugs can be stopped. This is a serious mistake, which will lead to disease recurrence, aggravation and even life-threatening.

It is necessary to continue to control cardiovascular risk factors for atherosclerosis such as blood pressure, blood sugar, blood lipids, blood uric acid, blood homocysteine, and body weight.

3. Continue to treat coronary arteriosclerosis after coronary stenting

Some drugs need to be taken for a long time if the doctor has prescribed them, such as anti-platelet aggregation drugs (such as aspirin), beta-blockers (such as metoprolol, bisoprolol), statins (such as atorvastatin, radium Suvastatin), even if the blood lipids are not high, you must continue to take statins, and the decline in bad cholesterol low-density lipoprotein cholesterol (LDL) must reach more than 50%.

Myocardial infarction or heart failure patients have been treated with angiotensin-converting enzyme inhibitors (pril, such as captopril, benazepril, perindopril, etc.), or angiotensin-converting enzyme receptor antagonists (Sartans such as losartan, valsartan, candesartan, etc.) cannot be stopped, even if the blood pressure is not high, unless the blood pressure is too low to be tolerated.

4. Ischemia symptoms after coronary artery stenting should be treated in time

If symptoms of chest tightness and chest pain occur, seek medical attention in time. The probability of ischemia is relatively high. It can be caused by spasm, restenosis in the stent, or thrombosis in the coronary artery stent. Symptoms can be diagnosed first. Next, take the spare nitroglycerin tablets.

5. Establish a healthy lifestyle after coronary artery stenting

Continue to give up bad habits, especially smoking, based on non-drug treatment. In terms of diet, pay attention to a low-salt and low-fat diet, maintain a reasonable and sufficient sleep, reduce the pressure of life and work, control emotions, and actively exercise.

6. Follow the doctor's advice regularly after coronary artery stenting

Follow the doctor's order for regular reexamination. Generally, reexamination is required at the time point of 1 month or 3 months, and then reexamination every 3 months. Is there any problem with the purpose of the inspection, including whether restenosis has occurred? Are the treatment target indicators up to the standard, including whether the low-density lipoprotein cholesterol and heart rate are up to the standard? Are risk factors under control? Do medications need to be adjusted?