“I feel like I’m completely useless after putting on the bracket, can you help me take it out?”

Uncle Liu is 65 years old this year, and he He was diagnosed with coronary heart disease 20 years ago, and the degree of coronary stenosis was 80%, because he had no symptoms at that time, and he did not feel uncomfortable when exercising or working, and he did not have stents. Taking medicine, the doctor has been telling him not to do stents.

But for so many years, Uncle Liu felt that his coronary stenosis was so serious, and he felt very uneasy. He went to another hospital for examination and implanted a stent. After the stent was done, Uncle Liu felt that his body was weird, felt a foreign body sensation in his heart, was very tired during the day, couldn’t sleep at night, was depressed, and was easily angry… So he begged the doctor to give him the stent. Demolished.

You must be careful when implanting a cardiac stent. Once implanted, it is difficult to remove the cardiac stent because the stent will be completely fused with the vascular tissue. Nowadays, heart stents have been reduced in price and cheap, and they cannot be abused because patients can afford them.

First, the new Lancet study: Most stable coronary heart disease only needs to take medicine, the benefit of stent is not Obviously

In February 2022, a new study was published in The Lancet, which included data from 32,691 patients with chronic coronary syndrome in Europe. 5-year follow-up.

At 1-year follow-up,researchers found that even in patients without revascularization, 39.6% of their symptoms disappeared, And the proportion of patients with angina pectoris is shrinking. At 5 years of follow-up, 45.8% of patients were found to be free of cardiovascular events and angina pectoris.

At this point, researchers believe that: most stable coronary heart disease, Taking medicine can help maintain the condition, without the need to place a cardiac stent. Interventional therapy did not improve the occurrence of cardiovascular events. With the increase of time, the patient’s angina pectoris will gradually improve.

The articles published in The Lancet do not recommend implantation of cardiac stents. Does this mean that cardiac stents are a scam? Can a heart stent still be used?

Second, is the heart stent really a big scam to make money and kill people?

Stents are indeed not suitable for every patient with coronary heart disease! Lai Xiaojing, Department of Cardiovascular and Cerebrovascular, Liwan District People’s Hospital, Guangzhou said that the role of cardiac stents is to help dredge blood vessels, which can relieve symptoms and stabilize Patients with these three conditions are generally suitable for cardiac stent surgery.

1. Myocardial infarction

Should go to the hospital in time within 6 hours of myocardial infarction Specialized hospitals perform cardiac stent surgery. Implantation of stents can help to quickly open blocked blood vessels, allowing patients to restore normal cardiac function.

2. Unstable angina

Some patients with unstable angina, such as If the cardiac stent is not placed in time, it is likely to evolve into acute myocardial infarction, which is a great threat to life safety.

3. Exertional angina pectoris

Some patients may experience a There will be uncomfortable symptoms of chest pain and chest tightness, but the symptoms can be relieved after resting for a while. Patients with this type of exertional angina are also recommended to undergo cardiac stent surgery.

For most patients with chronic stable coronary heart disease, stents have no apparent benefit. Cardiac stents “treating the symptoms but not the root cause”, cannot help fundamentally relieve myocardial infarction or sudden death, but can only relieve the severity of angina pectoris. What these patients need to do more on a daily basis is to change their bad living habits and insist on medication. Of course, stable lesions should be comprehensive based on the actual situation of the patient, not blindly self-diagnosed, and must be guided by a professional doctor.

Many people in life think that once the heart stent is put out, it will be useless and cannot do any physical work. And life has also been pressed the countdown button. Is there really scientific basis for this statement?

Third, after the stent is done, the person will be useless, and will the lifespan be shortened?

Of course not, whether physical activity can be performed after stenting is not directly related to stenting, but is related to postoperative myocardial ischemia and cardiac function. Some patients suffering from myocardial infarction are worse than ordinary people in their own labor force. Standardized cardiac stenting will restore the patient’s cardiac function and improve the patient’s labor and exercise ability, can play a certain role in the normal life of patients.

Most people feel “abandoned” after stent surgery because of psychological factors. Such patients are distrustful of stent surgery and worried about their own conditions. So that there are obvious symptoms of anxiety and depression, these factors will greatly reduce the quality of life of patients, and even directly affect the ability to work.

In simple terms, heart stent surgery isUnder the premise of regular use, it will not “seek money and kill”. It should be reminded that some patients with cardiac stents also need to be careful not to “release themselves” too much.

Fourth, if you want to live longer after stent implantation, remember these points

Professor Hu Dayi from Peking University People’s Hospital span>is one of the first group of people to implement cardiac stents in China. As early as 1981, he participated in the first cardiac stent operation in China, and is known as the “Father of Chinese Coronary Stents”. But with the increasing use of stents, he has become the first person in China to oppose stent abuse, and has been persuading patients not to do stents lightly.

He said that the role of cardiac stents is undeniable. It is the fastest way to open blood vessels and save lives, but stents cannot prevent myocardial infarction. risk of long-term blood clots. Even if the stent has been placed, the patient can’t rest easy. How to promote cardiac recovery, Professor Hu issued 5 “prescriptions”.

1. Standardized medication

Even if it is implanted After receiving a heart stent, patients also need to take long-term standardized drug treatment according to their own conditions, and regularly communicate with doctors to make drug adjustments.

2. Quit smoking

Smoking is one of the direct factors that induce myocardial infarction. Especially for patients who have undergone heart stent surgery, it is more necessary to quit smoking.

3. Healthy eating

Pay attention to maintaining a healthy diet, follow the principles of diet diversification and matching thickness, eat less staple food, and strictly limit the intake of sugar.

4. Moderate exercise

Based on your physique and age, choose the right one for you exercise, grasp the exercise time, and make time for cycling, walking, etc. after busy work.

5. Adjust mood

Many patients with cardiovascular disease will also have Psychological problems, for such patients, if they are unable to adjust their emotions in daily life, they should go to the hospital in time to seek the help of a professional psychologist.

Some patients who need to be placed with cardiac stents after evaluation by doctors must not resist too much. The cardiac stents are not so “unbearable”, and they must be placed when they should be placed. You also need to do daily nursing work after surgery. Have you learned all the above points? #Everyone can science, there are new knowledge everywhere# #Number One Weekly#

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