After the implantation of the heart stent, what everyone is most afraid of is the appearance of ***How to detect the stent in time is the key to regular review
But you will find that every time you go to the hospital for a follow-up, the doctor prescribes a variety of examinations, and different patients vary greatly. Some have blood draws, some have ultrasounds, and some even have follow-up imaging!How exactly should I get a follow-up after a heart stent?Which metrics to focus onLet's take a look:
Complete blood count:Long-term use of antiplatelet drugs after stenting has the risk of gastrointestinal bleeding, which is also one of the most common***. Regularly review the blood routine to monitor whether there is an abnormal decrease in hemoglobin, which can detect the possibility of gastrointestinal bleeding in time, and for patients with gastric problems, observe whether there is black stool and bloody stoolMonitor fecal occult blood, which is also very important.
Liver and kidney function:Oral drugs for heart disease are almost all metabolized by the liver and kidney, coupled with the variety of drugs and the long time, if the burden on the liver and kidney is exceeded, it may cause liver and kidney insufficiency, and even liver and kidney failure, especially in the elderly, low body weight and patients with underlying liver and kidney diseases. Therefore, it is necessary to regularly review liver and kidney function, and adjust the drug in time once abnormalities are found**.
In addition, it should be strictly controlled after stent surgeryLipids and blood glucoseto reduce the risk of heart disease**.
Cardiac ultrasound:For patients with acute myocardial infarction and heart failure, regular repeat echocardiography can assess the extent of cardiac damage and changes in cardiac function.
Chest CT:Chest CT can help diagnose heart disease when it is necessary to distinguish it from lung disease, such as pneumonia, pleural effusion, or COPD. However, ultrasound and CT are not routine follow-up tests, and doctors will examine them according to the patient's condition.
There is no mandatory requirement to have a repeat cardiogram every year after stenting, but repeat imaging is recommended if the patient has any of the following:
Post-stent symptoms**, conservative selection of drugs for untreated critical lesions**, acceptance of new technologies such as drug balloons or absorbable stents**, etc.
Myocardial nuclear examination:It is used to evaluate the degree of ischemia and survival of myocardium, especially occlusive lesions, and has certain guiding significance for guiding doctors whether to perform stent surgery to open blood vessels, but it is not a routine examination.
I'm Dr. Zhang from the Department of Cardiovascular Medicine, if you like my popular science articles, please like it!You can also share it with your friends in need!Follow me to see more health knowledge about heart disease!
List of high-quality authors