Mr. Li, 32 years old, is busy with work all year round and rarely rests. Staying up late for a long time and irregular work and rest made his body gradually have problemsChest tightness and physical exhaustion have become troubles that he can't get rid of every day; Knowing that his health problems could not be ignored, Mr. Lee began to seek medical help.
After a series of examinations, the doctor found that Mr. Li's coronary artery was severely blockedIn particular, the left anterior descending artery has been clogged by nearly 80% of the firstThe choice is the stent**, this news made Mr. Li fall into an ice cave, he couldn't believe that his body would have such a problem.
Mr. Li was perched in a hospital bed, and he began to think about the next ** method. He remembered that his second uncle said that his father had made a surgical stent and left within a year, which made people shudder, and he had a fear of surgical stents, worried that the operation would bring more risks and sequelae.
This time, the doctor explained to him in detail the pros and cons of surgical stents, which gave him a deeper understanding of the surgeryA surgical stent is used to dilate blocked coronary blood vessels and improve blood flow, although the surgery itself may carry certain risksBut for Mr. Li, surgical stents provide the best solution to the problem of coronary heart disease.
The doctor told him that the safety and effectiveness of surgical stents were widely recognized, and the time after surgery was relatively short, and Mr. Li began to gradually understand the importance of surgical stents in coronary heart disease.
Under the doctor's persuasion, Mr. Li decided to undergo a surgical stent**. The surgery went very smoothly and Mr. Li was also very fast under the care of his family and doctors. After a period of recuperation, he regained his former vigor and vitality.
Why do doctors recommend stents**? Is the stent** more beneficial than the disadvantage or the disadvantage outweighs the pro?
There was a ** who lied that Beijing TV had reported that surgical stents would have no place in China, saying that China would remove hard lumps in coronary arteries and other parts by grinding probes in the future.
However, Zhao Quanming pointed out that there are problems with the interpretation of the images and structures involved in the relevant reportsThe organs on display were mistakenly identified as the heart and blood vessels, and the so-called plaques in ** were found to be more like stones。Therefore, he speculated that this passage actually shows the removal of ureters and kidney stones, and has nothing to do with hard plaque in the blood vessels of the heart.
And, according to the China Cardiovascular Health and Disease Report 2019,The number of coronary heart disease interventions** in Chinese mainland increased from 230,000 in 2009 to more than 1.04 million in 2019. This reflects the important role of cardiac stent surgery in cardiovascular disease in China**.
Secondly, cardiac stent surgery is an important hand for coronary heart disease interventionsegment, which has the following advantages: rapid opening of narrowed coronary arteries, restoration of myocardial blood**, improvement of patients' quality of life, and reduction of mortality rate. These advantages make cardiac stent surgery play an irreplaceable role in cardiovascular disease**.
Of course, cardiac stent surgery is effective, but there are still the following challenges: complications such as postoperative vascular restenosis, thrombosis, and stent damage; long-term medication adherence issues; The cost of the stent is higher.
To overcome the current challenges, medical technology is constantly improving and introducing innovations. For example, the use of drug-borne stents reduces the risk of thrombosis; Biodegradable scaffolds can be dissolved gradually, avoiding long-term complications. In addition, the accurate diagnosis and mode of cardiac disease are also constantly improving, providing better support for the effective implementation of cardiac stent surgery.
Although cardiac stent surgery presents some challenges, it is still an effective means of coronary heart disease intervention**. In the future, as technology continues to improve and innovate and alternatives develop, cardiac stent surgery will continue to play an important role and demonstrate its advantages in more cardiovascular diseases**. However, the accurate judgment of indications, the standardized application of surgical techniques, and postoperative follow-up and management are still areas that need attention and improvement.
Cardiac stent surgery is a common method of coronary heart disease, which involves the implantation of a metal mesh stent to dilate the narrowed coronary blood vessels and restore the smoothness of blood flow. This procedure has been widely used in clinical practice for many years and has proven to be a safe and effective method. Advanced technology and equipment make the surgical operation more accurate and the success rate is higher, and the advantages outweigh the disadvantages when considering all aspects.
The advantage of cardiac stent surgery is that it is effective. handsThe surgery can quickly and accurately improve the narrowed coronary arteries, restore blood**, and reduce or eliminate angina symptoms. For some patients with severe conditions, heart stent surgery can be lifesaving. Surgical stents are of great significance in the prevention of heart disease and in improving quality of life.
Cardiac stent surgery is a non-invasive procedure compared to other methods. Compared with traditional thoracotomy, cardiac stent surgery can be performed through a catheter, which makes the wound smaller and the risk of infection smaller, thereby reducing the risk of surgery and the impact of trauma on the patient.
To objectively assess the pros and cons of cardiac stent surgery, it is also important to see its potential risks. There may be some complications after surgical stenting, such as in-stent restenosis, thrombosis, etc. NopeIn these cases, the risk can be reduced through appropriate preoperative evaluation and postoperative management.
Of course, the decision to undergo cardiac stent surgery should be considered on a case-by-case basis. For some people with chronic heart disease, medications** may be an effective option. For patients with more severe acute coronary syndromes, cardiac stent surgery may be a better option. Personalized medical decisions need to be made through discussion and shared decisions with a medical professional.
To sum up, cardiac stent surgery, as a common method of coronary heart disease, has more advantages than disadvantages. Surgery can quickly restore the patency of coronary blood vessels, effectively improve cardiac symptoms, and save the patient's life. Although there may be some potential risks after stenting, these risks can be controlled and reduced. For patients with severe coronary artery disease, surgical stents are a safe, effective, and reliable** method.
Surgical stents are commonly used in patients with coronary heart disease, a heart disease in which the blood supply to the heart muscle is insufficient, due to narrowing or blockage of the coronary arteries. When plaque forms on the inner wall of blood vessels, sclerotic plaques form, it can lead to narrowing of coronary blood vessels, obstructing the normal flow of blood, and then causing myocardial ischemia or angina. The indications of surgical stents are mainly based on the comprehensive evaluation of the severity of the patient's condition, symptoms, location and degree of coronary vascular lesions, and other factors. Here's why:
First, severe coronary stenosis
When the degree of coronary vascular stenosis reaches a certain degree (such as greater than 70%), it will significantly affect the blood and myocardial function, and surgical stents are usually the preferred method.
Second, patients with severe symptoms:
For those patients with obvious symptoms, such as frequent attacks of angina pectoris, severe decreased exercise tolerance, etc., surgical stents can quickly relieve symptoms and improve quality of life.
Third, the location of coronary lesions
The location and extent of coronary lesions are also important factors in determining surgical stents**. For example, surgical stents are considered to be a more appropriate and effective method when the lesion is located in a major stent vessel at the site of stenosis, or when there is a multivessel lesion such as the left anterior descending artery.
Follow-up management after surgical stent implantation is crucial to help patients better and prevent. For example,After the surgical stent is implanted, in order to prevent platelet clotting and thrombosis, patients often need to take some antiplatelet drugs to avoid platelet clottingKnot. Antiplatelet drugs can inhibit platelet aggregation and agglutination, prevent the formation of blood clots, and maintain the patency of the stent. Patients should use their medications correctly as prescribed by their doctor and follow regular check-ups.
Also, adjunctive anticoagulants may be required in some high-risk patients or those at risk of thrombosis. These drugs are mainly used to prevent the formation of blood clots and reduce the risk of re-occlusion of the stent. Anticoagulation** needs to be done on a case-by-case basis and under the guidance of the doctor.
At the same time, in addition to antiplatelet and anticoagulation**, patients may require further medications**. These drugs include antilipidemic drugs, antihypertensive drugs, etc. By controlling blood lipid levels and lowering blood pressure, the progression of atherosclerosis can be mitigated and the risk of atherosclerosis can be reduced.
Second, lifestyle improvements: A healthy lifestyle is essential for prevention**。Patients should follow a healthy diet, reduce the intake of high-fat and high-salt foods, and increase the intake of dietary fiber in moderation. At the same time, maintain a moderate amount of exercise, as well as quit smoking and limit alcohol. These measures can help improve blood lipid and blood pressure levels, and improve cardiovascular health.
In addition, regular review and testing: After the surgical stent is implanted, the patient needs to be reviewed and tested regularlyto assess the status of the stent and the condition of the coronary arteries. These tests include electrocardiogram, echocardiography**, cardiovascular angiography, and more. Regular review and testing can detect and manage complications such as stent restenosis and thrombosis in a timely manner.
Surgical stents are an effective means of coronary heart disease, but before taking surgical stents, patients should conduct a comprehensive assessment and discussion under the guidance of professional doctors, consider the specific condition of the patient and the risk of surgery, and formulate the most appropriate plan.
In short, through the case of Mr. Li, we learned the importance of surgical stents for severe coronary heart disease, we can't just deny all from one aspect, I should actively recognize the pros and cons of surgical stents, and then consider them comprehensively. At the same time, we need to pay attention to coronary heart disease in our lives, and the main causes include atherosclerosis, poor lifestyle, high stress and tension, and genetic factors. Understanding the dangers and causes of coronary heart disease can help us take proactive and effective measures to prevent and improve heart health.
References:1.Chinese Society of Cardiovascular Diseases. Guidelines for the diagnosis of coronary atherosclerotic heart disease. Chinese Journal of Circulation, 2018, 33(1): 1-71
2.Zhang Shuyang, Zhang Jian, Wang Yongjun, et al. Guidelines for Percutaneous Coronary Intervention**. Chinese Journal of Cardiovascular Diseases, 2016, 44(5): 381-390
3.Lv El, Li Lanjuan, Li Chunyan, et al. Perioperative care essentials for coronary artery stenting. Chinese Journal of Nursing, 2017, 52(6): 835-837