5 months after the heart stent operation, it is always difficult to breathe out, is the stent broken?
Cardiac stents have become a well-known treatment for coronary heart disease!
Although the debate on cardiac stents has never stopped, especially recently, the doctor reported that his supervisor put a stent to get 10,000 rebates, and the stent director who took bribes of hundreds of millions of yuan and other hot spots, once again brought the stent to the forefront.
We started as ordinary doctors. As ordinary patients, we only talk about diseases. Regarding the issue of stents and drug rebates, we can't do anything to manage them. We can only be a melon eater. ?
To give a very simple example, such as acute myocardial infarction to the hospital, you know that this stent has a rebate, you know that this drug has a rebate, don't we not see a doctor? Whether there is a kickback or not, doctors have to rescue patients, and they have to put stents on most patients with myocardial infarction, and they have to save their lives. As for the issue of kickbacks, we still ask the relevant departments to deal with them as soon as possible, put pressure on them, and act in accordance with the law.
Recently, a friend consulted. It was only 5 months after the stent was placed, and I felt that it was difficult to breathe out. What happened? First of all, the description of the difficulty in breathing out is not accurate enough, because people in different regions express different expressions, and sometimes everyone expresses differently, so Dr. Wang can only talk about this matter from the points that need to be paid attention to 5 months after the operation of the heart stent.
It is true that some people will experience myocardial ischemia again after stenting. Myocardial ischemia may manifest as difficulty in outgassing, and of course there is another possibility that is heart failure.
Myocardial ischemia after stenting
On the one hand, in-stent restenosis may easily occur within 9 months within the stent, and other blood vessels outside the stent may also be stenotic, which may also cause myocardial ischemia. How to judge whether it is myocardial ischemia? Generally speaking, the discomfort caused by myocardial ischemia is more than that caused by activity, fatigue, cold, etc. It lasts for 3-15 minutes each time, and can be significantly relieved after rest. After remission, it is the same as normal people. When these discomforts occur, nitroglycerin can be significantly relieved in about 2 minutes. If this is the case with your breathing difficulties, please go to the hospital immediately to rule out myocardial ischemia. ?
How to reduce the occurrence of myocardial ischemia after stenting
The most basic thing is to take medicine regularly and live a healthy life. Almost all post-stent myocardial ischemia is closely related to irregular medication and unhealthy life, so in order to reduce in-stent restenosis or other vascular stenosis, regular medication must be taken, including aspirin + ticagrelor or clopidogrel , including statins, including control of blood pressure blood sugar heart rate. At the same time, it is necessary to quit smoking and drinking for a long time, a low-salt, low-fat and low-sugar diet, weight control, proper exercise, regular work and rest, and a kind, sunny, optimistic, and grateful heart.
Post-stent heart failure can also cause dyspnea
Heart failure is not caused by stents. The biggest complication of myocardial infarction is heart failure. Long-term severe myocardial ischemia can also lead to heart failure. Therefore, before and after stenting, the doctor must check the heart ultrasound to see that there is no heart enlargement and cardiac function EF. Whether the value is lower than 55%, and whether BNP has increased, if so, it is necessary to rule out the difficulty in breathing caused by heart failure. ?
If there is no myocardial ischemia and no heart failure, then you will feel more comfortable just by growing out of breath, similar to feeling comfortable after sighing, so it should not be a problem. Of course, the premise is that the difficulty in breathing out caused by the disease must be ruled out first.
In short, if the cause of the heart itself is not excluded, it should be excluded as soon as possible. The most common cause is myocardial ischemia or heart failure.
But whether it is caused by the heart itself or not, we all need a long-term healthy life attitude + healthy lifestyle + regular drug treatment.
Only in this way can the heart stent be protected from restenosis!
(Dr. Cardiovascular Wang officially authorizes the original protection, and any thieves must be held legally responsible.)