The 65-year-old uncle disappeared after one year of vascular plaque! Stick to 4 habits, plaque may be gradually eliminated

Uncle Xu, 65 years old, suffered from repeated chest pains a year ago, and was finally diagnosed with coronary heart disease and angina pectoris. According to the angiography, one of Uncle Xu's two blood vessels was severely stenotic, which could not be controlled by taking medicine, and had to be solved by stents. The other blood vessel, although it also has plaque, is moderately stenotic and does not need a stent for the time being.

A year later, Uncle Xu went to the hospital for a re-examination. The doctor found that the blood vessel with severe stenosis at the beginning was unobstructed, and the plaque in the other blood vessel with plaque disappeared.

The doctor sighed and asked the patient how to control it. It turned out that Uncle Xu obeyed the doctor's instructions very much. Not only did he take medicine on time, but he also stopped smoking and drinking actively, controlled his diet, and insisted on exercising .

In the end, after a year, he not only effectively kept the blood vessels open, but also successfully " reversed " the plaque.

1. After the age of 60, plaque begins to "raging" in the blood vessels

According to the survey, the detection rate of carotid plaques in Chinese people over 40 years old is over 40%, and among the middle-aged and elderly people over 45 years old, the detection rate of arterial plaques is close to 80 % among the cases diagnosed with cerebral apoplexy. % . And in people over 60 years old, there is almost no plaque at all.

In addition, an analysis of the prospective study of chronic diseases in China showed that 41% of people aged 60-69 had plaques , and this data showed a younger trend.

Studies have shown that from the age of 10, our arteries begin to harden, and carotid plaques begin to develop around the age of 20. There are significant changes until the age of 40, and it develops rapidly after the age of 60.

However, for blood vessels, carotid plaques are " garbage ", useless and extremely harmful.

Carotid plaque is an important cause of cerebral infarction, and about 80% of cerebral infarctions are related to carotid artery stenosis.

The carotid artery is an important blood supply pathway to the brain. Once there is a blockage here, the brain will be ischemia, which will then damage the brain and cause acute cerebral infarction.

The "bane" of plaque is mainly related to hyperlipidemia, hyperhomocysteinemia, hypertension and hyperuricemia , which can increase the risk of carotid plaque by 30%.

2. With the advent of plaque removal, stent surgery will eventually be eliminated?

There is a saying that " there has been a new technology for plaque removal, which can suck out the sediment in the blood vessel and no longer need to put a stent ". This technology is called "thrombectomy". Is it really so magical?

This technology is real, but it is not a new technology. It was widely used in clinical practice as early as 2000 .

According to Wang Wei, director of the Department of Cardiology of Wuhan Asia Heart Hospital, thrombus aspiration uses the principle of negative pressure suction to suck out the thrombus, so it sucks out the thrombus instead of the plaque, and is only suitable for patients with a large amount of thrombus in the coronary arteries .

In real life, most patients are due to plaque rupture combined with thrombosis . Therefore, it is useless to simply suction the thrombus. The plaque still exists, so stents still need to be implanted.

Cardiac stents, also known as coronary stents, have the effect of dredging arterial blood vessels.

It passes through the femoral artery at the root of the thigh or the radial artery on the wrist, and puts stents or other devices into the coronary arteries through vascular puncture to relieve coronary stenosis.

3. How far is the carotid artery plaque from the cerebral infarction?

There are rumors on the Internet that the ultimate destination of "carotid plaque" is "cerebral infarction". Once carotid plaque is detected, does it mean that it is not far from cerebral infarction?

Fan Feng, deputy chief physician of the Zhengdong District of the First Affiliated Hospital of Zhengzhou University, said that when carotid plaques are detected, the plaques should be further examined to check their stability. Then observe whether the carotid artery has carotid artery stenosis due to plaque.

If the plaque is relatively stable, the possibility of it causing cerebral infarction is very small. Even if the plaque causes arterial stenosis, the degree of stenosis is less than 50% and generally does not have a great impact on the blood supply to the brain.

However, if the stenosis caused by the plaque exceeds 50% , its risk will increase accordingly. The unstable plaque is easy to fall off and rupture, causing thrombosis, and then the thrombosis falls off, which may lead to the occurrence of cerebral infarction.

Carotid plaque can be reversed. By adhering to these 4 habits daily, the plaque may gradually become smaller or disappear:

1. Diet control

Food choices are closely related to vascular risk. Eat more fresh fruits, whole grains, deep-sea fish, etc., to promote the body's metabolism and blood flow; eat less high-fat food, salt and sugar, strictly control calories, and avoid the accumulation of body fat, causing overweight and obesity.

2. Moderate exercise

Exercise is an effective intervention in the primary and secondary prevention of cardiovascular disease, and studies have found significant regression of plaque in patients with exercise. Adhere to a certain amount of exercise every week, about 30-50 minutes each time, 3-5 times a week.

3. Take medicine as prescribed by a doctor

In addition to lifestyle intervention, for those who already have atherosclerotic disease, they must follow the doctor's advice to take medicine on time and help control it through medicine.

4. Control the three highs

Hyperlipidemia, hypertension, and hyperglycemia are risk factors for arterial plaque. Therefore, people with chronic diseases must actively control the three highs, go to the hospital for regular check-ups, and adjust treatment in a timely manner if adverse reactions occur.

It may not be possible for most patients to achieve plaque reversal, but maintaining its stability is also a good outcome. When carotid plaque is found, don't think it is a cerebral infarction. It is a scientific approach to first determine its nature, and then think about solutions to the problem.

References:

[1] "Vascular plaque grows wildly after the age of 50! Lift your feet for 10 seconds every day to prevent your body from "breaking down"! 》.Medical Neurology Channel.2021-10-18

[2] "New technology to open blood vessels? Is thrombus aspiration really so amazing? 》. Wuhan Asian Heart Hospital. 2022-03-24

[3] "What should I do if carotid plaque is found? Doctor: Doing 3 points right can make the plaque shrink or disappear! ". Health Times. 2022-06-21

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