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At present, the treatment of coronary heart disease according to the conditions of drug treatment, interventional therapy and surgical treat
At present, the treatment of coronary heart disease according to the conditions of drug treatment, interventional therapy and surgical treatment (coronary bypass). The effect of interventional treatment with minimally invasive injury, exactly by the majority of patients with coronary heart disease, but there are strict indications and contraindications.
First, coronary heart disease interventional treatment indications
1 patients with stable angina are still symptomatic after treatment with drugs, with a narrow supply of blood vessels in patients with a large area of the surviving myocardium at risk.
2 had mild angina symptoms or no symptoms, but the objective evidence of myocardial ischemia was clear, the stenosis lesions were significant, and the vascular supply to the large area of myocardial viability.
3 patients with recurrent angina and restenosis after interventional therapy.
4 the incidence of acute ST elevation myocardial infarction within 12 hours of onset; or 12 hours ~24 hours, with serious heart failure and (or) hemodynamics, ECG instability and (or) there is evidence of severe ischemia feasible emergency PCI.
5 patients with recurrent angina after bypass surgery.
6 unstable angina pectoris is still not stable, and there is evidence of myocardial ischemia in angina pectoris.
Two, PCI preoperative attention
PCI need to do before the iodine allergy test, check platelet count, clotting time, liver and kidney function and electrolyte testing and infectious disease screening. Elective surgery, preoperative fasting 4 hours ~6 hours, preoperative aspirin and clopidogrel; as for emergency surgery, preoperative use of antithrombotic drugs, preoperative aspirin chewing 300mg, clopidogrel 600mg, routine use of intraoperative heparin.
Three, PCI postoperative attention
PCI should still actively control the risk factors of coronary heart disease, such as smoking cessation, control of blood pressure, blood glucose, blood lipids, body weight, etc.. Aspirin for life. Patients who were implanted with bare stents were treated for 1 months with ~3 for a month, and those who received drug-eluting stents were treated for a period of 9 months for ~12 months. After the first, three, six, twelve months of regular reexamination.
Zou Peiyuan, deputy chief physician, director of Cardiology Yangjiang Hospital of Traditional Chinese Medicine. Specializes in the prevention and treatment of hypertension, coronary heart disease, heart failure, severe cardiovascular disease and myocardial infarction interventional therapy.
Shiwan Road 6, building a hospital department of Yangjiang Hospital of Traditional Chinese Medicine