Since Uncle Li retired, his physical condition has plummeted, not only does he often feel tightness in his chest, but it has also become a little difficult to breathe. After a doctor's diagnosis, it was confirmed that he had severe coronary heart disease.
The children were very concerned about his health and heard that the heart stent was working well and asked the doctor to use it.
But the attending doctor hesitated after carefully assessing the uncle's overall condition. After all, for an elderly person with a poor physical foundation, the surgery itself is a huge challenge.
The doctor explained in detail to Li Ming and his family the pros and cons of the surgery, including possible complications, difficulties during the recovery period, and the possible impact of the surgery on his overall health.
It is also mentioned that although stent surgery is effective in many cases, not all patients are suitable for this type of treatment.
Uncle Li's sons and daughters also understood the doctor's concerns, and they asked the doctor if they could consider other non-surgical treatments, such as medication and lifestyle adjustments.
The doctor said that he could try to adjust his diet and lifestyle habits to alleviate his condition. So, what are the other conditions that are not suitable for heart stent surgery?
1. The doctor reminds that in these three cases, the patient is not suitable for stent surgery
First of all, the doctor needs to consider the age of the patient, and we all know that the physical recovery capacity of the elderly is usually weaker than that of the younger people, and the risk of surgery is relatively high.
Secondly, patients with chronic diseases should also consider the risk of surgery, if the patient has multiple complications, such as diabetes, chronic kidney disease, etc., these factors may increase the risk of surgery and affect postoperative recovery.
In general, stenting is only considered when the vessel is more than 75% stenosis and the response to medical therapy is poor. If the patient's condition can be effectively controlled with medication, the doctor may not recommend surgery.
We also need to know more about stent surgery, and understand that cardiac stents cannot cure coronary heart disease, it is only a way to solve the problem of local vascular stenosis.
After surgery, most patients also need to take antiplatelet drugs for life and strictly manage their lifestyle, including smoking cessation. In addition, if the patient does not have self-control and does not follow the doctor's instructions well, the effectiveness of the surgery may be greatly reduced.
Therefore, before deciding whether to perform surgery, doctors will consider factors such as the patient's overall health, the potential risks of surgery, and the patient's personal wishes.
2. Is there no one doing cardiac stents abroad? What is the quality of domestic stents?
The view that foreigners do not have stent surgery is wrong! You know, former United States President Clinton and former President George W. Bush have both undergone heart stent surgery.
Moreover, cardiac stent surgery is not a technology that has been eliminated abroad, and it is still the main treatment method for coronary heart disease in clinical practice.
As for the difference in quality between domestic and imported stents, we can rest assured.
At this stage, with the development of China's medical technology, the quality of domestic stents has been greatly improved. Domestic brackets have reached the international advanced level in some aspects, and the price is more affordable than imported stents.
According to the results of clinical studies, there were 2.57 million PCIs in the five years from 2011 to 2016, with an average of 1.5 stents per patient.
Nowadays, with the development of stent technology, the types and functions of stents are constantly improving, and finally patients should be reminded that when choosing stents, they should make a reasonable choice according to their own conditions and economic conditions, and under the advice of doctors.
Resources:
[1] Wang Yijun. The latest generation of bioresorbable cardiac stents was successfully developed in Shanghai[N].Shanghai Science and Technology News,2024-07-05(001). DOI:10.28704/n.cnki.nshkj.2024.000623.
[2] Cen Lina, Liu Jian. Evaluation of the effect of comprehensive nursing on cardiac function restoration in patients with coronary heart disease stent[C]//Yulin Medical Association. Proceedings of the 5th National Medical Research Forum (1).Department of Emergency Medicine, Affiliated Hospital of Inner Mongolia Medical University; ,2024:6.DOI:10.26914/c.cnkihy.2024.018093.
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