Many patients often have questions: “Is it right? Once I put the stent, I need to take medicine for my life and I can’t stop it.” In fact, putting stents and long-term medications is not causal. Long-term medication is because you have coronary heart disease, not because of the stent.
So, what kind of medicine does coronary heart disease need to eat for a long time?
1 Antiplatelet drugs:
This is a very important drug after stenting, to prevent stent thrombosis, including two major categories: First, aspirin, which is the cornerstone of coronary heart disease treatment, need long-term use, no special reasons do not stop; second is ADP inhibitor In fact, for the two drugs, clopidogrel or ticagrelor, which requires stenting for at least 12 months, 12 months after the stent review, most patients can be disabled, or follow the doctor’s advice. These two kinds of medicines are very key medications and must not be arbitrarily deactivated, otherwise the consequences are often disastrous. Taking anti-platelet drugs should pay attention to whether there is bleeding tendency, such as bleeding gums, skin bleeding, there is no mellow; Although anti-platelet drugs have side effects, but in most cases will not pose serious consequences, patients should not be arbitrarily disabled.
2 statin drugs:
Mainly include atorvastatin, rosuvastatin, pravastatin, simvastatin, etc., once a night. The main role of these drugs is not to reduce blood lipids, but mainly to stabilize the arterial plaque, slow or even reverse the role of plaque progression. Patients with coronary heart disease, regardless of blood lipid conditions, it is recommended that long-term use of statins. Long-term use of statins may increase transaminases, and if it does not exceed three times the upper limit of normal, medication can be continued. What needs special attention is: When fatigue, muscle weakness or myalgia occurs, even if the creatine kinase level does not increase, you must go to the hospital for treatment. Do not delay.
3 drugs to control heart rate:
It mainly includes Betaloc (Metoprolol) and Congao (bisoprolol). The specific role of these drugs is to weaken the myocardial contraction rate, slow down the heart rate, reduce myocardial oxygen consumption, prevent recurrence of myocardial ischemia, and thus improve the patient’s long-term efficacy. It is a medicine that patients with coronary heart disease need to take for a long time. Heart rate should be closely observed during medication. The heart rate should not be lower than 50 beats/minute during medication. The slow heart rate is not good for the patient and may cause fatigue or even cerebral ischemia. The best value for heart rate during medication.
4ACEI or ABR drugs:
For example, “XX Pril” or “XX Sartan” drugs, people’s impression that these are antihypertensive drugs, but if there is a history of myocardial infarction patients, these drugs can promote vasodilation, improve myocardial function, with anti-myocardial The role of ischemia also requires long-term use. The biggest side effect of ACEI drugs is dry cough. In severe cases, you can consult your doctor if you want to change drugs such as Sarbanes (ARB).
Of course, each patient’s condition is not the same and requires precise, individualized treatment plans. However, patients with coronary heart disease can not stop medication!