Will the heart stent fall off? Is it dangerous to ride a bumpy ride? Doctor: You need to pay attention to these 4 points when going out

A few days ago, a 53-year-old patient came to the hospital for follow-up.

This patient, Lao Lin, had a cardiac stent implanted in our chest pain center due to a sudden acute myocardial infarction 5 months ago. Due to the short duration of chest pain, the blocked coronary artery was opened in only 2 hours, so he recovered after the operation. Very good, no cardiac insufficiency.

After being discharged from the hospital, Lao Lin changed his habit of smoking and drinking. He lived a very self-disciplined life and insisted on taking medication. Half a month ago, his daughter wanted to take him to a nearby city to live for a while, but Lao Lin heard from friends around him that after the stent was placed, Do not exercise vigorously, and do not go out in a bumpy car, otherwise the bracket will be easily displaced, which will be life-threatening.

Many friends have sworn that they can't go anywhere, can't take a car or a plane, and there are many such articles on the Internet.

In fact, these are outright rumors, but in my clinical work, I found that there are not a few people who believe this statement, and some patients also refuse cardiac stenting for acute myocardial infarction because of fear of stent displacement.

Cardiac stents are widely used all over the world and are recognized as the best treatment for acute myocardial infarction. Through this technology, blocked coronary arteries can be quickly opened, as many myocardial cells as possible can be saved, and the mortality rate of myocardial infarction can be reduced. This treatment method is clearly written and recommended in the acute myocardial infarction treatment guidelines in the United States, Europe and China.

In fact, once the heart stent is successfully implanted, it will not be displaced.

When the stent is implanted, the balloon will be sent to the blocked blood vessel, and the balloon will be expanded by high pressure, so that the stent and the blood vessel wall are closely attached. After successful placement, the movement will not cause the stent to shift, nor will fall off. After a period of time, the intima of the blood vessel will gradually grow and completely cover the entire stent, wrapping the stent, which means that the stent and the blood vessel will be completely integrated.

Therefore, as long as the condition is stable after cardiac stenting, there is no problem in going out and traveling by car, and the stent will not be displaced due to bumps, which is unfounded worry.

So, what should I pay attention to when going out and riding in a car after a heart stent is placed?

> > Stent implantation indicates that the patient has severe coronary stenosis, that is, coronary heart disease. Patients often have arrhythmia and cardiac insufficiency. Some patients may also have diabetes, hypertension, etc. For vascular patients, if you go out, the following points still need special attention. > > > 1. Pay attention to the weather. > > > It is not recommended to go out when it is too cold or too hot, which is often the time when cardiovascular disease is high. > > > 2. Activities and locations. > > > Try not to travel to places with hypoxia on the plateau, choose the amount of activity you can bear according to your own illness and physical condition, preferably walking on flat ground or gentle slopes, and arrange your itinerary reasonably to avoid excessive fatigue. > > > > 3, travel means of transportation. > > > The main means of transportation used for tourism are high-speed rail, plane, and automobile. > > > a: High-speed trains or high-speed trains have a large space, run smoothly, and are fast. After sitting for a long time, you can get up and move around, and chatting is convenient. It should be a better choice. However, during the current epidemic, many people are in a compartment in a closed environment. However, there will still be some risks. > > > b: But if the destination is far away, then you must still choose a plane, then under what circumstances should you not take a plane for the time being? > > > Due to the changes in gravity and air pressure on the plane, it is not suitable for patients with uncontrolled hypertension, unstable acute myocardial infarction, frequent angina pectoris, severe arrhythmia, severe heart failure, etc., until the condition is well controlled. . > > > > c: Car: Many people choose public transportation or self-driving for short trips, which is very convenient. > > > Of course, due to the limited space in the car, it is impossible to stretch and exercise. Therefore, cardiovascular patients should pay special attention to preventing deep vein thrombosis. This disease often occurs in sedentary, long-term bed rest, fractures, etc. Once the thrombus falls off, it will cause fatal lung disease. embolism. > > > Prolonged sitting for a long time has been shown to be related to the formation of deep vein thrombosis in the lower extremities. For example, taking a car or plane for a long time can increase the risk of deep vein thrombosis in the lower extremity by 2 to 4 times. Therefore, it is best to travel by car every 1 to 2 hours. Just stand up and move about, try to get down and move around when parking, drink plenty of water appropriately, so as to avoid the blood being too sticky. > > > If you can't get out of the car, it is recommended to do some physical activities in place, often move your legs or feet, and often do ankle flexion exercises when you are sitting. > > > As for the bump and displacement of the stent that Lao Lin was worried about earlier, this will not happen, but you must remember to take all the medicines you usually take and take them regularly. This is the key point to be concerned about. > > > > 4. What should I do if I feel uncomfortable during the game? > > > If you have symptoms such as dizziness, chest tightness, fatigue, palpitations, etc., you should stop and rest immediately. Patients with coronary heart disease or angina pectoris after stent implantation can take nitroglycerin sublingually. If it cannot be relieved or even worsened, you should promptly call 120 or Go to a local hospital for treatment. > > > Of course, now that the COVID-19 epidemic is not over, don't go out if you can. If you need to go out, you must wear a mask, wash your hands frequently, and take precautions. > > > references: > > > Guidelines for the Prevention of Cardiovascular Diseases in China (2017) > > >

Stent implantation indicates that the patient has severe coronary stenosis, that is, coronary heart disease. Patients often have arrhythmia and cardiac insufficiency. Some patients may also have diabetes, hypertension, etc. For vascular patients, if you go out, the following points still need special attention.

1. Pay attention to the weather.

It is not recommended to go out when it is too cold or too hot, which is often the time when cardiovascular disease is high.

2. Activities and locations.

Try not to travel to places with hypoxia on the plateau, choose the amount of activity you can bear according to your own illness and physical condition, preferably walking on flat ground or gentle slopes, and arrange your itinerary reasonably to avoid excessive fatigue.

3, travel means of transportation.

The main means of transportation used for tourism are high-speed rail, plane, and automobile.

a: High-speed trains or high-speed trains have a large space, run smoothly, and are fast. After sitting for a long time, you can get up and move around, and chatting is convenient. It should be a better choice. However, during the current epidemic, many people are in a compartment in a closed environment. However, there will still be some risks.

b: But if the destination is far away, then you must still choose a plane, then under what circumstances should you not take a plane for the time being?

Due to the changes in gravity and air pressure on the plane, it is not suitable for patients with uncontrolled hypertension, unstable acute myocardial infarction, frequent angina pectoris, severe arrhythmia, severe heart failure, etc., until the condition is well controlled. .

c: Car: Many people choose public transportation or self-driving for short trips, which is very convenient.

Of course, due to the limited space in the car, it is impossible to stretch and exercise. Therefore, cardiovascular patients should pay special attention to preventing deep vein thrombosis. This disease often occurs in sedentary, long-term bed rest, fractures, etc. Once the thrombus falls off, it will cause fatal lung disease. embolism.

Prolonged sitting for a long time has been shown to be related to the formation of deep vein thrombosis in the lower extremities. For example, taking a car or plane for a long time can increase the risk of deep vein thrombosis in the lower extremity by 2 to 4 times. Therefore, it is best to travel by car every 1 to 2 hours. Just stand up and move about, try to get down and move around when parking, drink plenty of water appropriately, so as to avoid the blood being too sticky.

If you can't get out of the car, it is recommended to do some physical activities in place, often move your legs or feet, and often do ankle flexion exercises when you are sitting.

As for the bump and displacement of the stent that Lao Lin was worried about earlier, this will not happen, but you must remember to take all the medicines you usually take and take them regularly. This is the key point to be concerned about.

4. What should I do if I feel uncomfortable during the game?

If you have symptoms such as dizziness, chest tightness, fatigue, palpitations, etc., you should stop and rest immediately. Patients with coronary heart disease or angina pectoris after stent implantation can take nitroglycerin sublingually. If it cannot be relieved or even worsened, you should promptly call 120 or Go to a local hospital for treatment.

Of course, now that the COVID-19 epidemic is not over, don't go out if you can. If you need to go out, you must wear a mask, wash your hands frequently, and take precautions.

references:

Guidelines for the Prevention of Cardiovascular Diseases in China (2017)