Institute of Health Research |. Most cardiovascular diseases are not “sudden”.

Heart disease and stroke seem to occur suddenly and are difficult to prevent. However, these cardiovascular diseases are not acute diseases, but are caused by the “three highs” – cholesterol high, high blood pressure and high blood sugar. Cardiologist Dr Colin Yip-yin said: “High blood pressure will damage the lining of blood vessels, and platelets will collect in the damaged area to repair, or form blood clots, blocking the blood vessels completely, leading to coronary heart disease. or stroke.” For patients undergoing “Tongbo Tsai” surgery, because the metal stent is a foreign object, it may stimulate the body’s combustion mechanism, causing Platelets collect on the stent and block the blood vessels. Therefore, whether they have had surgery or not, patients who have had a heart attack or stroke must also take antiplatelet drugs to reduce the risk of the disease. to reduce

High cholesterol blocks blood vessels. narrow Dr. Lin explained: “If the patient also has high blood pressure, there is a chance that the intima of the blood vessel will be damaged and the plaque will break. At this time, the platelets can activate the repair work and form a blood clot, causing the blood vessel that was only 90% blocked to be completely blocked.

“Tong Bo Zai” is just a delay technique

On the other hand, some patients believe that while undergoing “Tongbo Tsai” surgery, the problem of blood vessel blockage will be solved.bladeAnd a solution. However, surgery is not a one-and-a-half procedure. with wounds, so patients should not take it lightly after surgery.” If the cause is not taken seriously, the cause will not be taken seriously. , these wounds have a chance to grow worse and lead to complications such as stroke or lower limb ischemia.

In addition, after patients undergo Tongbo Tsai surgery, the metal stent can stimulate the joint mechanism and make platelets adhere to the stent. Dr. Lin said: “So patients must also take antiplatelet drugs after surgery to prevent blood clots from forming and blocking blood vessels.” Studies have found that patients with coronary heart disease who use antiplatelet drugs after surgery can reduce the chance of recurrence by 30%.

Critical patients “Tong Bo Zai” need double medication for at least 1 year

So how long do patients need to take medication after surgery? Dr. Lin said that patients who undergo emergency “Tongbo Tsai” surgery will have thicker blood, and many people will experience relapses within the first year after surgery. it is generally recommended that patients take two types of antiplatelet drugs in the first year After one year, the number of drugs was reduced to 1. Regarding patients undergoing non-urgent surgery “Tongbo Tsai”, they can consider inserting a lighter stent to shorten the time for cells to cover the stent and reduce the time it takes two antiplatelet drugs 1 medicine.

Whether the patient has undergone surgery or not, he or she must continue taking antiplatelet drugs, but long-term use may put some financial pressure on the patient.

Subfactor drugs help reduce the financial burden of patients

Generally, it is the original drug that a pharmaceutical company invests in research and development, and only the pharmaceutical company can manufacture and sell the drug within the patent rights. After the patent rights expire, the drug’s formula is made public, and other pharmaceutical companies can make subsidiary drugs. The active ingredients, dosage and frequency of use of supplementary drugs and original drugs are the same, and the effects are similar However, the price difference between the two can be as high as 8 to 10 times. Preventing cardiovascular disease is a long-term battle, and patients can be concerned about the financial burden of long-term medication. As patients’ conditions vary, it is recommended to consult a doctor to develop an appropriate treatment plan based on individual needs.

The above information is provided by Dr. Lin Yixian

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