Coronary Stenting - a new treatment of coronary heart disease, which is installed in place of a narrowed section of coronary artery stent - a special wire frame that holds the lumen of the coronary arteries free and passable.
The technique of coronary stenting is closely related to another similar method of treating coronary artery disease - angioplasty. Angioplasty as well as coronary stenting, performed with a long thin catheter that is inserted through an incision in the femoral crease in the femoral artery, and on it is brought under fluoroscopy to the site of narrowing of the coronary vessel.
Then at the end of the catheter balloon is inflated, resulting in the lumen of an artery narrowed by plaque expands.
Coronary Angioplasty (or percutaneous transluminal coronary angioplasty) was first performed by Andreas Gryuntsigom. The technique of angioplasty immediately found its followers, and has been modified by many surgeons. By the mid-1980s, many of the leading cardiac centers have used this method as an alternative to bypass surgery.
Along with angioplasty at the same time it is held and stenting. It is intended in this case, however, to strengthen and secure the result of angioplasty.
Angioplasty and coronary stenting are shown in the following categories of patients:
At a low level of narrowing of the coronary vessel
If you have access to the site of narrowing of the vessel during angioplasty,
When the restriction is not in the main artery of the heart, which brings in the left side of the heart,
In the absence of heart failure.
If there is a narrowing of the main arteries of the heart, which brings in the left side of the heart, or in the presence of concomitant heart failure, or when the narrowed small arteries, is considered a better alternative to coronary artery bypass grafting. This method is also indicated if the patient has diabetes or if the plural is marked narrowing of blood vessels.
Be sure to angioplasty and stenting performed angiography - an x-ray method for studying the condition of the coronary arteries, which is carried out, in principle, as well as angioplasty itself.
Operations angioplasty and coronary stenting are so-called minimally invasive interventions, ie, their conduct is not associated with classic cuts, opening the chest cavity and the pericardium, which allows the patient to undergo an operation much easier. And therefore, before the patient can go to the next stage of treatment - cardiac rehabilitation.
Rehabilitation after angioplasty and coronary stenting for its basic principles similar to the rehabilitation and post-operative and other non-operational treatments for coronary artery disease.
The main element in the cardiac rehabilitation following angioplasty and coronary stenting still remains a therapeutic exercise.
An excellent tool for rehabilitation after angioplasty and stenting is a health path. Terrenkur - is metered by distance, time and angle of ascent on foot. Simply put, health path - it is a treatment dosage of specially organized walking routes.
This walking with measured load can gradually train the heart and restore its function. In addition to walking and health path used extensively, and other types of physical activity - exercise, which in our resorts are chosen individually for each patient based on its overall condition. Applied and exercise at the gym.
Why is exercise - the main thing in the rehabilitation of cardiac disease? The fact that the heart - a muscular body, and he, like all other muscles can be trained, that is, of course, restores its state. In addition, physical activity is useful in combating obesity. The more the patient moves, the more the body "burns" fat. And obesity is known to be one of the important risk factors for coronary heart disease.
In addition, physical activity, as scientists have found, also has a positive effect on the patient's emotional state, which is important in terms of dealing with stress and depression that occur in such situations.
During exercise improves blood flow to all organs and tissues in the body, normal delivery of oxygen to all body cells.
By integral to prevention of myocardial infarction and re-kardioreabilitatsii is secondary prevention. These include strict control of blood pressure and lifestyle, the rejection of bad habits - smoking and alcohol consumption, regular exercise and diet.
Psychological Rehabilitation - an important link in the chain of the entire cardiac rehabilitation. You already know that chronic stress - a risk factor for coronary heart disease, myocardial infarction and stroke. Our psychologists can help you cope with stress and depression.
Diet - is another important aspect of rehabilitation. Proper diet is important for the prevention of atherosclerosis - the underlying cause of CHD. Especially for you diet will develop a dietitian, according to your taste preferences. Of course, from a certain food will have to give. There is less salt and fat and more vegetables and fruits. This is important because with the continued receipt of excess cholesterol in the body physiotherapy is ineffective.
As you know, our body itself produces the required cholesterol for him. And with the animal food, we will inevitably get more and extra cholesterol. It is therefore important to limit, especially fatty foods - fatty meat, lard, butter and sour cream. Of course, completely give up fatty foods is hardly possible, but sharply limit the intake of fat - by virtue of each.
In our resort you will learn the proper way of life. This is important because it is the elimination of risk factors for coronary heart disease and leads to recovery. After all, you realize that one stenting or angioplasty atherosclerosis - the primary cause of coronary heart disease and myocardial infarction - not cured. The correct way of life will help you avoid those factors that cause atherosclerosis, which include the notorious bad habits - smoking and alcohol.
