After the heart is placed with a stent, is it possible to become a “disabled person” and not be able to carry out strenuous activities?

A reader friend in his 40s left a message to huazi, saying that he had put the stent in a few months ago because of acute myocardial infarction. Since then, he has been taking medicine according to the doctor’s advice and recovered well. But there is one thing more distressed, that is, after suffering from myocardial infarction, his wife restricts his various activities, as long as a little physical exertion is not allowed to do, nor let him touch in bed. It is said that they are worried about the fracture or fall of the stent caused by strenuous activity, which may lead to the recurrence of the disease.

so he asked huazi, after the stent was placed in the heart, would he become a “disabled person” and be unable to carry out strenuous activities any more? What kind of impact would violent activity have on the stent?

the stents now used are all made of metal materials. During implantation, the stents are expanded by high pressure balloon to press the stent onto the intima of the artery to “prop up” the blood vessel. After that, endometrial cells will take several months to proliferate and “wrap” the scaffold to form a new layer of intima on the surface of the scaffold, which is called “re endothelialization”.

that is, a few months after the stent is implanted into the body, it will integrate with the blood vessel and will not fall off. Moreover, the bracket itself is made of metal, which is very rare to fracture. Therefore, as long as we follow the doctor’s guidance, take appropriate drugs to prevent the progression of atherosclerotic plaque and avoid the occurrence of stent stenosis, it can be said that stent implantation can achieve “once and for all” therapeutic effect in theory.

now the age of myocardial infarction tends to be younger, and many people in their 30s and 40s need to put stents in. When these people are in their prime, they will certainly face the problems of daily work and activities. In fact, the stent itself has no direct relationship with whether it can exercise violently, because the stent will grow together with the blood vessel after implantation, and the physical activity will not affect the stent itself.

but those who need stent implantation are usually those with serious heart and coronary artery problems. The degree of vascular disease is different, the degree of influence on later activities is also different.

1. Vascular stenosis has been solved: in some patients, only one or a few blood vessels have stenosis and blockage. After implantation of stents, the defective vessels were repaired. As long as there is no problem with other blood vessels, the normal activity intensity can be restored under the premise of insisting on drug treatment, and the daily life will not be affected.

2. There is still vascular stenosis: the main cause of coronary artery stenosis is atherosclerosis, which is a disease that will affect all arterial systems. The stent only opens the most serious vessels, but there are other vessels that are in a narrow state. At this time, it is necessary to limit the activity intensity to avoid excessive activity induced angina pectoris.

3. Heart damage: if myocardial infarction has caused heart failure or cardiac insufficiency, it is necessary to evaluate the cardiac function, and the doctor should determine the activity tolerance, and it is not easy to move.

stent implantation is a kind of treatment for patients to recover health, which can only improve the quality of life, but not damage the activity ability. We should understand that stent implantation is not omnipotent. Although it can be “once and for all” in theory, it is difficult to achieve such effect in practical operation. The reason is that atherosclerosis will progress, which is likely to form new stenosis or in stent restenosis.

the main causes of atherosclerosis are hypertension, hyperlipidemia and diabetes. It is necessary to use drugs to control the disease under the guidance of doctors, but also to carry out appropriate activities, which is conducive to improve the cardiopulmonary function and assist drugs to better control the disease. Activities to make themselves do not feel too tired, will not cause chest tightness, shortness of breath is appropriate.
it’s not going to be a waste person in the heart. After stent surgery, strenuous activity will not affect the stent, but whether you can do strenuous activity mainly depends on the condition of remission. The safest way is to choose appropriate activities under the guidance of doctors. I am a pharmacist, welcome to pay attention to me and share more health knowledge. 08/16/2020