15 most frequently asked questions about stenting


Content:

  1. Features of the effect of alcohol on the heart
  2. How much do you need to drink for your heart to fail?
  3. How to establish a violation
  4. Symptoms indicating destruction of cardiac tissue by ethanol
  5. What to do to restore heart function
  6. How to protect your heart from alcohol

For the human body, ethyl alcohol is a dangerous poison.
It affects all organs and tissues and disrupts nerve conduction. Drinking especially damages the central nervous system. The heart muscle suffers no less.

In this article we will talk about how alcohol affects the heart. Perhaps, having learned this information, someone will decide not to spoil their health.

Features of the postoperative period

72 hours after successful completion of the minimally invasive intervention, the patient remains in bed. If no side effects are recorded, then after a maximum of 5 days the citizen is discharged. The patient receives a list of mandatory recommendations, compliance with which speeds up the recovery process.

Diet

Everything fatty, salty and spicy is immediately excluded from the menu. You should not even pick up foods containing easily digestible carbohydrates. Foods with high cholesterol levels should be excluded from the diet. The emphasis is on the following products:

The last point is of great importance. The mentioned substance slows down the spread of atherosclerosis several times.

Standardized physical activity

During the first 7 days after surgery, any physical activity is prohibited. Only short walks on level paths are allowed.


In the absence of complications and contraindications, the doctor will allow you to gradually increase the load. Depending on the individual characteristics of the body, 100% recovery takes up to 6 weeks. There's no need to rush. Patients should know that for the rest of their lives it is strictly forbidden to expose themselves to strong emotional and psychological stress. Night shift work is prohibited.

Grounds for issuing a certificate of incapacity for work

Myocardial infarction is an acute condition that threatens not only the health of the patient, but also his life, therefore, any person who applies to a licensed medical institution for medical care has the right to issue a sick leave certificate and receive temporary disability benefits if he is insured in system of compulsory health insurance and is an employee in the sense provided for by the Labor Code of the Russian Federation.

In this case, the basis for issuing sick leave is a combination of the following factors :

  • the occurrence of an insured event in the form of a myocardial infarction, certified by a doctor at a licensed medical institution;
  • insurance of a person in the compulsory medical insurance system;
  • the sick person is a person who is in an employment relationship with the employer in accordance with the Labor Code of the Russian Federation (this fact is not subject to any verification and the patient’s oral statement is sufficient for the health worker).

Myocardial infarction is a serious disease in itself, in which the doctor opens a certificate of incapacity for work absolutely , and if surgical intervention is necessary to treat it (which happens in the vast majority of cases), it is all the more impossible to do without a certificate.

How to establish a violation?

Every person who drinks alcohol for a long time should undergo a comprehensive medical examination. There is no other way to understand the state of the heart.

A cardiologist or internist is usually responsible for carrying out diagnostic measures. The doctor may prescribe:


  • Submission of laboratory tests.
    Blood tests are taken from a finger and a vein.
  • Electrocardiography.
    This is a basic instrumental study showing the stability of the heart rhythm, reflecting the condition of the myocardium. If necessary, ECG is combined with 24-hour Holter monitoring.
  • EchoCG.
    Indicated if you need to study the condition of the coronary arteries and the operation of the valve apparatus. The technique indicates hypertrophy and dilatation of the myocardium. With its help, it is possible to establish a slowdown in the speed of blood flow and measure the pressure in the heart chambers.
  • Chest X-ray.
    In the images, the doctor can see the increased volume of the heart, the expansion of the lumen of the ascending aorta, and evaluate the structure of the valves.

All these techniques are safe and painless. If the doctor told you to go through them, you need to listen to him.

Registration procedure

Since a heart attack is a critical condition, a person is usually admitted immediately to a hospital hospital, taken there by an ambulance. Therefore, in the vast majority of cases, a certificate of incapacity for work is opened in the hospital .

When filling out sick leave, a code is entered in the appropriate cell indicating the general reason for absence from work. In the case of a heart attack, this code will be “01” - a disease that can be changed to “08” if the patient continues treatment in a sanatorium.

The rules for paying benefits are regulated by Federal Law No. 255-FZ of December 29, 2006 and are similar to the procedure for payment for other diseases: the first three days of incapacity for work are paid from the employer’s budget, the remaining days from the funds of the Social Insurance Fund . In the case of follow-up treatment in sanatorium-resort conditions in Russia, immediately after discharge from the hospital, being on sick leave from the 1st day is paid for at the expense of the Social Insurance Fund.

Note! The amount of payments depends on the total insurance period. For example, the lowest payment will be received by an employee with a total length of service of less than 1 year (30% of the average salary). If you have 8 years of experience or more, you are entitled to payments in the amount of 100% of average earnings.

How much do you need to drink for your heart to fail?

Cardiomyopathy occurs in response to regular drinking of large amounts of alcohol.

- the equivalent of 100 ml of pure alcohol every day - for ten years or longer. Statistics show that this condition occurs in every second alcohol addict.

It’s just that someone finds out about a deadly disease right away. Then he has a chance to recover. Some patients completely ignore the symptoms of cardiac failure. For them, the outcome of alcoholic cardiomyopathy is always unfavorable - death.

How to protect your heart from alcohol?


Drinking without harming your heart is impossible. There are no recipes that would allow you to drink alcohol frequently and stay healthy. Therefore, if your health is important to you, try to give up strong drinks. The less often you use them, the better it will be for your heart and the whole body as a whole.

If ethyl alcohol has already enslaved you, do not despair. Be sure to go through coding and start a health restoration course.

Symptoms indicating destruction of cardiac tissue by ethanol

You can suspect that a vital organ is working at the limit of its capabilities based on a number of signs:


  • increased fatigue, lethargy, asthenia;
  • exercise intolerance;
  • a frightening feeling of a sinking heart;
  • the skin acquires an unhealthy bluish tint;
  • pain in the occipital region;
  • trembling hands;
  • "flushes" of blood in the neck and face;
  • periodic attacks of tachycardia.

These symptoms most often remind themselves during a binge or the day after a drunken feast. If a person stops drinking for a while, his health improves.

In advanced cases, the myocardium hypertrophies and dilatation develops.

The volume of the heart chambers increases. Then heart failure occurs. Blood stagnates in both circulation circles. The patient experiences constant shortness of breath, attacks of suffocation during night sleep, severe swelling of the legs, and an unproductive dry cough.

If left untreated, heart disease caused by alcoholism will progress. Then irreversible changes will occur in the organ, which can lead to death.

What affects the duration?

Factors influencing the duration of sick leave after myocardial infarction and the resulting surgical treatment are:

  • type of heart attack;
  • the presence or absence of complications of the disease;
  • data from clinical and laboratory studies obtained over time;
  • duration of prescribed bed rest;
  • the presence or absence of severe rhythm and conduction disturbances;
  • the presence or absence of severe chronic coronary insufficiency;
  • the nature of the patient’s work activity.

The basis for extending sick leave is the need for long-term rehabilitation , which requires rest, as well as the serious condition of the patient after a heart attack or related invasive procedures, due to which he cannot perform his work duties. According to the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation” dated November 21, 2011 No. 323-FZ, with an obvious unfavorable prognosis, the patient is sent to undergo an examination and receive disability.

If a person refuses to undergo an examination, the certificate of incapacity for work is closed. If the work and clinical prognosis is favorable, no later than 10 months after the injury, the patient must be discharged to work or referred to medical examination (Part 4 of Article 59 of the Law).

Compatibility of surgery with life

All patient questions usually begin with the time of surgery, since any doctor or article on the Internet indicates the possibility of death. Why do patients pay attention to this particular outcome, ignoring all the favorable ones?

It should be noted that there is a risk of death with almost any operation, even the most minor one, what can happen:

  • bleeding;
  • allergic reactions;
  • thromboembolism.

In fact, such complications occur extremely rarely, however, they cannot be completely excluded, even if such cases are extremely rare. It cannot be ruled out that stenting is a percutaneous minimally invasive intervention, which still remains the ideal way to treat angina.

Coronary heart disease sometimes goes too far, which is why disability after stenting of heart vessels is a common phenomenon in our country.

Note! No drug is harmless, even an ordinary piece of bread can cause death, therefore, if the decision about surgical intervention on the coronary vessels has already been made, then there is no need to doubt or worry. Any stress factor will only intensify and can provoke complications unexpected for doctors.

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