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在heart stent這個產品中，有7篇Facebook貼文，粉絲數超過1,113的網紅SF Artography，也在其Facebook貼文中提到， Have you get your heart checked? Do you know that Ischemic heart disease & stroke remain as top 2 global causes of death in the last 15 years (WHO)? I...

heart stent 在 SF Artography Facebook 的最佳解答

SF Artography By SF Artography

2019-09-25 20:26:30 有 9 人按讚
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Have you get your heart checked? Do you know that Ischemic heart disease & stroke remain as top 2 global causes of death in the last 15 years (WHO)? I'm always concerned about my overall health and I'm glad to get my heart checked by iHEAL Medical Centre. I was nervous at first..😣 I will share more in my next update about my experience and iHEAL. Stay tuned!👀
.
Awesome news for my followers, iHEAL Medical Centre is currently running a contest called Don’t Stent In My Way and you may stand a chance to win a stay in a 5-star hotel in Kuala Lumpur or The 10 Point Heart Check just like the one I did! So head over to @ihealmedical and join the contest now!🤩❤️
.
#DontStentInMyWay #iHEAL #ihealmedicalcentre #sfartography #rainbowpegasus #medical #heartawareness #livehealthy

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Art & Photography Rainbow Pegasus
Welcome to Sofia Naznim's Art, Writing & Photography page ♡
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heart stent 在 Dr. 林葳牙科診療室 Facebook 的精選貼文

Dr. 林葳牙科診療室 By Dr. 林葳牙科診療室

2019-06-09 21:03:19 有 264 人按讚
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💉服用通血路藥物的病人, 牙科手術前需不需停藥? 💉

☝️首先，我們要了解什麼是通血路藥物。
血液的凝固，需要靠凝血因子與血小板的作用。依照不同的作用原理，可以分為抗血小板藥物與抗凝血劑。

💊抗血小板藥物
作用原理:抑制血小板
常見藥物:阿斯匹靈/伯基(Bokey/Aspirin)、保栓通(Plavix/Clopidogrel)、百無凝(Brilinta/Ticagrelor)…等。
適應症:缺血性腦中風、心肌梗塞…等

💊抗凝血劑
作用原理:抑制凝血因子
常見藥物:可邁丁錠(Coumadin/Warfarin)、普栓達(Pradax/Dabigatran)、拜瑞妥(Xarelto/Rivaroxaban)、艾必克凝(Eliquis/Apixaban)…等。
適應症:靜脈栓塞、心房顫動血栓型中風…等

----------------------------------
✌️牙科手術前需不需要停藥?
過去普遍認為，服用通血路藥物者，狀況允許下最好先停藥一段時間，等凝血功能較為正常，再做牙科手術(Aspirin停7天，wafarin停5天)。但這幾年似乎有越來越多的研究認為不一定要停藥-理由是未停藥的流血風險可能被高估，而停藥的心血管風險則被低估。貿然停藥可能會導致心血管併發症的風險。

💊抗血小板藥物
不停藥:增加的流血風險應該不高，且多半無生命危險。
停藥:增加的血栓風險也應該不高，但有可能致命。

Michael J. Wahl 2014年的文獻回顧，1,282位未停藥的牙科手術患者，只有2.7%需要術後局部止血，較嚴重而無法以局部方式止血者可能只有0.2%[1]。Kovacic 2012年的研究，任何理由停藥造成的血栓機率大約1% [2]。Biondi-Zoccai 2006年的統合分析(meta- analysis)，停藥造成的嚴重心血管病變風險可能增加3.14倍(註1)，若是裝心臟支架的病人停藥風險則會明顯更高)(註2)[3]。S. Nathwani 2016年在英國牙醫學會的期刊(British Dental Journal)撰文建議，服用抗小板藥物者雖然牙科術後出血風險增加，但多半可經由局部處理安全地止血而不需停藥[4]。

💊抗凝血藥物
停藥造成的栓塞，致命性可能高過未停藥造成的流血，雖然機率都相當低。

Michael J. Wahl 2015年的文獻回顧，5,431位未停藥的患者中，有0.6%無法以簡單的局部方式止血，當中沒有人因失血而死亡；而在2,673位停藥或減量的患者，出現栓塞併發症(embolic complications)的機率0.8%，其中危及性命(fatal event)的機率則為0.2%[5]。2015年的另一篇文獻回顧指出，服用wafarin者若INR在therapeutic range內，牙科手術前應該可以不用停藥[6]。Mariele認為INR = 2.5的狀態最適合牙科手術，Al-Mubarak表示INR < 3，拔牙前不停藥還算安全[7]。INR > 3.0則要小心，不要貿然做侵入性治療。
----------------------------------

👌結論
受限於研究方式以及病人個體的差異，停藥增加的心血管風險、以及不停藥引發的流血風險，難以確切計算機率。然而對於一般的牙科門診手術，多半可以局部方式達到止血。紗布加壓、傷口縫合、止血棉甚至膠原蛋白，都是常見有效的局部止血方式。
由於醫療存在高度差異且需要高度分工、再加上藥物的推陳出新，停藥與否有賴病人、內科醫師、牙科醫師(甚至口腔外科醫師)充分評估與討論。各位病友千萬別未經醫師許可就擅自停藥!
----------------------------------

註1. OR = 3.14 [1.75–5.61], P = 0.0001。嚴格來說odds ratio不能當成是機率, 但為了方便一般民眾理解，故以此解釋。
註2. OR = 89.78 [29.90–269.60]

參考資料:
1. Wahl, M.J., Dental surgery and antiplatelet agents: bleed or die. Am J Med, 2014. 127(4): p. 260-7.
2. Kovacic, J.C., et al., Safety of temporary and permanent suspension of antiplatelet therapy after drug eluting stent implantation in contemporary "real-world" practice. J Interv Cardiol, 2012. 25(5): p. 482-92.
3. Biondi-Zoccai, G.G., et al., A systematic review and meta-analysis on the hazards of discontinuing or not adhering to aspirin among 50,279 patients at risk for coronary artery disease. Eur Heart J, 2006. 27(22): p. 2667-74.
4. Nathwani, S. and K. Martin, Exodontia in dual antiplatelet therapy: the evidence. Br Dent J, 2016. 220(5): p. 235-8.
5. Wahl, M.J., et al., Dental surgery in anticoagulated patients--stop the interruption. Oral Surg Oral Med Oral Pathol Oral Radiol, 2015. 119(2): p. 136-57.
6. Management of Dental Extractions in Patients taking Warfarin as Anticoagulant Treatment A Systematic Review.
7. Al-Mubarak, S., et al., Evaluation of dental extractions, suturing and INR on postoperative bleeding of patients maintained on oral anticoagulant therapy. Br Dent J, 2007. 203(7): p. E15; discussion 410-1.

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Dr. 林葳牙科診療室

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【翡冷翠牙醫診所】院長 【台大醫院】兼任主治醫師 東森【醫師好辣】來賓醫師 中天【小明星大跟班】來賓醫師 台大牙醫系 台大口腔外科研究所 台北市牙醫師公會理事 台大牙醫校友總會秘書長 中華民國口腔植體學會理事 中華民國口腔植體學會秘書長 中華民國口腔植體學會專科醫師 台北市牙醫植體學會專業醫師 台北市牙醫植體學會副秘書長 Director, Neo Renaissance Dental Clinic Attending Physician, Oral & Maxillofacial Surgery, Dept of Dentistry, NTUH DDS, National Taiwan University MS, National Taiwan University Diplomate, Academy of Oral Implantology Taiwan Deputy secretary general
東森<醫師好辣>來賓醫師 中天<小明星大跟班>來賓醫師 致力於無痛植牙、無痛智齒、口腔美容及一般牙科治療 全方位口腔保健醫師。
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heart stent 在 泡菜公主的粉絲塗鴉團 Facebook 的精選貼文

泡菜公主的粉絲塗鴉團 By 泡菜公主的粉絲塗鴉團

2015-10-06 14:08:57 有 1,368 人按讚
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很沉重的話題.....這名23歲的年輕男子因為年幼時得過川崎氏症，當時已發燒超過二個星期才被診斷出川崎症，發現時心臟已經都擴張，且無使用免疫球蛋白治療，已經嚴重影響到心臟，在青少年時期都避免他做過度激烈的運動，直到2014年心臟再度發生問題，現在這名少年已經去當天使了...這篇是那位少年的母親寫的自述告白，希望大家能多注意川崎氏症的孩子。

川崎氏症不恐怖，恐怖的是它延誤了治療所帶來的後果，不是來嚇唬大家，但我非常非常慶幸在泡菜發病前就知道名為川崎氏這病，甚至我比醫生更早發現、更早警覺，所以泡菜才能夠在治療黃金期內完全恢復。


分享給大家泡菜的發病過程
小心，發高燒的後果壞掉的可能是心臟...當父母的絕對不可不知道的疾病! 川崎氏症
http://bluerin0726.pixnet.net/blog/post/104754286…

KD in Adulthood

My son contracted KD in 1991 when he was just over a month old. I remembered him having to endure the fever for 2 weeks and not one GP could tell us what was wrong. In the end, we brought him to Thomson Medical where after a battery of tests, the attending pediatrician Dr. Ang Ai Tin diagnosed him to have KD. At that time, there was no such thing as IVIG hence my son actually went through the whole inflammation process without medication.
As a result, both his coronary arteries were dilated with the right one being worse than his left.
We were referred to Dr. William Yip for further heart assessment/scans and were on follow up weekly for a month, then every 2 weeks for a while and finally, once a month for 6 months. His left artery aneurysm resolved when he was a toddler. My son had been on aspirin since discharged from Thomson in 1991 till his passing in July last year.

During his teens, he was active in his football and NCC despite being told by the cardiac doc to keep off strenuous sports. Let’s just say all was well during his school years. He had his annual cardiac scan and by his late primary years, the right artery had gone back to almost normal. Annually he was still having his heart scan. In his late teens, he underwent a treadmill stress test, an angiogram and a MIBI (myocardial perfusion test) on separate occasions. The results were good and showed that his arteries were patent and his heart was good.

As he was given the all clear that he was doing ok, I guess we got complacent. After his last heart scan in 2010, my son defaulted the subsequent annual check ups. I was not staying with my son hence my verbal reminders for him to go for his check ups went into deaf ears.

Feb 2014, my son had his first heart attack. He felt chest pains and was unable to breathe well and was admitted to TTSH A&E. He was found to have a heart attack and given strong anti-coagulants to unblock the artery. The cardiac consultant told us that his right artery had a HUGE aneurysm and my son was “lucky” that only a clot was formed. Had the aneurysm burst, it would have been a sudden death. He then discussed with us the option of either a stent to “close up” the aneurysm and keep the artery patent OR a coronary artery bypass graft (CABG) to bypass the aneurysm. The former would be a keyhole surgery whereas the latter would be an open-heart surgery. He also said he would consult his fellow cardiac colleagues as to which treatment is better as both carried its own risk.

After much discussion, a stent was the chosen treatment as it’s less risky and its prognosis was good with proper after care. The after care included minimal strenuous activity for 3 to 6 months and he had to be on very strong anti coagulants for a year. After which the medication will be reviewed.

The stent operation went well and my son responded to the stent well. He was back to his usual lifestyle and all appeared well. He was very diligent in his medication and we even went for our last holiday together 4 weeks post surgery.

In July 2014, he had some bleeding from the rectum for a few days. He endured the bleeding not wanting to worry us but subsequently told us, as he was feeling very weak. His face was very very white according to my ex-husband and he was immediately rushed to TTSH A&E. He was found to have internal hemorrhage and was transfused with 3 bags of blood. His hemoglobin level was 4 (normal is about 12).

Meanwhile, all his anticoagulants were stopped as the doctors suspected it was the cause of his internal bleeding. On Sunday (13th July) after he was transfused with the blood, his bleeding stopped.

He had a nasal endoscopy done on Monday to determine the cause of bleeding but nothing was found. On Wednesday, they did another endoscopy from the rectal end and again nothing was found. Meanwhile he had already stopped his anti coagulants for 4 days.

On Wednesday night, my son suffered another heart attack. He was being resuscitated for almost 2 hours but they just could not jump-start his heart. Towards the last part, they managed to run a catheter through his right coronary artery to break up the clot but it was too late. The heart just never beat again.

I feel very strongly about getting the heart checked even though an all clear is given. As we don’t have x-ray vision, we can never ever tell when the arteries might act up again hence it is important never to be complacent.

~~~ Magdalene

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來這裡不用想太多，我只是個愛用漫畫、照片、圖文、影音來分享我們一家的生活。 我們這一家是由: 愛畫圖愛記錄生活的媽媽泡菜，冷面笑匠有時嘴賤的爸爸霖大，每天噗龍供台灣版四葉妹妹大寶泡菜，食量超大肺活力很有力卻也吃不胖的淡定二寶菠菜! 這就是我們這一家!
用漫畫紀錄我們一家的芝麻綠豆大小事! 部落格 rin.tw
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heart stent 在 Animation - Coronary stent placement - YouTube 的推薦與評價

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Learn about coronary artery bypass grafting (CABG) surgery and coronary stent surgery, two surgerical options avaliable to treat coronary artery disease at ...

#55. Heart Stent Prices in Delhi NCR, India | Max Healthcare

Sr. No Type Name of Manufacture Sr. No. 1 Type Xience Prime Drug Eluting Stent Name of Manufacture Abbott Healthcare Pv... Sr. No. 2 Type Xience Xpedition Name of Manufacture Abbott Healthcare Pv... Sr. No. 3 Type Xience Alpine Name of Manufacture Abbott Healthcare Pv...

#56. Stent Placement | Heart and Vascular Care | New Jersey

Stent placement, a part of a percutaneous coronary intervention (PCI) or angioplasty, is a non-invasive procedure performed to provide an artery with extra ...

#57. ACC: 10-year coronary stent outcomes similar to bypass ...

Six-hundred patients were randomly assigned to treatment with a sirolimus-eluting stent or coronary artery bypass surgery between 2004 and 2009.

#58. Coronary Stent | Denver Health

A heart attack occurs when the blood flow to an area of the heart becomes significantly decreased. Stents help to prevent further damage to the heart muscle by ...

#59. Why Do I Need a Heart Stent? - Northeast Georgia Health ...

When a fatty substance called plaque builds up in the coronary arteries, it can limit blood flow and weaken the blood vessel. A heart stent is ...

#60. Heart procedures and devices

As part of the angioplasty procedure, your doctor may decide to insert a stent into the coronary artery to make sure it stays open. In this case, the balloon is ...

#61. Stents: Types, Uses, Side Effects, and Risks - Verywell Health

Coronary stents : Used for the treatment of coronary artery disease, these stents are used as part of a procedure known as angioplasty . Today, ...

#62. Coronary Angioplasty and Stenting for Coronary Artery Disease

The stent is then expanded to keep the artery open to improve blood flow from the heart. The stent, which is coated with a medication to help prevent scar ...

#63. Absorb™ Dissolving Stent | Oklahoma Heart Institute

The Absorb dissolving heart stent is the first and only device of its kind – a coronary drug-eluting stent that dissolves completely in the body over time.

#64. 595 Heart Stent Stock Photos, Pictures & Royalty-Free Images

Search from 595 Heart Stent stock photos, pictures and royalty-free images from iStock. Find high-quality stock photos that you won't find anywhere else.

#65. Stent Placement | Cardiology - LCMC Health

Stents at West Jefferson Medical Center in Marrero are implanted in blood vessels ... result in life threatening conditions like a heart attack or stroke.

#66. Coronary Stent - Medmovie.com

A Coronary Stent is a small expandable tube shaped device used to open narrowed coronary arteries that have interrupted blood and oxygen supply to the ...

#67. Angioplasty and Stent Placement - Alabama Heart and ...

These blood vessels are called the coronary arteries. A coronary artery stent is a small, metal mesh tube that expands inside a coronary artery. A stent is ...

#68. Coronary Angioplasty And Stent Procedure - Peninsula Heart ...

What is coronary angioplasty and stenting/percutaneous coronary intervention (PCI)?. Coronary angioplasty is a procedure in which a catheter balloon is used to ...

#69. XIENCE Sierra: Our Best Stent | Abbott Newsroom

With XIENCE Sierra, Abbott's life-changing heart stent offers cardiologists a new level of care and precision.

#70. Angioplasty and Stent Placement for the Heart | Hickory, NC

Angioplasty is a procedure used to open blocked coronary arteries caused by coronary artery disease. It restores blood flow to the heart muscle without open- ...

#71. Understanding the Benefits & Risks of Angioplasty and Stenting

Some patients with blockage in their heart arteries clearly benefit more from open-heart surgery to restore blood flow to the heart. These ...

#72. Cardiac Stent - Sunnyvale, TX

What is a cardiac stent? An angioplasty is a procedure your cardiologist uses to open narrowed or blocked blood vessels that supply blood to your heart. During ...

#73. Heart doctors 'held back stent death data' - BBC News

In the trial, sponsored by US stent manufacturer Abbott, half the patients were given stents, the other half had open heart surgery. Not all the ...

#74. Which stent is best for heart attacks? - Evidently Cochrane

In this blog, Harry Boardman discusses the different types of coronary stents which are used to treat people after a heart attack.

#75. Angioplasty and Stent Placement for the Heart - Miami ...

Coronary stents are now used in nearly all angioplasty procedures. A stent is a tiny, expandable metal mesh coil. It's put into the newly opened area of the ...

#76. New stent simplifies heart procedure for grandmother - Novant ...

The most common type of heart disease, coronary artery disease, claims more than 370,000 lives each year. In James' case the blockage occurred ...

#77. Coronary stent | Radiology Reference Article | Radiopaedia.org

Coronary stents or coronary artery stents are expandable tubular medical meshwork devices used for interventional treatment of coronary ...

#78. Angina, Angioplasty, Bypass, CAD, Heart Attack, Stent - AOPA

Angina, Angioplasty, Bypass, CAD, Heart Attack, Stent. The FAA has amended the required observation and recovery time for applicants who have had coronary ...

#79. What is a stent and why would you need one? - Edward ...

In the fight against heart disease, stents have become a valuable tool to help prevent heart attacks and stroke.

#80. Cardiac Stent Specialist - Torrance, CA & Manhattan Beach, CA

A cardiac stent is a device that's used during an angioplasty procedure to open up narrowed and/or blocked arteries. If you have coronary artery disease you ...

#81. Coronary Angioplasty with or without Stent Implantation for ...

Background Coronary-stent implantation is frequently performed for treatment of acute myocardial infarction. However, few studies have ...

#82. Discharge advice after your coronary angiogram, angioplasty ...

hospital after your cardiac procedure, whether you have had a coronary angiogram, angioplasty or stent insertion (PCI). It contains.

#83. Heart Stent Price - Types of Stents and its Cost in India - Fortis ...

Stent Prices in India - Get all details regarding heart stent cost online, as per GOI's circular dated 29th March 2019 on price-capping of stents by NPPA.

#84. Abbott Introduces Next Generation of Most Widely Used Heart ...

"Its design, range of sizes, and increased flexibility mean doctors don't have to use as much force when they implant a XIENCE Sierra stent ...

#85. Advanced Stenting Techniques | Memorial Hermann

A heart stent is a tiny device made of expandable wire-mesh tubing that is permanently inserted into a coronary artery to keep it open.

#86. Angioplasty and Stent Placement for the Heart - University ...

Coronary stents are now used in nearly all angioplasty procedures. A stent is a tiny, expandable metal mesh coil. It's put into the newly opened area of the ...

#87. What is a Heart Cath? | Heart Catheterization Johns Creek, GA

In most patients, after a balloon angioplasty a metal scaffold called a stent is deployed in the artery to keep the artery open. These stents ...

#88. Heart stents: Placement in the heart catheterization lab

A heart stent is a small metal tube that is placed inside a narrowed blood vessel or conduit to keep it open. Read about heart stent surgery ...

#89. Angioplasty & Stents: What You Need to Know - Mount ...

A stent is a small metal or plastic tube used to prop open a blocked passageway. When a build-up of cholesterol blocks a coronary artery, for ...

#90. McLaren Health Care Coronary Stenting

The balloon catheter is removed, leaving the stent in place to hold the coronary artery open. A cardiac angiography will follow to ensure that the stent is ...

#91. 'Unbelievable': Heart Stents Fail to Ease Chest Pain

A new study has found that while stents can be lifesaving in opening arteries in patients having a heart attack, ...

#92. Coronary artery stent thrombosis: Incidence and risk factors

Coronary artery stents are used in the majority of patients who undergo percutaneous coronary intervention (PCI), as they significantly ...

#93. The Pros and Cons of Stenting - Huntington Heart Center

In some cases, a wire mesh tube-like structure is inserted into the blood vessel to maintain the opening and keep the plaque pressed to the ...

#94. Thousands of heart patients get stents that may do more ... - Vox

The idea is that stents should help soothe the suffering of patients with angina (or chest pain) and drive down the risk of a heart attack ...

#95. Absorb - Dissolving Heart Stent | Sansum Clinic

Recently approved by the FDA, the Absorb dissolving heart stent is considered one of the most important advances in the treatment of coronary artery disease in ...