What does ACEI mean after coronary stent surgery for coronary heart disease?

Aug 13, 2024 Source: Cainiu Health
Disease description:

Grandpa suffers from coronary heart disease and recently underwent a stent placement procedure for it. The doctor mentioned there's still an ACEI to consider. Could you please explain what ACEI means after a stent placement procedure for coronary heart disease?

Doctor's answer (1)
Dr. Tian Hongbo

After coronary stent surgery, doctors often recommend patients to take ACEI medications. ACEI stands for angiotensin-converting enzyme inhibitors, which represent a very important therapeutic approach. Specifically, these drugs reduce the activity of angiotensin-converting enzyme and decrease the production of angiotensin II, thereby dilating blood vessels, lowering blood pressure, and reducing the burden on the heart.

For patients with coronary artery disease, hypertension can increase the workload on the heart. ACEI reduces the activity of angiotensin-converting enzyme and the production of angiotensin II, thus lowering blood pressure.

ACEIs can not only control hypertension, but also improve cardiac function, prevent left ventricular remodeling after myocardial infarction, reduce the risk of cardiovascular events, increase survival rates among patients with coronary artery disease, and improve prognosis. Therefore, doctors recommend long-term use of ACEI medications after coronary stent surgery.