How to treat early coronary heart disease?

The lifestyle should be a light diet, moderate activity, and a regulated psychological state. Moderate diet: low salt, low fat, low sugar, moderate activity, and avoid large mood changes.

In terms of drugs, it is necessary to use drugs according to the different conditions of coronary heart disease, which must be completed under the guidance of doctors. Now coronary heart disease is a disease that can control progression, so early ** is a very important factor. At the same time, it is necessary to actively control the blood pressure.

Coronary heart disease is a chronic disease, the cause of coronary atherosclerosis, and high blood pressure, dyslipidemia, and diabetes mellitus, if there are bad lifestyle habits, such as smoking and lack of physical activity, it is also easy to cause coronary heart disease. Symptoms can be relieved with medications. Drugs can be used in the early stages**, and the effect of tranquility in this regard is good.

Coronary heart disease is coronary atherosclerotic heart disease, and its diagnosis is mainly based on coronary atherosclerosis, if the blood vessels are normal, and there is no atherosclerosis leading to inflammation, occlusion, etc., it is not coronary heart disease. The second is that there is a heart disease with myocardial ischemia and hypoxia. If the test only shows coronary arteriosclerosis but never has any symptoms, then it is not coronary heart disease.

Therefore, if the above two points are met, it is coronary heart disease, one is atherosclerosis, and the other is the symptoms of chest tightness, breath-holding or angina. Then it is necessary to follow the **protocol** of coronary heart disease**.

You should change your lifestyle habits, and if you have the habit of smoking or drinking less, you should pay attention to quitting.

If your eating habits are not good, you should pay attention to making yourself have a reasonable diet.

1.Daily living style interventions. Patients with coronary heart disease need to pay attention to a low-salt and low-fat diet, control weight, maintain a stable mood, quit smoking and limit alcohol, carry out appropriate physical exercise, adhere to a standardized life and rest, and avoid overeating.

2.Patients with coronary heart disease include those in the period of angina pectoris, those in remission, and myocardial infarction. If a myocardial infarction occurs, the patient needs to be monitored and absolutely ambulated, and oxygen inhalation and venous access are established, and the patient is given antiplatelet**, anticoagulation**, vascular endothelial protection, intervention**, thrombolysis** and anti-shock**, and rescue is also required if necessary. Life-sustaining**.

Coronary heart disease is divided into three aspects:

The first aspect is the improvement of lifestyle, if there is a family history of coronary heart disease, genetic history, it is necessary to do a physical examination and physical examination as soon as possible to screen for coronary heart disease. Quitting smoking, drinking, exercising, not staying up late, reducing mental stress, these healthy lifestyles, including eating a light diet.

The second aspect is the drug, which is mainly based on the period and severity of coronary heart disease, antithrombotic drugs, vasodilator drugs, hypolipidemic drugs, and other comorbidities, which should be taken regularly for a long time.

The third aspect is surgery, which is divided into medical intervention and surgical bypass, which should be decided according to the patient's coronary angiography, and the choice of the next surgery is decided by professional physicians.

These aspects are generally multi-pronged, combined, and long-term regular, and ultimately achieve a stable and even effective effect.

1. Coronary stent**Coronary heart disease.

A stent carved or wound from stainless steel or alloy material into a tube with a mesh wall with a gap will be placed into the coronary artery stenosis stage to support the blood vessel wall and maintain blood flow. But after all, putting a stent can only be regarded as a first-aid means, and it does not mean that it has entered the "safe".

For patients with myocardial infarction who have been rescued, the most important thing is secondary prevention, that is, prevention, use drugs on time under the guidance of authoritative experts, adhere to a reasonable and healthy lifestyle, delay the development of coronary heart disease or even reverse it, and prevent the recurrence of myocardial infarction. Therefore, coronary stents are not the best way to have coronary heart disease.

2. Coronary artery bypass surgery**Coronary heart disease.

It is to take a section of the patient's own blood vessels (such as saphenous vein and internal mammary artery) and transplant it between the aortic root and the ischemic myocardium to bypass the stenosis or blockage to establish a pathway, so as to achieve the purpose of revascularization. Compared with coronary intervention**, it has a wide range of indications and can effectively alleviate symptoms, but the disadvantage is that thoracotomy surgery, which is traumatic and has many complications. Therefore, when choosing this method for coronary heart disease, we must be cautious to avoid unbearable pain and consequences for ourselves.

Obviously, this is not the best way to do it either.

3. Drugs for coronary heart disease.

Drugs for coronary heart disease are the foundation and guarantee of all methods. There are many kinds of drugs suitable for coronary heart disease, which can be divided into coronary heart disease prevention, postoperative heart disease, coronary heart disease attack first aid, etc., according to the patient's condition and different purposes. How to adhere to medication reasonably and standardly under the guidance of professional doctors according to their own conditions is the key link for patients with coronary heart disease in the long term.

Commonly used are: enalapril (10 mg daily), benazepril (10 mg daily), ramipril (milligram daily), parasimpril (10 mg daily), etc.

Coronary heart disease** is divided into lifestyle modifications, medications**, and devices**. A good lifestyle includes quitting smoking, limiting alcohol, living habits, getting good sleep and having a positive mindset. Drugs to prevent acute attacks of coronary heart disease, improve prognosis, and improve symptoms.

These include interventional** and cardiac surgical bypass.

Patients with coronary heart disease are best to go to a regular hospital, and ask a professional internist to carry out positive **through psychology and medication** according to the condition, and good results will be achieved.

Coronary heart disease is the blockage of coronary arteries, resulting in palpitation, rapid heartbeat, premature beats, etc., it is difficult to **, unless the heart is bypassed, it can be relieved at ordinary times, eat less greasy food, do not get angry, and do more exercise in a regular life.

Drugs**.

1.Nitrate drugs mainly include: nitroglycerin, isosorbide dinitrate, 5 isosorbide mononitrate, long-acting nitroglycerin preparations, etc. Nitrates are routinely used in patients with stable angina.

2.Antithrombotic drugs include antiplatelet and anticoagulant drugs. Antiplatelet drugs mainly include aspirin, clopidogrel, tirofiban, etc., which can inhibit platelet aggregation and avoid thrombosis and blockage of blood vessels.

Aspirin is the drug of choice, maintained at 75 100 mg per day, and should be taken long-term in patients with coronary artery disease without contraindications.

3.Fibrinolytic drugs can dissolve the blood clot that has formed in the coronary artery occlusion, open the blood vessels, restore blood flow, and are used for acute myocardial infarction.

4.- Receptor blockers have both anti-angina effects and prevent arrhythmias. In the absence of obvious contraindications, -receptor blockers are the first-line treatment for coronary heart disease.

5.Calcium channel blockers can be used for stable angina** and angina due to coronary spasm.

6.Renin-angiotensin system inhibitors are indicated for patients with acute myocardial infarction or recent myocardial infarction with cardiac insufficiency.

Early** approach to coronary heart disease.

1. Drugs**.

For patients with coronary heart disease in the early stage, the disease can be controlled by drugs, only after the disease is controlled, then the dosage can be increased, so as to achieve a thorough effect, as for the choice of drugs, we can not blindly use drugs by ourselves, we must go to a professional hospital to listen to the advice of professional doctors, so that they can open a pharmacy for us, then some early coronary heart disease can achieve a thorough effect.

2. Diet**.

In terms of diet, try to be light, not too much spicy and greasy food, otherwise it is not good for the condition, and at the same time, for some sick patients, at this time, if coronary heart disease attacks, it is necessary to stop exercising immediately, rest, and then get up after the symptoms disappear.

3. Intervention**.

Intervention** is less invasive and less risky than bypass surgery, but its effect is not the same as that of bypass.

Coronary heart disease** mainly includes lifestyle changes, medications**, and surgery**.

The main goal of coronary heart disease is to combine antiplatelet, lipid-lowering, and plaque stabilization, and further select the corresponding ** regimen according to the severity of the disease.

Drugs**: the basic**, the use of antiplatelet, anticoagulant, lipid-lowering drugs, blockers, calcium antagonists, ACE inhibitors, ARB, etc. to improve myocardial blood supply, reduce myocardial oxygen consumption, in order to alleviate symptoms;

I think there are several coronary heart diseases, the first is drugs, such as the use of antiplatelet drugs aspirin, clopidogrel, and statins, such as simvastatin, rosuvastatin, atorvastatin. Whether you have a stenting or coronary artery bypass, medications** are indispensable. Do not exercise vigorously, you can do an appropriate amount of regular exercise, pay attention to rest, avoid fatigue, and ensure adequate rest and sleep.

Coronary heart disease cannot be completely cured, but it is very important to stabilize the condition of coronary heart disease through reasonable and effective **, and to curb the recurrence and aggravation of the disease. Coronary heart disease is coronary atherosclerotic heart disease, due to long-term abnormal lipid metabolism, resulting in coronary intimal lipid deposition, the formation of plaques of varying degrees in blood vessels, resulting in incomplete or complete blockage of blood vessels, resulting in reduced or interrupted blood flow distal to blocked blood vessels, ischemia or necrosis of myocardial cells, and clinical manifestations of angina pectoris or myocardial infarction.

You should go to the local clinic immediately to check the situation to avoid serious circumstances and bad effects.

Since there are many types of coronary heart disease, different types of ** regimens are different. For example, for asymptomatic myocardial ischemic type, only ST segment changes are found on ECG, and the patient has no symptoms, and needs to take aspirin, clopidogrel or statins, nitrates such as isosorbide mononitrate can be used to improve coronary blood supply. For the angina type, drugs to relieve angina attacks, such as nitrates, and drugs that can improve blood supply, such as trimetazidine, may be used.

Myocardial infarction type.

At present, there are three main types of coronary heart disease, drugs, intervention, and coronary artery bypass transplantation. Drugs are the most classic methods and occupy an important position. Coronary artery bypass grafting is a surgical method for surgeons to transplant the saphenous vein or internal mammary artery as a bypass graft for coronary heart disease.

Coronary heart disease intervention** was born the latest, but developed the most rapidly, it was developed on the basis of cardiac catheterization technology. Coronary heart disease intervention** through percutaneous peripheral arteries into balloon catheters or other instruments to relieve coronary artery occlusion or stenosis, restore coronary blood flow, eliminate symptoms, improve quality of life, and improve prognosis.

1.Lifestyle intervention: low-salt and low-fat diet, regular work and rest, stable mood, avoiding fatigue, appropriate exercise, quitting smoking and limiting alcohol, and learning the knowledge of self-management of coronary heart disease.

2.Drugs**: Aspirin, which acts as an antiplatelet agent to reduce thrombosis, or has the same antiplatelet effect as aspirin.

ACE inhibitors or ARBs to prevent myocardial remodeling. For those with high blood pressure, good blood pressure lowering** is needed to slow the progression of coronary atherosclerosis. Receptor blockers, whose main effect is to slow down the ventricular rate and reduce myocardial oxygen consumption.

Patients with coronary heart disease should have their blood lipid levels strictly controlled. For people with diabetes, blood sugar needs to be controlled.

3.Surgery**: Divided into interventional** and surgical**.

Intervention**, i.e., coronary angiography + stent implantation or balloon dilation or rotational atherectomy, is an interventional method to find the lesion site first, and then according to the characteristics of the lesion site, the lesion site is treated accordingly, including balloon dilation, rotational atherectomy of the lesion site, and stent implantation. This approach is less invasive, but it is not advantageous to manage multivessel and diffuse lesions. Surgery is the so-called bypass surgery, which requires thoracotomy, but it is very effective for multi-vessel lesions and diffuse lesions, especially those with diabetes.

The specific ** plan should be examined in the hospital and later determined which one is suitable for use.

Question: What about coronary heart disease**.

It's breathlessness.

You're going to need surgery in this case**.

Coronary artery bypass grafting relieves chest pain and ischemia, improves quality of life, and can prolong the patient's life by restoring perfusion of blood flow to the heart muscle. It is suitable for patients with severe coronary artery disease, patients who cannot accept intervention**or **post**, as well as angina pectoris after myocardial infarction, or when complications such as ventricular aneurysm, mitral regurgitation, ventricular septal perforation, etc., coronary artery bypass grafting should be performed at the same time as the first complication.

Question: I asked why my chest was tight and my breath was uncomfortable.

Answer: The reason why coronary heart disease causes chest tightness and uncomfortable breathing is because the coronary arteries are the vascular network on the surface of the heart, providing energy and oxygen to the heart, and coronary heart disease is atherosclerosis that leads to ischemia and hypoxia of the myocardium, which will lead to chest tightness and chest pain. can have the same effect.