Is there a cure for coronary heart disease?

From a certain point of view, you are right. From a practical point of view, once you have coronary heart disease, it cannot be reversed.

Before talking about this question, I would like to explain to you what coronary heart disease is. The so-called coronary heart disease refers to a group of clinical syndromes in which the coronary arteries (the blood vessels responsible for the blood of the heart) have atherosclerosis, resulting in narrowing of the lumen of the blood vessels, and causing myocardial ischemia. Common types are angina pectoris and myocardial infarction.

Of course, from a professional point of view, there are other subtypes, including occult coronary artery disease, and so on.

In general, when the blood vessel is narrowed by more than 50-70% of the lumen area of the vessel, the symptoms will be noticeable. If you want to ** coronary heart disease, to put it bluntly, you must let these "narrows" disappear completely. These so-called "narrow" blood vessels are caused by atherosclerosis of the coronary artery walls, forming plaque, which is the main culprit of the blockage of the blood vessels.

Therefore, when the blood vessels are severely narrowed, a cardiac stent or surgical bypass surgery may be required**, the purpose of which is also to open the blood vessels and allow the ischemic myocardium and blood to recover**.

Is there really no drug that can reverse this plaque and cause it to retract? In fact, this drug is a statin lipid-lowering drug. The direct effect of these drugs is to lower blood lipids, especially LDL cholesterol in the blood, and the other effect is to reverse the plaque in the blood vessels and cause the plaque to retract.

In a large number of animal and human studies, the miraculous effects of statins have also been confirmed.

However, the problem is that once coronary heart disease is diagnosed, it means that the coronary arteries have been significantly narrowed, and it is basically difficult to retract the plaque with statin lipid-lowering drugs, which is the best effect is to prevent its further progression.

At present, patients with coronary heart disease commonly use the following drugs:

1. Receptor blockers are the preferred drugs for patients with coronary heart disease with rapid heart rate, such as metoprolol.

2. Statins, lipid-lowering and stabilizing arterial plaques.

3. Antithrombotic drugs, including antiplatelet and anticoagulants, such as aspirin and clopidogrel.

4. Nitrates, relieving angina.

Statins have a lipid-lowering effect and can reduce arterial plaque, but it is difficult to eliminate plaque. Aspirin and clopidogrel are mainly antithrombotic to prevent aggravation of the disease, and they are not coronary heart disease.

Since coronary heart disease cannot be spent, it shows the importance of primary prevention of coronary heart disease, and the risk factors of coronary heart disease must be stifled in the cradle. First of all, it is necessary to strengthen the publicity of the knowledge of coronary heart disease prevention and treatment, so that more people can understand the risk factors for coronary heart disease, start to change their eating habits, eat a reasonable diet, exercise moderately, and control their weight.

Once a stenosis has formed, it is difficult to restore its original elasticity, and although there is a drug to prove that it can soften the plaque, there is insufficient evidence of complete disappearance.

Therefore, if it is aimed at vascular disease, which has not yet appeared, what we should do more is to exercise regularly, ensure a reasonable diet, and have a good emotional regulation, so that we can better prevent severe arteriosclerosis, which not only prevents coronary heart disease, but also prevents stroke, as well as peripheral vascular disease.

If it is stable angina, even if there is coronary stenosis, we can pass, professional heart ** to ensure a good quality of life, not all found narrowing of blood vessels must be entered into the surgical ** procedure.

Aging is irreversible, but it can be delayed.

Health, the strength of the body of the healthy fingers; Kang refers to mental peace.

Drugs ** coronary heart disease, myocardial ischemia.

Drug** is the basic method of coronary heart disease and myocardial ischemia, which is mainly carried out according to the condition and under the guidance of a physician with drugs alone or in combination**. Drugs can relieve symptoms and stabilize the condition, and some drugs can also delay or reduce the progression of coronary arteriosclerosis, and actively control the risk factors that cause arteriosclerosis, which can achieve both ** and preventive effects.

1. **Drugs for angina pectoris attacks of coronary heart disease and myocardial ischemia**Nitroglycerin or cardiac pain can be taken during angina pectoris attacks to rapidly expand coronary arteries, increase myocardial blood**, improve the current situation of myocardial ischemia, and prevent myocardial necrosis due to ischemia. Nitroglycerin: 1 tablet of nitroglycerin (mg per tablet) is chewed and taken sublingually, and angina can be relieved after 1 to 2 minutes, and if the pain is not relieved after 5 minutes, 1 more tablet can be taken again.

Cardiac pain: It can prevent angina attacks and anti-arrhythmic effects. Dosage is 1 to 2 tablets each time, change to 1 tablet 3 times a day when symptoms have decreased.

2. **Drugs for remission of coronary heart disease and myocardial ischemia**.

Coronary heart disease, myocardial ischemia in remission** can be treated with the following drugs**

dilation of coronary arteries with nitrates and traditional Chinese medicine mixtures;

The use of calcium ion antagonists, receptor tissue agents to relieve coronary spasm, reduce myocardial oxygen consumption;

ACE inhibitors are used to reduce cardiac afterload;

anticoagulants, such as aspirin, are used to prevent thrombosis;

Heart-lowering drugs, such as betalux, are used to reduce myocardial oxygen consumption.

Yes, you can cut the app in half first, gradually increase the amount after adaptation, and if it doesn't work, you can only stop using it.

Liaoning Provincial People's Hospital - Department of Cardiovascular Medicine - Chief Physician Hou Aijie.

Do not use drugs for coronary heart disease casually, check it out clearly, and prescribe the right medicine. If you have angina, you can prepare nitroglycerin, take it under the tongue when you have the onset, and if you have frequent attacks, you should go to a regular hospital for examination, take corresponding measures, and do not rush to the doctor. Be sure to beware of a heart attack before it happens.