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1. Occult coronary heart disease: refers to coronary heart disease without clinical symptoms, but with objective evidence of myocardial ischemia (typical ischemic ST segment changes on ECG, decreased myocardial blood perfusion, etc.). Pathological examination showed no obvious tissue morphological changes in myocardium.
2. Angina pectoris-type coronary heart pain: episodic retrosternal pain, which is caused by transient myocardial insufficiency. Pathological examination of myocardium has no changes in tissue morphology or fibrotic changes.
3. Myocardial infarction coronary heart disease: the symptoms are severe, caused by acute avascular necrosis of the myocardium caused by coronary artery occlusion.
4. Sudden death coronary heart disease: sudden death due to primary cardiac suddenness, mostly caused by local electrophysiological disorders of ischemic myocardium, causing severe arrhythmia.
5. Heart failure and arrhythmic coronary heart disease: manifested as heart enlargement, heart failure and arrhythmia, which are caused by myocardial fibrosis caused by long-term myocardial ischemia. The clinical manifestations are similar to dilated primary cardiomyopathy, which has been called "ischemic cardiomyopathy" in recent years
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There are five types of coronary heart disease. First, sudden death type coronary heart disease, sudden onset of asymptomatic onset, sudden death due to primary cardiac arrest. Second, occult coronary heart disease, there are no obvious clinical symptoms such as swelling and pain, chest tightness, etc., but by examining the electrical changes of the heart.
Third, the symptoms of myocardial infarction coronary heart disease and angina pectoris last for more than 20 minutes to half an hour. Fourth, ischemic cardiomyopathic coronary heart disease, palpitation, chest tightness, heart failure and arrhythmias. Fifth, anginal coronary artery disease, a preperisternal-retrosternal crushing pain characterized by paroxysmal pain that usually lasts 3 to 5 minutes.
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What should be paid attention to in the diet of coronary heart disease.
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Hello, patients with coronary heart disease should pay attention in all aspects of life. Diet: You should have a light daily diet, usually eat more fresh fruits, vegetables, or some soy products, avoid too greasy and high-fat food, properly supplement fish or lean meat, plus some sugar water and herbal tea supplements, which is conducive to body regulation.
Exercise: Proper physical exercise, reasonable exercise helps the blood supply to the myocardium and enhances the heart's tolerance.
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Suggestions: First, pay attention to personal mental hygiene. Anger and nervousness can make the sympathetic nervous system highly excited, and the content of catecholamines in the blood increases, acting on the blood vessels, causing vasosystolic blood pressure to rise, myocardial oxygen consumption to increase, and patients with pre-existing coronary heart disease can suddenly induce angina.
Therefore, patients with coronary heart disease should try their best to avoid emotional agitation, nervousness, and joy and sorrow, and try to maintain emotional stability in daily life.
The second is to strengthen physical exercise and participate in appropriate physical activities. Don't be too violent, too tired, don't take too long when exercising, so as not to cause discomfort to the body, and appropriately grasp the amount of exercise according to your own situation. Such as morning and evening walks, exercises, tai chi, etc.
You can also take part in some recreational activities, such as jumping on the senior disco. Insisting on regular exercise is conducive to the prevention of coronary heart disease, but you should avoid continuous busy work, or sudden forceful movements, and do not rush to the vehicle. When coronary heart disease occurs suddenly, all activities should be stopped immediately and rest in place, which is also one of the precautions for coronary heart disease.
Third, coronary heart disease should pay attention to regulating diet, pay attention to nutrition and hygiene, and achieve four less and three more, that is, eat less sugar, salt, fat, and starch; Eat more vegetables, fruits, and protein. It is advisable to eat less and more often, not to be over-satiety at night, and avoid eating foods with high cholesterol, such as meat oil, animal offal, crab roe, fatty meat, etc.
Fourth, keep the room clean and the air fresh, pay attention to maintaining a certain room temperature in winter, prevent colds, and pay attention to keeping the stool smooth, which is also one of the precautions for coronary heart disease.
Fifth, follow the doctor's instructions to take medication on time and have regular check-ups. For patients with frequent attacks of coronary heart disease angina, it is best to have an oxygen pillow at home. At the same time, carry the "health care box" with you and learn to use the medicines in the "health care box".
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1. Diet control + improvement of unhealthy lifestyle.
No matter what kind of **plan** is adopted, diet ** is the basis of coronary heart disease**, it is necessary to have a comprehensive and balanced diet, eat more vegetables and fruits, control high-fat diets such as animal offal, quit smoking and limit alcohol, actively exercise (half an hour a day, five times a week), and control weight. If you eat heart medicine while eating big fish and meat, smoking and drinking and staying up late, the heart blood vessels will still be blocked.
2. Take medication regularly and regularly throughout life.
No matter which regimen (internal medicine, stent, bypass) is chosen, all patients with coronary heart disease need to take antiplatelet drugs such as statin lipid-lowering drugs and aspirin for life to control blood pressure, blood sugar, blood lipids, etc.
3. Regular follow-up visits.
Patients with coronary heart disease should not only take medicine, but also have regular follow-up visits to check blood lipids, blood sugar, blood pressure and other indicators, especially blood lipids must meet the standard. In the outpatient clinic, I met a patient who had undergone coronary stent surgery and took Lipitor 20mg once a day orally for a long time, but the LDL has been maintained at about 3mmol L, and the first diagonal ramus progressed from 40% stenosis one year ago to 80% stenosis after a year of re-examination. After that, the lipid-lowering regimen was adjusted to Lipitor + ezetimibe.
4. Seek medical attention in a timely manner.
If there is a change in the condition of patients with coronary heart disease, for example, the original angina once a month becomes once every two or three days, they should see a doctor in time to re-evaluate the condition and the best plan.
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What should be paid attention to in the diet of coronary heart disease.
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Coronary heart disease can't eat spicy sweets in the diet, you must have a good mentality, you can't be impatient and impatient, you can't do strenuous exercise in life, etc.!
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The dietary habits of coronary heart patients are crucial to the development of the disease, and many coronary heart patients suffer from excessive fat and cholesterol intake in their daily diet. Therefore, patients must strictly control calories in their daily diet to maintain their weight at a stable level. At the same time, patients should be informed of the intake of fat, cholesterol and sugar, so as not to cause the accumulation of fat and cholesterol in the body, increase blood lipids, and induce coronary heart disease.
Patients with coronary heart disease should also eat more foods rich in fiber and vitamins, and ensure adequate intake of minerals and trace elements. Patients should eat regularly and quantitatively every day, follow the principle of eating less and more often, should not overeat, and must abstain from supper at night. Patients with coronary heart disease should not drink strong tea, coffee and alcoholic beverages to avoid aggravating the condition.
Eating more aquatic products, such as fish, shrimp, and shellfish, can provide enough high-quality protein for the body, and can also play a role in regulating blood lipids. Eat less foods with high cholesterol content, such as organ meats, fatty meat, and butter.
In terms of taking medication, coronary heart patients should also pay attention to the following:1Do not take Chinese patent medicine casually, Chinese patent medicine has a good effect on ** coronary heart disease, but it should be taken under the guidance of a physician, blind medication may aggravate the condition.
2.Coronary heart patients are prone to diarrhea, which may mean that the heart is diseased, so when diarrhea occurs, patients should not blindly take antidiarrheal drugs and should go to the hospital as soon as possible. 3.
Coronary heart disease drugs cannot be easily combined with other drugs, otherwise some serious complications may occur, and even sudden death may occur. 4.People with coronary heart disease cannot increase the dosage or stop taking the medication on their own, which can lead to heart disease and serious consequences.
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Try to keep yourself in a good mood and don't get angry too often.
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Pay attention to your daily routine and pay attention to your eating habits.
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Avoid getting angry, getting angry, avoid overload exercise, avoid dehydration, avoid hypoxia, avoid cold and heat, and avoid smoking and drinking.
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