Atherosclerosis

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Written by Li Hai Wen
Cardiology
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How to check for arteriosclerosis?

Arteriosclerosis is a relatively common disease in our daily life. After being diagnosed with arteriosclerosis, the following tests should be considered: Firstly, blood tests, such as lipid panels, are necessary to determine the levels of blood lipids. Based on the results, medication might be required for treatment. Secondly, arterial Doppler ultrasound is useful as it can effectively detect the presence and severity of arteriosclerosis. Thirdly, arterial angiography is recommended when there is a strong suspicion of arterial narrowing due to arteriosclerosis, leading to coronary heart disease or other conditions. This test helps in determining the severity of the arteriosclerosis and in deciding the treatment plan.

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Written by Li Hai Wen
Cardiology
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Can people with arteriosclerosis drink alcohol?

Arteriosclerosis is a very common disease in daily life. After being diagnosed with arteriosclerosis, many patients often feel worried or anxious, and frequently ask their doctor if they can drink alcohol. The answer is yes, patients with arteriosclerosis can drink a moderate amount of alcohol, but should not drink excessively. As the saying goes, good liquor, when consumed properly, can be beneficial to health. Drinking in moderation can have certain health benefits. In addition, while drinking in moderation, it is also important to maintain good living habits, exercise regularly, quit smoking, and control weight to prevent the occurrence and progression of arteriosclerosis. (This should be done under the guidance of a doctor.)

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Written by Li Hai Wen
Cardiology
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Can atherosclerosis be cured?

Atherosclerosis is a very common disease in daily life. Many patients, after being diagnosed with atherosclerosis, often ask doctors "Can my atherosclerosis be cured?" The answer is no, as atherosclerosis cannot be completely cured. However, this does not mean that atherosclerosis is untreatable. From a medical perspective, controlling blood pressure, lipids, and blood sugar, maintaining good lifestyle habits, exercising regularly, quitting smoking, controlling weight, and following a doctor's guidance to properly take medications can effectively control the onset and progression of atherosclerosis.

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Written by Zhou Yan
Geriatrics
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Is coronary arteriosclerosis serious?

The severity of arterial atherosclerosis is related to the location of the lesion and the narrowing it causes in the coronary arteries. This is because if the blood flow through the coronary arteries is insufficient to meet the metabolic demands of the heart muscle, it can lead to ischemia and hypoxia of the heart muscle, causing angina. Severe and prolonged ischemia can lead to myocardial necrosis, or myocardial infarction. When there is significant narrowing in the coronary artery lumen, for instance more than 50%-75%, the situation can be compensated during rest. However, during exercise or rapid heart rate or emotional excitation, the oxygen demand of the heart muscle increases. This may result in mild or transient myocardial oxygen supply, or an imbalance between supply and demand. Another scenario involves unstable atherosclerotic plaques that rupture, erode, or bleed, leading to platelet aggregation or thrombus formation, causing a rapid worsening of luminal narrowing. This results in a decreased supply of oxygen to heart muscle, leading to acute coronary syndrome, which is very severe. In fact, the degree of coronary artery atherosclerosis is positively correlated with plaque stability, plaque location, and the elasticity of the coronary artery.

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Written by Zhang Yue Mei
Cardiology
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What foods to eat for arteriosclerosis

Arteriosclerosis has become increasingly prevalent as living standards improve. This is directly related to unreasonable adjustments in dietary structure. People in this demographic should focus on a diet low in fats, sugars, and oils, and consume more vegetables and fruits as well as foods high in dietary fiber. Suitable fruits and vegetables include apples, oranges, tomatoes, kelp, kiwis, grapefruits, seaweed, enoki mushrooms, shiitake mushrooms, wood ear mushrooms, onions, and peas. These foods contain high levels of vitamins, trace elements, and dietary fiber, which can purify the blood and help reduce high cholesterol and alleviate the progression of arteriosclerosis.

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Written by Li Hai Wen
Cardiology
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Arteriosclerosis is a disease

Arteriosclerosis is a disease characterized by thickening of the arterial wall and narrowing of the arterial lumen due to plaque formation, leading to various problems. As for whether arteriosclerosis can be prevented and treated, the answer is definitely yes. This can be achieved by maintaining good lifestyle habits. Regular exercise, quitting smoking, and controlling blood pressure and blood sugar with medications under a doctor’s guidance, as well as appropriate use of statin medications, can effectively prevent and treat the onset, progression, and worsening of arteriosclerosis.

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Written by Li Hai Wen
Cardiology
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How to prevent arteriosclerosis

Atherosclerosis is a disease related to aging, poor lifestyle habits such as smoking, and metabolic abnormalities such as hyperlipidemia or diabetes. Atherosclerosis can be effectively prevented. To prevent atherosclerosis, the following should be adhered to: First, maintain good lifestyle habits, exercise regularly, quit smoking, limit alcohol consumption, and eat less spicy and greasy foods. Second, control blood pressure, blood lipids, and blood sugar levels. When issues such as elevated blood pressure and lipids arise, it is necessary to use medication under the guidance of a doctor.

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Written by Cai Li E
Cardiology
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Arteriosclerosis has what manifestations?

Arteriosclerosis symptoms vary depending on the affected organ. Coronary arteriosclerosis primarily manifests as angina, while cerebral arteriosclerosis mainly results in cerebral embolism, potentially causing symptoms such as hemiplegia. Chronic cerebral ischemia can lead to cerebral atrophy and progress to vascular dementia. Aortic arteriosclerosis often displays no specific symptoms. Renal arteriosclerosis can cause refractory hypertension, and if a renal artery thrombosis occurs, it may lead to pain in the kidney area, oliguria, and fever. Chronic kidney ischemia can lead to kidney atrophy and progress to renal failure. Mesenteric arteriosclerosis can cause symptoms like indigestion, decreased intestinal tone, constipation, and abdominal pain. Arteriosclerosis in the limbs, often seen in the lower extremities, can cause symptoms such as coldness in the legs, numbness, and the typical intermittent claudication.

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Written by Zeng Wei Jie
Cardiology
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Arteriosclerosis is divided into several stages.

Arterial atherosclerosis sequentially manifests as three major types: lipid spots and stripes, atheromatous and fibrous atheromatous plaques, and complex lesions. According to the process of its occurrence and development, it can be subdivided into six types. The first type is lipid spots, which are small yellow spots on the arterial intima that gradually develop into the second type, lipid stripes, where some yellow stripes appear on the arterial intima. Then there is the third type, pre-lesional plaque, where more lipid droplets appear extracellularly. The fourth type is the atheromatous plaque, where lipids accumulate excessively and form lipid pools, and the intimal structure will be damaged. The fifth type is the fibrous atheromatous plaque, which is the most characteristic lesion of arterial atherosclerosis. The sixth type is a complex lesion, representing a severe condition.

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Written by Tang Li
Cardiology
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The difference between arteriosclerosis and atherosclerosis

Arteriosclerosis is the most common and most important among a group of vascular diseases called arteriosclerosis. The common characteristics of various arteriosclerosis include thickening, hardening, loss of elasticity, and narrowing of the arterial walls. The characteristic of arteriosclerosis is that the affected arterial lesions start from the intima, with various lesions coexisting, including local accumulation of papyraceous and complex carbohydrates, proliferation of fibrous tissue, and formation of plaques due to calcification, along with gradual degradation of the arterial media. Secondary lesions include intraplaque hemorrhage, plaque rupture, and local thrombosis formation. Modern cellular and molecular biology techniques show that arteriosclerotic lesions are characterized by migration of macrophages, proliferation of smooth muscle cells, and abundant formation of fibrous, collagen, elastic fibers, and proteoglycans as connective tissue matrices, as well as intra- and extracellular lipid accumulation. Because the lipid accumulation in the intima appears yellow and mushy, it is called arteriosclerosis. Although arteriosclerosis is only one type of arteriosclerosis, it is commonly referred to simply as arteriosclerosis due to its frequent occurrence and significant clinical relevance.