Coronary heart disease

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Written by Zhang Yue Mei
Cardiology
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Can people with coronary heart disease drink alcohol?

Patients with coronary heart disease are advised not to drink alcohol, especially those with combined heart failure, arrhythmias, and those who frequently experience angina, as alcohol contains ethanol, which can cause increased excitability of the sympathetic nerves, leading to faster heartbeats and increased heart burden. This can easily worsen heart failure and induce arrhythmias, potentially triggering angina attacks. In daily life, patients with coronary heart disease should consume a diet that is easy to digest and low in fat and salt. They should avoid spicy foods and quit smoking and drinking alcohol.

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Written by Liu Yong
Cardiology
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What are the symptoms of the early stage of coronary heart disease?

Coronary heart disease refers to the condition where the coronary arteries undergo arteriosclerotic changes, leading to the narrowing or blockage of the vessel lumen, which in turn causes myocardial ischemia, hypoxia, or necrosis, resulting in a series of heart conditions. Some of the early manifestations of this disease often include chest pain triggered by physical activity or emotional agitation. Sometimes it can also manifest as a feeling of suffocation and pain, which often appears as paroxysmal angina or crushing pain, and may radiate to other areas such as the shoulder, upper arm, and fingers. Resting or taking medications like nitroglycerin can significantly alleviate symptoms. Other possible symptoms include fever, sweating, panic, nausea, vomiting, etc.

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Written by Liu Yong
Cardiology
1min 12sec home-news-image

How to Provide Emergency Aid for a Heart Attack

The cause of coronary heart disease is the formation of atherosclerotic plaques in the coronary arteries, leading to insufficient blood supply to the heart and resulting in symptoms. Therefore, the emergency treatment for a coronary event often involves the use of medications that dilate the coronary arteries to alleviate the symptoms of myocardial ischemia. Commonly used nitrate medications taken sublingually can quickly relieve symptoms of angina. The significance of nitrates lies in their ability to release nitric oxide donors, which can effectively dilate the coronary arteries. This dilation improves blood flow through the coronary arteries and thus corrects symptoms of myocardial ischemia. During an attack, considering sublingual nitrate medication is advisable, provided there is no history of severe hypotension from nitrates, or if there is no hypotension during the attack, under these circumstances, this type of medication can be considered. If any of the above contraindications exist, such as low blood pressure, one might also consider sublingual administration of some traditional Chinese medicine preparations, like emergency pills, which can be used as well.

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Written by Tang Li
Cardiology
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Coronary heart disease is what?

Coronary heart disease is the most common type of vascular disease caused by atherosclerosis and is a common disease that harms human health, often occurring in men over the age of forty. Men tend to develop the disease earlier than women. It is defined as atherosclerosis of the coronary arteries, causing narrowing or occlusion of the lumen, leading to myocardial ischemia, hypoxia, or necrosis, and resulting in heart disease. Currently, the diagnostic gold standard for coronary heart disease is coronary angiography. During coronary angiography, the presence of significant stenosis in the coronary artery lumen of more than fifty percent can diagnose coronary artery atherosclerotic heart disease, or coronary heart disease. The pathological anatomy and pathophysiology of coronary heart disease vary, leading to different clinical manifestations. In 1979, the World Health Organization classified it into five types: 1. Asymptomatic myocardial ischemia. 2. Angina pectoris. 3. Myocardial infarction. 4. Ischemic cardiomyopathy. 5. Sudden death. Currently, based on different characteristics of onset and principles of treatment, it is divided into two main categories: First category: Chronic coronary artery disease. Second category: Acute coronary syndrome. Acute coronary syndrome includes unstable angina, non-ST segment elevation myocardial infarction, ST-segment elevation myocardial infarction, and sudden death is also included as a manifestation of acute coronary heart disease.

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Written by Gong Hao
Cardiology
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What is coronary heart disease?

What is coronary heart disease? Let's first explain two definitions: The first is the coronary artery: The coronary artery is the artery that supplies blood to the heart. The heart is shaped like an inverted, slightly flattened cone. If we compare the heart to a person's head, then the coronary arteries on the heart are like a crown situated on top of the head, almost encircling it, hence called "coronary." The second is arteriosclerosis: Lipids in the blood deposit on the inner lining of the arteries, accompanied by the proliferation of certain cells, such as smooth muscle cells and connective tissue, causing thickening of the arterial intima and formation of atheromatous plaques, making the artery walls harden and the lumen narrow. Coronary heart disease refers to heart diseases related to the coronary arteries. It typically refers to coronary arteriosclerosis, thus the definition of coronary heart disease is: the occurrence of arteriosclerosis in the coronary arteries, leading to narrowing or blockage of these vessels, which causes myocardial ischemia, hypoxia or necrosis, and consequently, heart disease.

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Written by Chen Ya
Geriatrics
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Can coronary heart disease patients soak their feet?

People with coronary heart disease can soak their feet, but it is recommended not to do so during an angina attack. When soaking feet, the high water temperature causes the capillaries in the lower limbs to dilate, increasing blood supply to the lower limbs, which can correspondingly reduce the blood supply to the heart, easily leading to myocardial ischemia and angina attacks. Additionally, the soaking should not be too long, and the water temperature should not be too high. It is suggested that a 10-minute soak is appropriate, and a water temperature of around 37 to 38 degrees Celsius is advisable. Too high a temperature is not beneficial for patients with coronary heart disease.

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Written by Chen Ya
Geriatrics
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How long can coronary heart disease last?

Coronary heart disease, although having an annual sudden death rate of about 1%-5%, can significantly reduce the mortality rate with standardized treatment. There is currently no medical prediction on how long someone with coronary heart disease can live, as advances in medicine mean that as long as one undergoes standardized treatment using the most scientific, advanced, and regulated methods, and also pays attention to their lifestyle and conditioning, their lifespan should not be affected.

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Written by Chen Ya
Geriatrics
1min 17sec home-news-image

Can people with coronary heart disease eat beef?

Patients with coronary heart disease can appropriately eat some beef in their daily life, as beef is rich in protein content and contains a variety of amino acids, which can provide sufficient nutrients to the human body. Also, its fat and cholesterol content are relatively low, so generally, it would not exacerbate the condition too much. However, the diet for coronary heart disease should generally be light, and it is recommended to balance meat with vegetables, focusing more on vegetables. Additionally, eating beef in the cold winter also has a stomach-warming effect, making it more suitable during that time. In contrast, it might not be suitable in the summer, especially for those with internal heat. Beef is more appropriate for individuals with qi deficiency, shortness of breath, weak body, aching muscles and bones, and those suffering from chronic anemia and dizziness. However, excessive consumption can still increase the burden on patients with coronary heart disease, so it is advised to consume in small amounts and not excessively.

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Written by Gong Hao
Cardiology
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What tests are done for coronary heart disease?

The diagnostic tests for coronary heart disease include: electrocardiogram, exercise stress test, Holter monitoring, nuclear myocardial imaging, echocardiography, hematologic tests, multi-slice spiral CT, as well as coronary angiography and intravascular imaging, among others.

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Written by Chen Ya
Geriatrics
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Can people with coronary heart disease eat eggs?

Patients with coronary heart disease can eat eggs; it is recommended to eat one each morning to balance the nutritional needs of the body. However, it is crucial not to consume them excessively, as eggs, especially the yolks, contain cholesterol and a high amount of lipids. One of the primary causes of coronary heart disease is the accumulation of lipids due to atherosclerosis. Therefore, to prevent an increase in cholesterol levels, excessive consumption should be avoided, as it can lead to higher cholesterol levels if the body cannot digest it properly, exacerbating the condition and causing harm to the body. Thus, it's important to control and moderate consumption.