Coronary heart disease

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Written by Chen Ya
Geriatrics
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How to provide emergency aid for a heart attack

Emergency treatment for a heart attack includes promptly transporting the patient to the emergency room. During this process, sublingual administration of quick-acting heart-saving pills or compound Danshen dripping pills, as well as nitroglycerin, can be used. Additionally, if conditions allow, blood pressure should be measured. If the blood pressure is very high, antihypertensive medication should be taken to control it. This serves as an initial emergency response until the patient can be assessed in the emergency room to determine the specific cause and type of heart attack, followed by targeted emergency treatment.

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Written by Chen Ya
Geriatrics
1min 21sec home-news-image

What is good for patients with coronary heart disease to eat?

For patients with coronary heart disease, a predominantly vegetarian diet is recommended. The diet should be low in calories, fats, cholesterol, and salt; high in protein, vitamins, and fiber; non-irritating; divided into more frequent, smaller meals; and consist of easily digestible foods. Regular consumption of nutrient-rich, easily digestible foods is advisable, especially those containing high-quality proteins with essential amino acids, B vitamins, and vitamin C. It is important to avoid overeating, restrict salt intake, and remember to include potassium-rich foods. Examples of beneficial foods include beans and their products, potatoes, seaweed, kelp, shiitake mushrooms, other mushrooms, Chinese yam, bamboo shoots, wood ear mushrooms, buckwheat, and bananas. Limit the intake of fats and sugar-rich foods, and opt for foods that can reduce blood lipids, such as milk, sheep's milk, soybeans, green beans, peas, lentils, carrots, cauliflower, hawthorn, kelp, fish, onions, and shiitake mushrooms.

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Written by Chen Ya
Geriatrics
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Coronary heart disease is caused by what?

Coronary heart disease is caused by the narrowing or blockage of the coronary arteries due to atherosclerosis, leading to myocardial ischemia and hypoxia. The exact cause of coronary atherosclerosis is not yet clear. Extensive research indicates that the formation of atherosclerosis involves various factors including arterial wall cells, extracellular matrix blood components, local hemodynamic environment, and genetics. Key risk factors include abnormalities in lipoproteins, hypertension, diabetes, smoking, obesity, elevated homocysteine, reduced physical activity, and old age. The condition primarily starts with damage to the endothelium and gradually progresses from there.

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Written by Gong Hao
Cardiology
1min 18sec home-news-image

Can coronary heart disease be cured?

Can coronary heart disease be cured? Objectively speaking, the current treatment of coronary heart disease mainly focuses on controlling the progression of the disease, relieving symptoms, improving the quality of life, and improving the prognosis, but it cannot completely cure coronary heart disease. Firstly, the cause of coronary heart disease is the major blood vessels supplying the heart, the coronary arteries, undergoing atherosclerosis and narrowing, leading to insufficient blood supply to the heart, ultimately resulting in angina and heart failure. Therefore, the fundamental cause of coronary heart disease is the pathological changes in the coronary arteries, and the reasons and fundamental mechanisms causing these changes are not entirely clear, and are related to factors such as high blood lipids, high blood pressure, high blood sugar, age, smoking, family history, etc. Thus, the main treatment for coronary heart disease currently is to improve lifestyle, quit smoking and limit alcohol consumption, control blood pressure, blood sugar, and blood lipids, and use aspirin or antiplatelet drugs to inhibit the aggregation of platelets and prevent thrombosis.

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Written by Chen Ya
Geriatrics
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Can coronary heart disease be cured?

Coronary heart disease is difficult to cure, but treatment can achieve clinical symptoms without episodes of chest tightness or pain. It is possible to relieve and prevent the further progression of the disease. Additionally, there may be a possibility that plaques could shrink or reverse compared to before, but there is a lack of large clinical data to indicate this.

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Written by Chen Ya
Geriatrics
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Is coronary heart disease hereditary?

Coronary heart disease involves genetic factors, but it is not solely due to this factor; multiple factors are involved, including arterial wall cells, extracellular base blood components, and the local hemodynamic environment, all of which can have an impact. Therefore, there is a certain familial aggregation, meaning if there are patients with coronary heart disease in the family, the risk of developing the disease is also increased.

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Written by Chen Ya
Geriatrics
37sec home-news-image

Does coronary heart disease spread?

Coronary heart disease is not contagious; it is not classified as an infectious disease. It is a type of heart disease caused by atherosclerosis of the coronary arteries. It is a common condition encountered frequently in clinical settings. It occurs due to arteriosclerosis and plaque formation, which leads to narrowing of the arteries, causing ischemia and hypoxia in the heart and resulting in corresponding clinical symptoms.

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Written by Chen Ya
Geriatrics
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Can people with coronary heart disease drink alcohol?

Coronary heart disease, strictly speaking, should not involve alcohol consumption because its risk factors include age, gender, family history, abnormal blood lipids, drinking, high blood pressure, diabetes, smoking, obesity, and lack of exercise. Additionally, excessive drinking can easily exacerbate coronary heart disease and provoke heart attacks. However, consuming small amounts occasionally might not immediately trigger or worsen a cardiac incident. Therefore, if you must drink, it is advised to do so in moderation and primarily choose red wine.

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Written by Gong Hao
Cardiology
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What are the symptoms of coronary heart disease?

The most typical manifestation of coronary heart disease is angina pectoris, but it can also present as chest tightness, chest pain, paroxysmal tachycardia, fatigue, decreased endurance, a feeling of throat constriction, numbness in the upper limbs, and even symptoms related to the digestive tract such as upper abdominal pain, nausea, and vomiting. Many patients with coronary heart disease do not show obvious symptoms, and the onset might present as myocardial infarction or sudden death, which is very frightening. Therefore, if symptoms of coronary heart disease are noticed, it is crucial to seek medical treatment at a hospital as soon as possible. Middle-aged and elderly people should have regular physical examinations. Young people who stay up late, smoke, or are addicted to video games, among other bad habits, can also develop coronary heart disease, so it is important to be mindful of these behaviors.

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Written by Chen Ya
Geriatrics
54sec home-news-image

Can people with coronary heart disease eat mutton?

In the case of coronary heart disease and consuming mutton, it is generally acceptable to eat it, but we should decide based on our own health condition. For instance, if someone with coronary heart disease exhibits symptoms of qi deficiency or yang deficiency, such as fear of cold, or having cold hands and feet, they are more suited to eat mutton. Sometimes, doctors even recommend eating some mutton in winter. However, those with yin deficiency and internal heat, who are irritable and prone to anger, are advised to eat less. It's not that they absolutely cannot eat it, but it is best to avoid or minimize consumption. Generally speaking, a light diet is recommended for those with coronary heart disease.