Is coronary heart disease hereditary?

Written by Chen Ya
Geriatrics
Updated on September 10, 2024
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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
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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.

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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 Tian Hua
Cardiology
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What foods are suitable for coronary heart disease?

Patients with coronary heart disease should eat light, easily digestible foods, opt for low-salt and low-fat options, and consume plenty of fresh vegetables and fruits. Foods rich in dietary fiber, such as wheat, oats, and buckwheat, can also be eaten in moderation. Avoid foods high in animal fats and cholesterol, as well as salt-rich preserved items. In addition to dietary adjustments, patients with coronary heart disease should engage in reasonable exercise, effectively control their weight, maintain a good psychological state, and avoid overwork and staying up late, ensuring ample sleep at night. It is important to actively control risk factors such as high blood pressure, diabetes, and high blood cholesterol, provide long-term standardized medication treatment for coronary heart disease, and maintain stability of the condition.

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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 Liu Yong
Cardiology
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Is premature beat related to coronary heart disease?

Firstly, there is no direct connection between coronary heart disease and premature contractions. If we must discuss whether ventricular premature beats are related to coronary heart disease, we should mainly consider patients with myocardial ischemia, especially those with active myocardial ischemia. In these cases, premature beats may be somewhat related to coronary heart disease, but these two conditions cannot be directly equated. Since the majority of premature contractions are unrelated to coronary heart disease, these two issues should not be confused or directly equated. It is common to see some elderly people with premature contractions on their ECGs and consider coronary heart disease, but this consideration is not entirely correct. Of course, the occurrence of real premature beats, especially frequent ventricular premature beats, also suggests the possibility of myocardial ischemia. However, a large number of people, even those with obvious real premature beats, do not have significant coronary insufficiency, thus there is no direct relationship between the two.