How is coronary heart disease diagnosed?

Written by Chen Ya
Geriatrics
Updated on September 21, 2024
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The routine non-invasive examination for coronary heart disease primarily includes an essential electrocardiogram, as well as echocardiography. Blood tests generally look at cardiac enzymes and the status of troponin to check for any heart muscle damage. In terms of invasive methods, we can perform coronary angiography, which allows us to directly observe the condition of the coronary arteries. The condition of coronary arteries can also now be examined through a non-invasive CT angiography (CTA), which can also reveal any narrowing of the coronary arteries and assess the severity of such narrowing.

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Written by Zhang Yue Mei
Cardiology
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Coronary heart disease is related to anemia.

Coronary heart disease and anemia are not the same type of diseases; they differ in mechanisms of onset, clinical symptoms, and treatment methods. Coronary heart disease is caused by long-term arteriosclerosis, leading to narrowing of the coronary arteries, which causes ischemia and damage to the myocardium, hence it is called coronary heart disease. The treatment for coronary heart disease involves the use of medications to improve blood supply by dilating the coronary arteries, as well as medications to promote blood circulation and remove blood stasis. Anemia is due to a reduction in blood cells, causing ischemia in peripheral tissues and organs, leading to a series of clinical manifestations. Treatment involves supplementing blood or providing hematopoietic elements, depending on the cause of the anemia.

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Written by Chen Ya
Geriatrics
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What should not be eaten with coronary heart disease?

Coronary heart disease is a cardiovascular disease, essentially characterized by atherosclerosis in the coronary arteries. Therefore, foods that should be avoided are those that could further negatively affect vascular function and blood circulation. Specifically, foods high in cholesterol should be limited, particularly animal organs such as liver and offal from pigs and chickens, as these are the primary culprits in causing coronary artery atherosclerosis due to high blood lipids. Furthermore, foods rich in cholesterol like preserved eggs, crab roe, fish roe, and cream should also be consumed less frequently to prevent increased blood lipid levels and higher chances of atherosclerosis in the coronary arteries. Additionally, strong tea should be avoided as it may cause excitement, insomnia, and trigger heart disease. Also, it's advisable to avoid spicy foods and condiments such as chili peppers and mustard, as these can cause vasoconstriction and spasms, leading to angina or even myocardial infarction. Finally, smoking should be quit and alcohol intake should be limited, with individuals frequently experiencing episodes of coronary heart disease advised to abstain from alcohol completely.

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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 Liu Ying
Cardiology
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Coronary heart disease belongs to the department of cardiology.

Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. It occurs when coronary arteries undergo atherosclerosis, causing narrowing or blockage of the lumen, leading to myocardial ischemia, hypoxia, or necrosis. After the diagnosis of heart disease, if conservative treatment or coronary intervention is administered, then it falls under the category of cardiology. However, if coronary heart disease is diagnosed and further treatment necessitating bypass surgery is needed, then a cardiac surgeon should perform the surgery.

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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.