What to do when coronary heart disease occurs suddenly?

Written by Chen Ya
Geriatrics
Updated on December 07, 2024
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Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. It refers to the narrowing or blockage of the coronary artery vessels due to arteriosclerotic lesions, causing myocardial ischemia, hypoxia, or necrosis, leading to heart disease. Its attacks are often related to seasonal changes, emotional excitement, increased physical activity, overeating, heavy smoking, and drinking. When sudden coronary heart disease occurs, the first step is to eliminate these triggering factors, such as immediately calming down when emotionally agitated, or immediately resting in bed if active. Rest should be the priority. If resting and removing triggers do not relieve symptoms, sublingual administration of nitrate and rapid-action heart-saving pills can be used; generally, these medications can relieve symptoms. If relief is still not obtained, it is advised to seek medical attention promptly nearby. In cases of sudden unbearable pain, a sense of impending death, and intense pain despite taking rapid-action heart-saving pills, it is advised to call emergency services (dial 120) immediately to compete for time to prevent acute myocardial infarction, where emergency surgery might be available.

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Written by Chen Ya
Geriatrics
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What fruits to eat for coronary heart disease

For patients with coronary heart disease, it is generally recommended to consume seasonal fruits such as hawthorn, apples, kiwis, pineapples, and bananas. Hawthorn contains triterpenoid and flavonoid compounds that can significantly dilate blood vessels and lower blood pressure. Additionally, hawthorn aids digestion and regulates blood lipids and cholesterol levels, benefiting those with coronary heart disease. Research indicates that apples can help prevent the rise of cholesterol and are beneficial against atherosclerosis associated with coronary heart disease. Kiwis are particularly high in vitamins and reportedly help lower cholesterol and triglyceride levels, which is advantageous for preventing atherosclerosis. Pineapples are said to reduce blood lipid release and decrease the incidence of coronary heart disease; however, they can cause "internal heat," so it is advisable for individuals with a phlegm-heat constitution to consume them sparingly. Bananas, rich in carbohydrates and various vitamins, are suitable for people with coronary heart disease, especially those suffering from constipation, as bananas can moisturize the intestines and thus help reduce factors that trigger 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 Liu Yong
Cardiology
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Is chest pain always coronary heart disease?

Firstly, the most common symptoms when coronary heart disease occurs include chest pain, especially in cases of severe myocardial infarction, which manifests as intense precordial pain. However, chest pain is not always indicative of coronary heart disease. For example, the development of chest pain centers currently underway in our country is intended to differentiate the nature of these chest pains. Therefore, the significance of establishing these chest pain centers lies in the fact that there are various causes of chest pain, many of which pose serious threats to life. For instance, common conditions such as aortic dissection may also present with chest pain. Similarly, pulmonary embolism, particularly acute pulmonary embolism, can cause symptoms like chest oppression and chest pain, which are not related to coronary heart disease. The establishment of chest pain centers is to distinguish these cases, hence it's important to note that not all chest pains are indicative of coronary heart disease.

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Written by Liu Yong
Cardiology
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What to do about insomnia at night with coronary heart disease?

Firstly, the two are mutually influencing. If this condition exists, some medications that improve sleep quality can be used under the guidance of a doctor. At the same time, during the treatment period, it is appropriate to drink some teas like ginkgo leaf tea, honeysuckle tea, or soybean sprout tea, which have the effect of nourishing the heart and calming the mind. It is also important to maintain regular bowel movements, avoid noisy environments, and regularly monitor blood pressure and heart rate. Patients of this category are also advised not to eat overly greasy foods, to lose weight appropriately, and to eat more fresh vegetables and fruits like mushrooms, garlic shoots, onions, and kiwis. Do not smoke, avoid staying up late and overworking, and, if possible, use some medications that soften the arteries and improve microcirculation. It is also important to maintain emotional stability, among other things. (Specific medications should be used under the guidance of a physician.)

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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.