What are the symptoms of coronary heart disease?

Written by Tang Li
Cardiology
Updated on November 19, 2024
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Some coronary heart disease patients have asymptomatic myocardial ischemia, and many may not exhibit clear symptoms of angina. Some patients can show signs of angina, with typical symptoms being a pressing pain in the anterior chest area or feelings of suffocation and shortness of breath, primarily located behind the sternum, or radiating to the precordial area and left upper limb, as well as the left side of the back. These symptoms often occur under common triggers such as physical exertion, emotional stress, overeating, or exposure to cold. If it is angina, it generally lasts less than 30 minutes and can be alleviated by rest or taking sublingual nitroglycerin. Some patients who experience a heart attack may have pain in the same areas, but the nature and duration of the pain will be significantly increased, and nitroglycerin may be less effective.

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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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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 Gong Hao
Cardiology
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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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Can coronary heart disease be cured?

Coronary heart disease, when treated with effective medications, can achieve clinical symptom relief or disappearance, generally without the chance of a cure. This is because the onset mechanism of coronary heart disease is due to coronary artery atherosclerosis causing insufficient blood supply to the myocardium, leading to myocardial damage, and arteriosclerosis worsens with age. Patients with coronary heart disease should pay attention to adjusting their dietary structure, adopting a low-fat, low-salt diet. Under the guidance of a doctor, the regular and correct use of some medications that invigorate blood circulation, nourish the myocardium, and dilate coronary arteries can improve myocardial ischemia and achieve clinical symptom relief or disappearance.

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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.