Can people with coronary heart disease drink alcohol?

Written by Zhang Yue Mei
Cardiology
Updated on November 04, 2024
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Patients with coronary heart disease are advised not to drink alcohol, especially those with combined heart failure, arrhythmias, and those who frequently experience angina, as alcohol contains ethanol, which can cause increased excitability of the sympathetic nerves, leading to faster heartbeats and increased heart burden. This can easily worsen heart failure and induce arrhythmias, potentially triggering angina attacks. In daily life, patients with coronary heart disease should consume a diet that is easy to digest and low in fat and salt. They should avoid spicy foods and quit smoking and drinking alcohol.

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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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What are the symptoms of coronary heart disease?

The symptoms of coronary heart disease primarily include typical symptoms such as pain in the precordial area triggered by physical activity or emotional excitement. The pain is often spasmodic or compressive, or it may feel like suffocation. The pain begins behind the sternum or in the precordial area and can radiate upwards to the left shoulder and arm, even reaching the little finger and ring finger. Rest or taking nitroglycerin can alleviate the pain. The radiation of the chest pain may also involve the neck, lower jaw, teeth, and abdomen. Chest pain can also occur during rest or at night, caused by coronary spasm, also known as variant angina. If the nature of the chest pain changes, such as newly occurring progressive chest pain, wherein the pain threshold gradually declines to the point that slight physical activity or emotional excitement, or even rest or deep sleep can trigger it. The pain gradually intensifies, becomes more frequent, and lasts longer. If removing the trigger or taking nitroglycerin does not relieve it, unstable angina is often suspected. Symptoms of coronary heart disease with angina can also be accompanied by systemic symptoms such as fever, sweating, panic, nausea, and vomiting.

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Written by Liu Yong
Cardiology
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Can the symptoms of coronary heart disease be cured?

Firstly, coronary heart disease is caused by coronary artery and arteriosclerotic narrowing of the coronary artery lumen, leading to insufficient myocardial blood supply. From this perspective, coronary heart disease cannot be completely cured, but the symptoms can be alleviated. If the symptoms are alleviated, then the disease can still be fully controlled effectively. Therefore, coronary heart disease is preventable and treatable, but to completely eradicate it, it is necessary to improve the lifestyle, adhere to medication, have regular check-ups, and maintain good follow-up. These aspects can improve the prognosis of the patient to achieve the purpose of no recurrence.

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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 Di Zhi Yong
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How to alleviate arm pain from coronary heart disease

If the patient has a history of coronary heart disease, it is still necessary to actively manage it. Initially, it is advisable to suggest that the patient visit a hospital for an electrocardiogram (ECG), and timely intervention is necessary. Medications that activate blood circulation and relieve pain can be used for symptomatic treatment. Additionally, a diet low in salt, fat, and sugar should be maintained, and it is important to actively monitor changes in the patient's heart rate, blood pressure, and pulse. If the heart rate is too fast or the blood pressure is high, these conditions require prompt action. For patients with coronary heart disease who experience arm pain, traditional Chinese medicine, acupuncture, and massage can be employed to alleviate discomfort. Regular follow-ups with ECG checks at the hospital should also be scheduled.