Coronary heart disease clinical manifestations

Written by Liu Yong
Cardiology
Updated on December 07, 2024
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Coronary heart disease is fully known as coronary atherosclerotic heart disease. From its name, we can see that the basis of its onset is due to the formation of plaques and narrowing of the lumen in the coronary arteries that supply blood to the heart, leading to insufficient blood supply to the myocardium and a series of symptoms. So what are these symptoms? The common manifestations include chest tightness and chest pain in the precordial area after physical activity, emotional excitement, or even after a full meal. Some patients may also experience radiating pain in other areas, such as the back, shoulders, abdomen, and even the throat. Additionally, some patients may experience atypical symptoms such as palpitations and abdominal pain.

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Written by Liu Yong
Cardiology
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Coronary heart disease clinical manifestations

Coronary heart disease is fully known as coronary atherosclerotic heart disease. From its name, we can see that the basis of its onset is due to the formation of plaques and narrowing of the lumen in the coronary arteries that supply blood to the heart, leading to insufficient blood supply to the myocardium and a series of symptoms. So what are these symptoms? The common manifestations include chest tightness and chest pain in the precordial area after physical activity, emotional excitement, or even after a full meal. Some patients may also experience radiating pain in other areas, such as the back, shoulders, abdomen, and even the throat. Additionally, some patients may experience atypical symptoms such as palpitations and abdominal pain.

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Written by Chen Ya
Geriatrics
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Can people with coronary heart disease eat beef?

Patients with coronary heart disease can appropriately eat some beef in their daily life, as beef is rich in protein content and contains a variety of amino acids, which can provide sufficient nutrients to the human body. Also, its fat and cholesterol content are relatively low, so generally, it would not exacerbate the condition too much. However, the diet for coronary heart disease should generally be light, and it is recommended to balance meat with vegetables, focusing more on vegetables. Additionally, eating beef in the cold winter also has a stomach-warming effect, making it more suitable during that time. In contrast, it might not be suitable in the summer, especially for those with internal heat. Beef is more appropriate for individuals with qi deficiency, shortness of breath, weak body, aching muscles and bones, and those suffering from chronic anemia and dizziness. However, excessive consumption can still increase the burden on patients with coronary heart disease, so it is advised to consume in small amounts and not excessively.

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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 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.

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Written by Chen Ya
Geriatrics
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Can coronary heart disease patients soak their feet?

People with coronary heart disease can soak their feet, but it is recommended not to do so during an angina attack. When soaking feet, the high water temperature causes the capillaries in the lower limbs to dilate, increasing blood supply to the lower limbs, which can correspondingly reduce the blood supply to the heart, easily leading to myocardial ischemia and angina attacks. Additionally, the soaking should not be too long, and the water temperature should not be too high. It is suggested that a 10-minute soak is appropriate, and a water temperature of around 37 to 38 degrees Celsius is advisable. Too high a temperature is not beneficial for patients with coronary heart disease.