How to Provide Emergency Aid for a Heart Attack

Written by Liu Yong
Cardiology
Updated on October 20, 2024
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The cause of coronary heart disease is the formation of atherosclerotic plaques in the coronary arteries, leading to insufficient blood supply to the heart and resulting in symptoms. Therefore, the emergency treatment for a coronary event often involves the use of medications that dilate the coronary arteries to alleviate the symptoms of myocardial ischemia. Commonly used nitrate medications taken sublingually can quickly relieve symptoms of angina. The significance of nitrates lies in their ability to release nitric oxide donors, which can effectively dilate the coronary arteries. This dilation improves blood flow through the coronary arteries and thus corrects symptoms of myocardial ischemia. During an attack, considering sublingual nitrate medication is advisable, provided there is no history of severe hypotension from nitrates, or if there is no hypotension during the attack, under these circumstances, this type of medication can be considered. If any of the above contraindications exist, such as low blood pressure, one might also consider sublingual administration of some traditional Chinese medicine preparations, like emergency pills, which can be used as well.

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

In the case of coronary heart disease and consuming mutton, it is generally acceptable to eat it, but we should decide based on our own health condition. For instance, if someone with coronary heart disease exhibits symptoms of qi deficiency or yang deficiency, such as fear of cold, or having cold hands and feet, they are more suited to eat mutton. Sometimes, doctors even recommend eating some mutton in winter. However, those with yin deficiency and internal heat, who are irritable and prone to anger, are advised to eat less. It's not that they absolutely cannot eat it, but it is best to avoid or minimize consumption. Generally speaking, a light diet is recommended for those with coronary heart disease.

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Written by Liu Yong
Cardiology
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How to Provide Emergency Aid for a Heart Attack

The cause of coronary heart disease is the formation of atherosclerotic plaques in the coronary arteries, leading to insufficient blood supply to the heart and resulting in symptoms. Therefore, the emergency treatment for a coronary event often involves the use of medications that dilate the coronary arteries to alleviate the symptoms of myocardial ischemia. Commonly used nitrate medications taken sublingually can quickly relieve symptoms of angina. The significance of nitrates lies in their ability to release nitric oxide donors, which can effectively dilate the coronary arteries. This dilation improves blood flow through the coronary arteries and thus corrects symptoms of myocardial ischemia. During an attack, considering sublingual nitrate medication is advisable, provided there is no history of severe hypotension from nitrates, or if there is no hypotension during the attack, under these circumstances, this type of medication can be considered. If any of the above contraindications exist, such as low blood pressure, one might also consider sublingual administration of some traditional Chinese medicine preparations, like emergency pills, which can be used as well.

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Written by Chen Ya
Geriatrics
44sec home-news-image

How is coronary heart disease diagnosed?

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 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 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.