Coronary heart disease


How to diagnose coronary heart disease?
Coronary heart disease can be examined through electrocardiogram (ECG) or ambulatory ECG, echocardiography, coronary CT, or coronary angiography. However, the gold standard for diagnosing coronary heart disease is coronary angiography, where a certain degree of stenosis can confirm the diagnosis. If coronary heart disease is confirmed, it is important to adjust lifestyle factors on one hand and, on the other hand, have a specialist doctor formulate a reasonable treatment plan. If there is no emergency condition, medications such as antiplatelet drugs and lipid-regulating drugs should be taken.


How to treat coronary heart disease?
Coronary heart disease is currently a common and frequently occurring disease in clinical settings, especially due to the unreasonable dietary structure in daily life, resulting in increased blood lipids and arteriosclerosis, which can lead to coronary heart disease. In treating coronary heart disease, the first step should be to control the dietary structure, adopting a low-fat, low-salt, and low-oil diet. At the same time, drugs that regulate and lower blood lipids should be used to reduce arteriosclerosis. Additionally, methods that invigorate the blood, prevent blood viscosity, dilate the coronary arteries, improve myocardial blood supply, and nourish the myocardium are effective treatments that can delay and alleviate the symptoms of coronary heart disease patients. (Medications should be used under the guidance of a doctor based on specific circumstances.)


Early symptoms of coronary heart disease
The full name of coronary heart disease is also called coronary atherosclerotic heart disease. From its name, we can see the basis of coronary heart disease, which is due to the formation of atherosclerotic plaques in the coronary arteries themselves, causing insufficient myocardial blood supply, and bringing about some symptoms. In the early stages, there may even be no symptoms. It is only when the narrowing of the coronary arteries reaches a certain degree, especially when it reaches 50%, or even more than 70%, that the patient may experience a series of symptoms. These symptoms include chest tightness and pain after activity, as well as radiating pain in other parts of the body, discomfort in the throat area, burning sensation behind the sternum, and even abdominal pain, among other symptoms. Additionally, some patients may also experience palpitations and discomfort in the precordial area, etc.


Early symptoms of coronary heart disease
The early symptoms of coronary heart disease are episodic chest pain, meaning patients are asymptomatic while at rest or during daily activities. However, symptoms such as chest pain can occur under the influence of factors like physical labor, emotional stress such as anger, anxiety, excessive excitement, overeating, cold, smoking, etc. The location of the chest pain is primarily behind the sternum, with indistinct boundaries. It often radiates to the left shoulder, the inner side of the left arm reaching the ring and little fingers, or to the neck, throat, or lower jaw. The nature of the pain is compressive, stuffy or constrictive, and may also have a burning sensation, but not sharp like needle stings or knife cuts. Some patients may only feel chest discomfort, not pain. The chest pain generally lasts three to five minutes and does not exceed half an hour.


What to eat for coronary heart disease
Patients with coronary heart disease need to maintain a reasonable daily diet, paying attention to low salt, low cholesterol, and low-fat food. The total daily intake of salt should be controlled to under 6 grams. It is best to consume a certain amount of vegetables daily, such as appropriately eating some tomatoes, eggplants, lettuce, broccoli, etc., which are relatively good vegetables. Fruit should also be consumed daily, such as eating some fruit before meals, like kiwi, apples, and pears, which are fruits relatively rich in potassium and magnesium. These elements help further lower blood pressure and prevent the occurrence of arteriosclerosis. In addition, it is also recommended that patients choose some vegetable oils when cooking and use less fat to better prevent the occurrence of arteriosclerosis.


How is coronary heart disease treated?
Coronary heart disease generally refers to a condition caused by atherosclerosis of the coronary arteries, leading to severe narrowing or complete blockage of the coronary arteries. The treatment of coronary heart disease mainly includes the following aspects: First, non-pharmacological treatment. For example, maintaining good lifestyle habits, quitting smoking and limiting alcohol, controlling weight, and continuing exercise when the condition is stable. Second, pharmacological treatment. For instance, under the guidance of a doctor, standardized use of aspirin, statins, clopidogrel, and nitrate vasodilators. Third, surgical treatment. Treatment options for coronary heart disease include interventional cardiology as well as surgical coronary artery bypass grafting. (Note: The use of medications should be under the guidance of a professional doctor.)


How is coronary heart disease diagnosed?
Coronary heart disease is a common disease among the elderly. So how should coronary heart disease be diagnosed? The diagnosis of coronary heart disease mainly involves the following aspects: First, based on clinical symptoms, patients with coronary heart disease often experience episodes of angina pectoris, which are likely to occur during brisk walking or emotional excitement. Second, electrocardiogram diagnosis; during episodes of angina pectoris, the electrocardiogram often shows changes indicative of myocardial ischemia. Third, coronary angiography, which is a gold standard measure for the definitive diagnosis of coronary heart disease, allows for a clear diagnosis of whether coronary heart disease is present or not. Fourth, the exercise stress test, which can induce episodes of coronary heart disease and also serve as a diagnostic tool for the disease.


Can people with coronary heart disease eat durian?
Durian contains a rich amount of vitamins and amino acids, which can enhance the immune system. Additionally, durian is rich in various trace elements, such as potassium and zinc. Patients with coronary heart disease can eat durian, but as durian is high in sugar, it should not be consumed in large amounts by these patients. Patients with coronary heart disease should pay attention to adjusting their lifestyles, such as adopting a low-salt, low-fat diet, quitting smoking, and limiting alcohol intake, among others. Moreover, these patients should have a reasonable treatment plan formulated by a doctor, take medication as advised by the doctor, and have timely follow-up check-ups. (The use of medication should be under the guidance of a doctor.)


Can people with coronary heart disease eat lamb?
People with coronary heart disease can eat a small amount of lean mutton, as mutton contains not only high-quality protein, vitamins, and trace elements needed by the human body, but also abundant minerals. Regular consumption of mutton can enhance immunity and disease resistance. Although individuals with coronary heart disease need to make reasonable adjustments to their diet structure in daily life, under the guidance of a doctor, effective medications should be used to treat high blood pressure, regulate blood lipids, and lower blood sugar. A low-fat, low-salt diet is recommended, and it is important to avoid eating animal offal, fatty meats, fried foods, and sweets, which are beneficial for improving coronary heart disease. Lean mutton can be eaten but avoid fatty mutton, and consume it in small amounts without overeating.


Which department should I go to for coronary heart disease?
Coronary heart disease, formally known as coronary atherosclerotic heart disease, is a type of ischemic heart disease caused by the atherosclerosis of the coronary arteries, and one should register with the department of cardiology. Coronary heart disease can cause significant harm to the body and requires treatment under the guidance of a cardiologist in the department of cardiology. Effective medications are used to relieve symptoms, improve myocardial blood supply, and treatments commonly include methods such as dilating the coronary arteries, invigorating the blood, nourishing the myocardium, and regulating blood lipids, to prevent the progression of coronary heart disease.