Coronary heart disease


What to do about insomnia at night with coronary heart disease?
Firstly, the two are mutually influencing. If this condition exists, some medications that improve sleep quality can be used under the guidance of a doctor. At the same time, during the treatment period, it is appropriate to drink some teas like ginkgo leaf tea, honeysuckle tea, or soybean sprout tea, which have the effect of nourishing the heart and calming the mind. It is also important to maintain regular bowel movements, avoid noisy environments, and regularly monitor blood pressure and heart rate. Patients of this category are also advised not to eat overly greasy foods, to lose weight appropriately, and to eat more fresh vegetables and fruits like mushrooms, garlic shoots, onions, and kiwis. Do not smoke, avoid staying up late and overworking, and, if possible, use some medications that soften the arteries and improve microcirculation. It is also important to maintain emotional stability, among other things. (Specific medications should be used under the guidance of a physician.)


What are the symptoms of coronary heart disease?
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.


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.


Can people with coronary heart disease drink alcohol?
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.


What are the symptoms of the early stage of coronary heart disease?
Coronary heart disease refers to the condition where the coronary arteries undergo arteriosclerotic changes, leading to the narrowing or blockage of the vessel lumen, which in turn causes myocardial ischemia, hypoxia, or necrosis, resulting in a series of heart conditions. Some of the early manifestations of this disease often include chest pain triggered by physical activity or emotional agitation. Sometimes it can also manifest as a feeling of suffocation and pain, which often appears as paroxysmal angina or crushing pain, and may radiate to other areas such as the shoulder, upper arm, and fingers. Resting or taking medications like nitroglycerin can significantly alleviate symptoms. Other possible symptoms include fever, sweating, panic, nausea, vomiting, etc.


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.


Coronary heart disease is what?
Coronary heart disease is the most common type of vascular disease caused by atherosclerosis and is a common disease that harms human health, often occurring in men over the age of forty. Men tend to develop the disease earlier than women. It is defined as atherosclerosis of the coronary arteries, causing narrowing or occlusion of the lumen, leading to myocardial ischemia, hypoxia, or necrosis, and resulting in heart disease. Currently, the diagnostic gold standard for coronary heart disease is coronary angiography. During coronary angiography, the presence of significant stenosis in the coronary artery lumen of more than fifty percent can diagnose coronary artery atherosclerotic heart disease, or coronary heart disease. The pathological anatomy and pathophysiology of coronary heart disease vary, leading to different clinical manifestations. In 1979, the World Health Organization classified it into five types: 1. Asymptomatic myocardial ischemia. 2. Angina pectoris. 3. Myocardial infarction. 4. Ischemic cardiomyopathy. 5. Sudden death. Currently, based on different characteristics of onset and principles of treatment, it is divided into two main categories: First category: Chronic coronary artery disease. Second category: Acute coronary syndrome. Acute coronary syndrome includes unstable angina, non-ST segment elevation myocardial infarction, ST-segment elevation myocardial infarction, and sudden death is also included as a manifestation of acute coronary heart disease.


What is coronary heart disease?
What is coronary heart disease? Let's first explain two definitions: The first is the coronary artery: The coronary artery is the artery that supplies blood to the heart. The heart is shaped like an inverted, slightly flattened cone. If we compare the heart to a person's head, then the coronary arteries on the heart are like a crown situated on top of the head, almost encircling it, hence called "coronary." The second is arteriosclerosis: Lipids in the blood deposit on the inner lining of the arteries, accompanied by the proliferation of certain cells, such as smooth muscle cells and connective tissue, causing thickening of the arterial intima and formation of atheromatous plaques, making the artery walls harden and the lumen narrow. Coronary heart disease refers to heart diseases related to the coronary arteries. It typically refers to coronary arteriosclerosis, thus the definition of coronary heart disease is: the occurrence of arteriosclerosis in the coronary arteries, leading to narrowing or blockage of these vessels, which causes myocardial ischemia, hypoxia or necrosis, and consequently, heart disease.


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.


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.