What is coronary heart disease?

Written by Gong Hao
Cardiology
Updated on September 30, 2024
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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.

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Written by Gong Hao
Cardiology
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What are the symptoms of coronary heart disease?

The most typical manifestation of coronary heart disease is angina pectoris, but it can also present as chest tightness, chest pain, paroxysmal tachycardia, fatigue, decreased endurance, a feeling of throat constriction, numbness in the upper limbs, and even symptoms related to the digestive tract such as upper abdominal pain, nausea, and vomiting. Many patients with coronary heart disease do not show obvious symptoms, and the onset might present as myocardial infarction or sudden death, which is very frightening. Therefore, if symptoms of coronary heart disease are noticed, it is crucial to seek medical treatment at a hospital as soon as possible. Middle-aged and elderly people should have regular physical examinations. Young people who stay up late, smoke, or are addicted to video games, among other bad habits, can also develop coronary heart disease, so it is important to be mindful of these behaviors.

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Written by Chen Ya
Geriatrics
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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.

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Written by Liu Ying
Cardiology
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Coronary heart disease belongs to the department of cardiology.

Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. It occurs when coronary arteries undergo atherosclerosis, causing narrowing or blockage of the lumen, leading to myocardial ischemia, hypoxia, or necrosis. After the diagnosis of heart disease, if conservative treatment or coronary intervention is administered, then it falls under the category of cardiology. However, if coronary heart disease is diagnosed and further treatment necessitating bypass surgery is needed, then a cardiac surgeon should perform the surgery.

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Written by Tang Li
Cardiology
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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.

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Written by Tang Li
Cardiology
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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.