What are the symptoms of coronary heart disease?

Written by Gong Hao
Cardiology
Updated on September 09, 2024
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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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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 Zhang Yue Mei
Cardiology
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Can coronary heart disease be cured?

Coronary heart disease, when treated with effective medications, can achieve clinical symptom relief or disappearance, generally without the chance of a cure. This is because the onset mechanism of coronary heart disease is due to coronary artery atherosclerosis causing insufficient blood supply to the myocardium, leading to myocardial damage, and arteriosclerosis worsens with age. Patients with coronary heart disease should pay attention to adjusting their dietary structure, adopting a low-fat, low-salt diet. Under the guidance of a doctor, the regular and correct use of some medications that invigorate blood circulation, nourish the myocardium, and dilate coronary arteries can improve myocardial ischemia and achieve clinical symptom relief or disappearance.

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Written by Liu Yong
Cardiology
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Can the symptoms of coronary heart disease be cured?

Firstly, coronary heart disease is caused by coronary artery and arteriosclerotic narrowing of the coronary artery lumen, leading to insufficient myocardial blood supply. From this perspective, coronary heart disease cannot be completely cured, but the symptoms can be alleviated. If the symptoms are alleviated, then the disease can still be fully controlled effectively. Therefore, coronary heart disease is preventable and treatable, but to completely eradicate it, it is necessary to improve the lifestyle, adhere to medication, have regular check-ups, and maintain good follow-up. These aspects can improve the prognosis of the patient to achieve the purpose of no recurrence.

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Written by Chen Ya
Geriatrics
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Does coronary heart disease spread?

Coronary heart disease is not contagious; it is not classified as an infectious disease. It is a type of heart disease caused by atherosclerosis of the coronary arteries. It is a common condition encountered frequently in clinical settings. It occurs due to arteriosclerosis and plaque formation, which leads to narrowing of the arteries, causing ischemia and hypoxia in the heart and resulting in corresponding clinical symptoms.

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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.