How to provide emergency aid for a heart attack

Written by Chen Ya
Geriatrics
Updated on September 16, 2024
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Emergency treatment for a heart attack includes promptly transporting the patient to the emergency room. During this process, sublingual administration of quick-acting heart-saving pills or compound Danshen dripping pills, as well as nitroglycerin, can be used. Additionally, if conditions allow, blood pressure should be measured. If the blood pressure is very high, antihypertensive medication should be taken to control it. This serves as an initial emergency response until the patient can be assessed in the emergency room to determine the specific cause and type of heart attack, followed by targeted emergency treatment.

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Written by Chen Ya
Geriatrics
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Is coronary heart disease hereditary?

Coronary heart disease involves genetic factors, but it is not solely due to this factor; multiple factors are involved, including arterial wall cells, extracellular base blood components, and the local hemodynamic environment, all of which can have an impact. Therefore, there is a certain familial aggregation, meaning if there are patients with coronary heart disease in the family, the risk of developing the disease is also increased.

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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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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 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.

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Written by Liu Yong
Cardiology
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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.