What to do when coronary heart disease occurs suddenly?

Written by Chen Ya
Geriatrics
Updated on December 07, 2024
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Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. It refers to the narrowing or blockage of the coronary artery vessels due to arteriosclerotic lesions, causing myocardial ischemia, hypoxia, or necrosis, leading to heart disease. Its attacks are often related to seasonal changes, emotional excitement, increased physical activity, overeating, heavy smoking, and drinking. When sudden coronary heart disease occurs, the first step is to eliminate these triggering factors, such as immediately calming down when emotionally agitated, or immediately resting in bed if active. Rest should be the priority. If resting and removing triggers do not relieve symptoms, sublingual administration of nitrate and rapid-action heart-saving pills can be used; generally, these medications can relieve symptoms. If relief is still not obtained, it is advised to seek medical attention promptly nearby. In cases of sudden unbearable pain, a sense of impending death, and intense pain despite taking rapid-action heart-saving pills, it is advised to call emergency services (dial 120) immediately to compete for time to prevent acute myocardial infarction, where emergency surgery might be available.

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Written by Chen Ya
Geriatrics
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Can coronary heart disease be cured?

Coronary heart disease is difficult to cure, but treatment can achieve clinical symptoms without episodes of chest tightness or pain. It is possible to relieve and prevent the further progression of the disease. Additionally, there may be a possibility that plaques could shrink or reverse compared to before, but there is a lack of large clinical data to indicate this.

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Written by Zhou Yan
Geriatrics
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Is angina pectoris coronary heart disease?

Coronary heart disease refers to the occurrence of atherosclerosis in the coronary arteries, leading to narrowing or blockage of the lumen, causing myocardial ischemia, hypoxia, and necrosis resulting in heart disease. Through different pathological anatomy and pathophysiology, there are five major types, including asymptomatic coronary heart disease, angina pectoris, myocardial infarction, ischemic cardiomyopathy, and sudden death. Angina pectoris is one type of coronary heart disease.

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Written by Chen Ya
Geriatrics
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Can people with coronary heart disease eat beef?

Patients with coronary heart disease can appropriately eat some beef in their daily life, as beef is rich in protein content and contains a variety of amino acids, which can provide sufficient nutrients to the human body. Also, its fat and cholesterol content are relatively low, so generally, it would not exacerbate the condition too much. However, the diet for coronary heart disease should generally be light, and it is recommended to balance meat with vegetables, focusing more on vegetables. Additionally, eating beef in the cold winter also has a stomach-warming effect, making it more suitable during that time. In contrast, it might not be suitable in the summer, especially for those with internal heat. Beef is more appropriate for individuals with qi deficiency, shortness of breath, weak body, aching muscles and bones, and those suffering from chronic anemia and dizziness. However, excessive consumption can still increase the burden on patients with coronary heart disease, so it is advised to consume in small amounts and not excessively.

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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 Chen Ya
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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.