Coronary heart disease is what?

Written by Tang Li
Cardiology
Updated on October 19, 2024
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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.

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Written by Liu Yong
Cardiology
1min 12sec home-news-image

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.

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Written by Zhang Yue Mei
Cardiology
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Coronary heart disease is related to anemia.

Coronary heart disease and anemia are not the same type of diseases; they differ in mechanisms of onset, clinical symptoms, and treatment methods. Coronary heart disease is caused by long-term arteriosclerosis, leading to narrowing of the coronary arteries, which causes ischemia and damage to the myocardium, hence it is called coronary heart disease. The treatment for coronary heart disease involves the use of medications to improve blood supply by dilating the coronary arteries, as well as medications to promote blood circulation and remove blood stasis. Anemia is due to a reduction in blood cells, causing ischemia in peripheral tissues and organs, leading to a series of clinical manifestations. Treatment involves supplementing blood or providing hematopoietic elements, depending on the cause of the anemia.

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Written by Chen Ya
Geriatrics
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How to provide emergency aid for a heart attack

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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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 Liu Ying
Cardiology
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Coronary heart disease has no symptoms.

Coronary heart disease refers to the narrowing or blockage of the coronary arteries, leading to ischemia, hypoxia, or even necrosis of myocardial cells, which is a type of heart disease. Its full name should be coronary artery atherosclerotic heart disease, commonly known as coronary heart disease. Coronary heart disease can be divided into five types: The first type is occult or asymptomatic coronary heart disease. The second type is angina pectoris, the third type is myocardial infarction, the fourth type is ischemic cardiomyopathy, and the fifth type is sudden death. Among these, patients with occult or asymptomatic coronary heart disease may not have obvious symptoms or any symptoms at all, so a person without symptoms does not necessarily mean they do not have coronary heart disease. Whether a patient has coronary heart disease should still be determined by a specialist based on relevant examinations.