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 Zhang Yue Mei
Cardiology
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How does one get coronary heart disease?

Coronary heart disease, officially called coronary atherosclerotic heart disease, is mainly caused by long-term elevated blood lipids, leading to arteriosclerosis, reduced elasticity in arterial walls, and thickening of the inner layer of blood vessels. This results in the narrowing of the coronary arteries and insufficient blood supply, which are the primary causes of coronary heart disease. Prolonged insufficient blood supply in the coronary arteries and severe narrowing can lead to angina and even myocardial infarction, posing significant risks to the body.

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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 Zhang Yue Mei
Cardiology
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Which department should I go to for coronary heart disease?

Coronary heart disease, formally known as coronary atherosclerotic heart disease, is a type of ischemic heart disease caused by the atherosclerosis of the coronary arteries, and one should register with the department of cardiology. Coronary heart disease can cause significant harm to the body and requires treatment under the guidance of a cardiologist in the department of cardiology. Effective medications are used to relieve symptoms, improve myocardial blood supply, and treatments commonly include methods such as dilating the coronary arteries, invigorating the blood, nourishing the myocardium, and regulating blood lipids, to prevent the progression of coronary heart disease.

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Written by Chen Ya
Geriatrics
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What is good for patients with coronary heart disease to eat?

For patients with coronary heart disease, a predominantly vegetarian diet is recommended. The diet should be low in calories, fats, cholesterol, and salt; high in protein, vitamins, and fiber; non-irritating; divided into more frequent, smaller meals; and consist of easily digestible foods. Regular consumption of nutrient-rich, easily digestible foods is advisable, especially those containing high-quality proteins with essential amino acids, B vitamins, and vitamin C. It is important to avoid overeating, restrict salt intake, and remember to include potassium-rich foods. Examples of beneficial foods include beans and their products, potatoes, seaweed, kelp, shiitake mushrooms, other mushrooms, Chinese yam, bamboo shoots, wood ear mushrooms, buckwheat, and bananas. Limit the intake of fats and sugar-rich foods, and opt for foods that can reduce blood lipids, such as milk, sheep's milk, soybeans, green beans, peas, lentils, carrots, cauliflower, hawthorn, kelp, fish, onions, and shiitake mushrooms.

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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.