Can the symptoms of coronary heart disease be cured?

Written by Liu Yong
Cardiology
Updated on March 28, 2025
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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 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.

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What are the symptoms of the early stage of coronary heart disease?

Coronary heart disease refers to the condition where the coronary arteries undergo arteriosclerotic changes, leading to the narrowing or blockage of the vessel lumen, which in turn causes myocardial ischemia, hypoxia, or necrosis, resulting in a series of heart conditions. Some of the early manifestations of this disease often include chest pain triggered by physical activity or emotional agitation. Sometimes it can also manifest as a feeling of suffocation and pain, which often appears as paroxysmal angina or crushing pain, and may radiate to other areas such as the shoulder, upper arm, and fingers. Resting or taking medications like nitroglycerin can significantly alleviate symptoms. Other possible symptoms include fever, sweating, panic, nausea, vomiting, etc.

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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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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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Can people with coronary heart disease drink alcohol?

Patients with coronary heart disease are advised not to drink alcohol, especially those with combined heart failure, arrhythmias, and those who frequently experience angina, as alcohol contains ethanol, which can cause increased excitability of the sympathetic nerves, leading to faster heartbeats and increased heart burden. This can easily worsen heart failure and induce arrhythmias, potentially triggering angina attacks. In daily life, patients with coronary heart disease should consume a diet that is easy to digest and low in fat and salt. They should avoid spicy foods and quit smoking and drinking alcohol.