How to Provide Emergency Aid for a Heart Attack

Written by Liu Yong
Cardiology
Updated on October 20, 2024
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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 Liu Ying
Cardiology
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Coronary heart disease belongs to the department of cardiology.

Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. It occurs when coronary arteries undergo atherosclerosis, causing narrowing or blockage of the lumen, leading to myocardial ischemia, hypoxia, or necrosis. After the diagnosis of heart disease, if conservative treatment or coronary intervention is administered, then it falls under the category of cardiology. However, if coronary heart disease is diagnosed and further treatment necessitating bypass surgery is needed, then a cardiac surgeon should perform the surgery.

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Written by Gong Hao
Cardiology
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Can coronary heart disease be cured?

Can coronary heart disease be cured? Objectively speaking, the current treatment of coronary heart disease mainly focuses on controlling the progression of the disease, relieving symptoms, improving the quality of life, and improving the prognosis, but it cannot completely cure coronary heart disease. Firstly, the cause of coronary heart disease is the major blood vessels supplying the heart, the coronary arteries, undergoing atherosclerosis and narrowing, leading to insufficient blood supply to the heart, ultimately resulting in angina and heart failure. Therefore, the fundamental cause of coronary heart disease is the pathological changes in the coronary arteries, and the reasons and fundamental mechanisms causing these changes are not entirely clear, and are related to factors such as high blood lipids, high blood pressure, high blood sugar, age, smoking, family history, etc. Thus, the main treatment for coronary heart disease currently is to improve lifestyle, quit smoking and limit alcohol consumption, control blood pressure, blood sugar, and blood lipids, and use aspirin or antiplatelet drugs to inhibit the aggregation of platelets and prevent thrombosis.

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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
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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.