What are you most afraid of with coronary heart disease? Cardiovascular doctor: 3 aspects to control

Some patients often ask on the Internet what they fear most about high blood pressure? What do you fear most about heart disease? What are you most afraid of about coronary heart disease? In fact, this psychology is very understandable. These patients all want to cure these diseases through a special kind of medicine or food. Unfortunately, these diseases cannot be cured. But the majority of patients should not be discouraged. Chronic diseases can actually be controlled. According to experience, it can be controlled from three aspects.

Let’s first talk about what coronary heart disease is. The full name of coronary heart disease is coronary atherosclerotic heart disease. In fact, the blood vessels that supply blood to our heart are blocked, causing myocardial ischemia or even myocardial infarction. Why does blood vessel blockage occur? As can be seen from the name of this disease, it is caused by atherosclerosis. So why does atherosclerosis occur? According to current research, the most important cause of atherosclerosis is the deposition of cholesterol under the intima of blood vessels. Why does cholesterol increase? Why is it deposited under the intima of blood vessels? In fact, a large part of the reason for elevated cholesterol is due to genetic problems, and another part is due to dietary problems. Coupled with stimulation from various reasons, such as high blood pressure, high blood sugar, smoking, etc., the intima of arteries and blood vessels is damaged, which will cause cholesterol to penetrate inside. Now you understand.

A healthy lifestyle is suitable for all patients with coronary heart disease and those at high risk of coronary heart disease. For patients with coronary heart disease, they must first pay more attention to their lives, such as quitting smoking, drinking less, eating less salt, eating less sugar, eating less oil, exercising appropriately, and through these good lifestyles, they can control their weight at an appropriate level. range. These lifestyle improvements will not be able to see obvious benefits overnight, but if you persist for a long time, they will definitely help. In clinical practice, we often see some patients who have coronary heart disease, have a stent, and continue to smoke after returning home. As a result, the stent becomes clogged again within two or three years. This is a painful lesson.

Standard drug treatment should be carried out under the guidance of a doctor. Although there is currently no radical cure for coronary heart disease, we can control it with some drugs. Through these drugs, we can control atherosclerotic plaques from gradually growing, prevent myocardial infarction, and improve symptoms. , can extend life. Among them, the two most noteworthy drugs are aspirin and statins. Aspirin can prevent platelet aggregation and prevent thrombosis. He invites me every day to control the further growth of plaques by lowering cholesterol. Some studies even suggest that statins can reverse plaques. Of course, there are other drugs for the treatment of coronary heart disease, such as anti-angina drugs and drugs that inhibit myocardial remodeling. Medications are complex and risky and must be used under the guidance of a doctor.

It is important to control underlying diseases. The occurrence and development of coronary heart disease are closely related to some basic diseases, such as hypertension. For patients with coronary heart disease, it is best to control the blood pressure below 130 mmHg, but it is not good to control the blood pressure too low, especially diastolic blood pressure. The pressure should not be lower than 60 mmHg, because our coronary blood supply requires a certain pressure. If it is too low, it will also cause myocardial ischemia. Blood sugar must also be well controlled. We can see clinically that patients with diabetes have a significantly higher probability of developing coronary heart disease. If patients with coronary heart disease can control their blood sugar well, the progression of the disease will be slower.

In summary, although there is no specific drug for coronary heart disease and it cannot be completely cured, it is preventable and controllable. Maintaining a healthy lifestyle, appropriate drug treatment, and controlling underlying diseases are the most effective treatments for coronary heart disease. 3 important aspects.