Do patients with coronary heart disease have to quit smoking and drinking? Can coronary heart disease be cured?

Dr. Wang must introduce these two typical cases to you. Lao Fu and Lao Shang, both patients of Dr. Wang, came to the hospital last week, which can be described as several joys and sorrows.

Lao Fu took the initiative to come to the hospital to review the cardiac angiography. It turned out to be nothing serious, and I was discharged in two days. Lao Shang suffered from acute myocardial infarction. He defibrillated once and had a stent. He just moved out of the intensive care unit and passed by death.

We can meet such patients every day, but why does Dr. Wang say that these are two typical cases? Because Lao Fu and Lao Shang are both old patients of Dr. Wang, both in their fifties. They both had cardiac angiography two years ago. The most important thing was that the blood vessels were narrowed at that time, which was 60-70%. Both of them were diagnosed with coronary heart disease. They all recommend regular medication for a healthy life.

Two years later, Lao Fu and Lao Shang both came to the hospital. Why were the results different?

Both of them took aspirin and statins for two years, and their blood pressure, blood sugar and blood lipid were well controlled, but why were the results completely different? Lao Fu's vascular stenosis has improved, from 70% to 50-60%, while Lao Shang's plaque rupture and thrombosis caused a myocardial infarction, which almost killed him.

The reason is that Lao Fu and Lao Shang have different attitudes towards life.

Lao Fu finished cardiac angiography two years ago, knowing that his blood vessels were narrow, he was very nervous and attached great importance to it. From then on, he checked on time, took medicine on time, and most importantly, he quit smoking and drinking, lost weight, had a light diet and insisted on activities. Laofu is certified to treat diseases, so the disease is also afraid of Laofu; Laofu treats life healthily, and life gives back to Laofu healthily. Lao Fu's vascular plaque was relieved. Laofu was very happy and decided to stick to it and keep working hard.

Lao Shang finished angiography two years ago and learned that the degree of vascular stenosis was moderate and no stent was needed. He immediately ate noodles to celebrate. Although he listened to the doctor's advice and took the medicine on time, Lao Shang felt that it didn't matter, there were no symptoms, and there was no stent, so he didn't remember everything the doctor said. Didn't quit smoking and drinking, didn't control weight, didn't eat healthily, didn't insist on aerobic exercise, looked down on illness and took revenge on Lao Shang; Lao Shang ignores a healthy life, and life ignores Lao Shang's health.

And the result? As a result, Lao Fu was in good health, his condition was controlled stably, and even his vascular stenosis improved. Lao Shang was lying in the intensive care unit and almost died.

Then someone asked, Dr. Wang said two cases, which did not represent most people. Then let's look at big data again. We don't have to talk about the specific damage of smoking to vascular endothelium and human body, we only look at the proportion.

The incidence of coronary heart disease in smokers is 3-4 times that of non-smokers, myocardial infarction increases by 20%, and the mortality rate is significantly higher than that of non-smokers. If patients with coronary heart disease quit smoking, the mortality rate can be reduced by 36%. So straightforward, do it yourself.

The incidence of heart failure caused by drinking alcohol increased significantly. Most cardiovascular diseases are aggravated by drinking, which will lead to a sharp increase in mortality. Although a small amount of drinking is controversial, although there are also 28 million investigations and studies that prove that drinking is not without benefits. However, excessive drinking will definitely harm the health, and a small amount of drinking will definitely bring happiness to some people, which may be beneficial to the health. But as doctors, we don't recommend drinking. As a friend, we suggest that you drink less and drink some real wine.

But people with coronary heart disease definitely don't recommend drinking and smoking; Moreover, coronary heart disease itself is currently incurable and can only effectively prevent the deterioration of the condition. Coronary heart disease is stable, and no progress is victory.

The most basic way to control coronary heart disease is a healthy lifestyle, which is the most economical and effective way to quit smoking and drinking.

But it's really hard. The key depends on how you treat diseases and how you treat life.

Both disease and life have eyes. Whether it is gratitude or revenge depends on how we choose!

[Copyright by Dr. Cardiovascular King]

Hello, I'm Dr. Intimate Blue. Coronary heart disease is one of the most common diseases in cardiovascular medicine. The onset of coronary heart disease has both genetic factors and acquired factors. Genetic factors cannot be changed, and acquired factors can be prevented and controlled. According to the current medical research, acquired factors at least include hypertension, hyperglycemia, hyperlipidemia, smoking, obesity and so on. Of course, with the increase of age, arteries tend to harden gradually, just like the aging of machines, which cannot be changed. What effect does smoking and drinking have on patients with coronary heart disease? Besides alcohol and tobacco, what else should we pay attention to in life? What are the treatment methods of coronary heart disease? Can coronary heart disease be cured? Let's get to know each other. What effect does smoking and drinking have on patients with coronary heart disease? Life prescription for coronary heart disease: an effective method to treat coronary heart disease. Many coronary heart diseases are chronic progressive diseases, which give us a lot of control opportunities during the occurrence and development of coronary heart disease, unlike the "suddenness" of some diseases. From atherosclerosis to myocardial infarction, there are many effective treatments for different diseases.

Coronary heart disease is a summary of incurable disease. The occurrence, development and treatment of coronary heart disease are closely related to lifestyle. For patients with coronary heart disease, quitting smoking is necessary and there is no room for bargaining; Although drinking alcohol will not directly lead to coronary heart disease, it is not good for patients with coronary heart disease, so it is recommended to give up drinking. If it really doesn't work, you can only drink a small amount. The treatment methods of coronary heart disease, including drugs, interventional stents and bypass surgery, are very effective, but there is still no radical cure for coronary heart disease. Don't be so depressed if you have coronary heart disease, just let our blood vessels live longer than people through these means. Do patients with coronary heart disease have to quit smoking and drinking? Can coronary heart disease be cured? Today, the doctor took us to find out. We must introduce these two typical cases to you. Lao Wang and Lao Liu, both our patients, came to the hospital last week, but it can be said that these are several happy families.

Lao Wang took the initiative to come to the hospital for cardiac angiography. It turned out to be nothing serious, and I was discharged in two days. Lao Liu is an acute myocardial infarction, defibrillation once, a stent, just moved out of the intensive care unit, and passed by death.

We can meet such patients every day, but why are these two very typical cases? Mainly because Lao Wang and Lao Liu are our old patients, both in their fifties, and both had cardiac angiography two years ago.

Most importantly, at that time, their blood vessels all had certain stenosis, all of which were 60-70% stenosis, and all of them were diagnosed as coronary heart disease. They all recommend a healthy life and regular medication.

Two years later, Lao Wang and Lao Liu both came to the hospital. Why was the result different?

Both of them have been taking aspirin and statins in the past two years, and their blood pressure, blood sugar and blood lipid are well controlled, but why are the results completely different? Lao Wang's vascular stenosis has improved, from 70% to about 50-60%, while Lao Liu's plaque ruptured and thrombosis caused myocardial infarction, which almost killed him.

Yo was caught because Lao Wang and Liu have different attitudes towards life:

Lao Wang finished cardiac angiography two years ago, knowing that his blood vessels were narrow and nervous, he paid special attention. From then on, he reviewed on time and took medicine on time.

The most important thing is to quit smoking and drinking, lose weight, have a light diet and stick to activities. Lao Wang has a different attitude towards diseases, so diseases are also afraid of Lao Wang;

Old Wang Jiankang treated life, and his health also gave back to Lao Wang. Lao Wang's vascular plaque has been alleviated, and Lao Wang is also very happy. He decided to continue to persist and continue to work hard.

After angiography two years ago, Lao Liu learned that the degree of vascular stenosis was moderate and no stent was needed. He immediately ate noodles to celebrate. Although he listened to the doctor and took the medicine on time, he didn't care, because he didn't feel sick, had no symptoms and didn't put a stent. So he didn't forget what the doctor said.

No smoking and drinking, no weight control, no healthy diet, no aerobic exercise. Lao Liu looked down on his illness, and the illness began to retaliate against Lao Liu. Lao Liu neglected a healthy life, and life certainly ignored Lao Liu's health.

And the result? Results Lao Wang's body was healthy, his condition was controlled, and even his vascular stenosis improved. Liu was lying in the intensive care unit, almost dead.

Let's get down to business, fairy. For many friends who have been diagnosed with coronary heart disease, our advice is to quit smoking and drinking. First of all, quitting smoking is really non-negotiable. Never smoke.

Because there is a saying in cardiology, patients with coronary heart disease are most afraid of smoking, and the harm of smoking is even comparable to diabetes. If you have been diagnosed with coronary heart disease, please stay away from tobacco, which will help you control your illness.

As for drinking, my opinion is that it is of course best to give up drinking. If it's really hard and you really want to drink a little.

Then it is best to drink less, that is, we usually say that white wine is controlled within one or two, red wine is controlled within two, and beer is controlled within one bottle. But then again, if you can stop drinking, it's healthiest to stay away from alcohol.

Finally, let's talk about patients with coronary heart disease. If you are a patient with coronary heart disease, please stay away from smoking and drinking. If it really doesn't work, you can drink less wine and never touch cigarettes.

Of course, it depends on how you treat diseases and how you treat life. Disease and life are both eyes. Whether it is gratitude or revenge depends on how we choose!

Not necessarily.

But it is best to give up smoking and limit alcohol, followed by smoking and drinking.

Smoke and wine should be seen separately.

I'll start with cigarettes. First, 1995 graduated from university and was directly in charge of CCU (coronary heart disease intensive care unit). One day, a 28-year-old man came, a taxi driver with a heart attack. He was fat and smoked three boxes of cigarettes a day. I smoked all three boxes by myself. Inferior posterior wall myocardial infarction. Later, I met some very young people who had a heart attack, basically two or three boxes of cigarettes a day.

So, I think two or three boxes a day is definitely a problem. One box a day should be relatively better.

The above shows that there is no coronary heart disease, and heavy smoking may be an important cause of coronary heart disease. There are many reasons for getting sick. But when a reason is particularly strong, that reason is also strong enough.

10 children unite and cooperate to fight an enemy, but if one of them is born with divine power, the other nine can defeat the enemy without fighting.

If you already have heart disease, I think it's best to quit smoking, or at least smoke less.

This is generally said.

Second, cigarettes are different from cigarettes. There are real cigarettes and fake cigarettes. In addition to cigarettes, there are also self-produced tobacco leaves (dry cigarettes in rural areas), cigars and pipes (also made of pure tobacco).

Studies abroad say that cigars have no effect on the heart. Cigars are made of pure tobacco leaves. I don't know if this research is funded by cigar manufacturers, so I said it on purpose.

But there is a big difference between pure tobacco and cigarettes. Pure tobacco leaves should be harmless.

Thirdly, there is a Chinese medicine theory that cigarettes are also medicine, because they are hot and sucked into the lungs. It is beneficial to heart disease with deficiency of heart and lung, and can play a therapeutic role.

It should be correct from the perspective of syndrome differentiation and treatment, but I have never used it like this myself. So I don't know what the actual effect is, but at least I can't directly deny him.

Of course, this should also use pure tobacco leaves.

In addition to coronary heart disease, there are also some Chinese medicine practitioners who light the medicine and smoke his cigarettes through their noses to treat the disease.

At present, most people still smoke, so try to control and quit.

Let's talk about the bar. Wine can dredge meridians and promote blood circulation, which should be good for coronary heart disease. Regardless of Chinese medicine and western medicine, they basically agree.

Of course, first of all, it cannot be fake wine. Not blending wine.

The above only refers to coronary heart disease, nothing else! For example: no arrhythmia: atrial fibrillation, premature beats, supraventricular tachycardia.

If you have arrhythmia, quit smoking and drinking!

Because even assuming that alcohol is good for coronary heart disease, it is definitely not good for arrhythmia, atrial fibrillation and premature beats. I have a say in this, because every day I see someone smoking half a cigarette and starting atrial fibrillation. Some people can induce tremors by drinking a sip of white wine. There are many examples, too numerous to mention.

Not only books, not only books, but also facts.

Speaking of this question, dr. zhang would like to say a few words. It is estimated that the person asking this question is probably a friend who has been diagnosed with coronary heart disease. However, I usually like smoking and drinking. Even though I have been diagnosed with coronary heart disease, I always have a little illusion that I can continue to smoke and drink. Don't ask Dr. Zhang why he knows, because I have seen too many such people in clinic.

Anyway, for many friends who have been diagnosed with coronary heart disease, my advice is to quit smoking and drinking. First of all, quitting smoking is not negotiable. You must not smoke. Because there is a saying in cardiology, patients with coronary heart disease are most afraid of smoking, and the harm of smoking is comparable to diabetes. If you have been diagnosed with coronary heart disease, please stay away from tobacco, which will help you control your illness.

As for drinking, one of my things is that it is best not to drink. If you are really in trouble and really want to drink a little, you'd better drink less, which is what we usually say: white wine should be controlled within one or two ounces, red wine within two ounces and beer within one can. But then again, if you can stop drinking, it's healthiest to stay away from alcohol.

Finally, Dr. Zhang once again told patients with coronary heart disease that if you are a patient with coronary heart disease, please stay away from alcohol and tobacco. If it really doesn't work, you can drink less wine and never touch cigarettes. I hope you can remember Dr. Zhang's entrustment in front of your mobile phone, for yourself and for your family.

Quit smoking and drinking, of course!

If you care about your health and the world, please quit smoking and drinking! Although quitting smoking and drinking can not treat or prevent coronary heart disease, it can reduce the risk of illness and adverse events. Although many healthy patients with coronary heart disease smoke and drink in real life, it doesn't mean they are normal. Quitting smoking and drinking is to reduce the probability of adverse events, not to eliminate them. For example, "10 bottle, in which there are only 1 bottle of drinks and 9 bottles of water, which means that there is a 90% chance to choose water, but it is still possible to choose drinks." The purpose of quitting smoking and drinking is to increase the chances of health, not to 100% health.

From a big concept, coronary heart disease can't be cured, but some patients with coronary heart disease can be cured! Coronary heart disease has always been called a chronic disease, which is difficult to cure. Only drug control can delay the deterioration of stenosis, and then stent first aid is carried out in the last stage, and then drug control is continued, with infinite circulation. In our conventional cognition, there are many pathogenic factors, such as diet, old age, obesity, heredity and so on. These are all part of our daily life. Many are difficult to change, such as arteriosclerosis caused by old age, so it is difficult to reverse. After all, reversing the car is equivalent to going back in time.

As I said above, there are many pathogenic factors, and the treatment is based on understanding. Some pathogenic factors of coronary heart disease are unknown, but they can be solved, so they can recover and even bid farewell to drugs and stents. These patients have multiple hyperplasia, protrusion or lateral curvature on the thoracic and cervical vertebrae. These diseased vertebral bodies will stimulate and compress the surrounding nerve roots, increase nerve excitatory transmitters, affect the normal function of coronary vessels, and cause spasm and continuous contraction, which will affect blood flow on the one hand. On the one hand, it increases the probability and speed of plaque formation, causes myocardial ischemia, promotes coronary stenosis and spasm, and diagnoses coronary heart disease.

When we find the main pathogenic factors of patients and find that treatment can be eliminated, we can fundamentally solve the problems of vasospasm and stenosis, restore blood circulation and resume normal life as long as we get rid of the focus of nerve compression and stimulation and adjust the long-term disorder and excitement of nerves.

These smoking and drinking habits will be hard to get rid of for a while. Even though everyone knows that smoking is harmful to health and drinking is harmful to health, it is really difficult to give up completely. But for some patients with diseases, smoking and drinking must not happen again, otherwise the patients will lose their lives.

Do patients with coronary heart disease have to quit smoking and drinking? Can coronary heart disease be cured? First of all, coronary heart disease is incurable, at least at the current medical level. This has to start with the pathogenesis of coronary heart disease. The full name of coronary heart disease is coronary atherosclerotic heart disease. As the name implies, its onset begins with atherosclerosis, which is an irreversible process.

Atherosclerosis begins with intimal lesion, which is caused by lipid accumulation, leading to fibrous tissue hyperplasia and calcinosis. Then the arteries begin to calcify and form plaques. The longer the plaque, the larger the plaque, which will lead to coronary artery stenosis, affect the normal blood supply and oxygen supply of myocardium, and induce angina pectoris and coronary heart disease. Generally speaking, coronary heart disease can be diagnosed when the degree of coronary artery stenosis exceeds 50%. Because the lipid accumulated in the artery is millet-shaped, it is named as atherosclerotic plaque.

Atherosclerosis gradually occurs and develops with age. It almost appeared in youth, but it was still light, with no obvious lesions and no lumen stenosis, so we didn't know. In severe cases, cardiovascular and cerebrovascular diseases have already occurred. Therefore, prevention is the focus of prevention of atherosclerosis and coronary heart disease. There is no way to reverse the coronary heart disease patients who have caused severe coronary artery stenosis. So coronary heart disease is an incurable disease. Patients can only control their illness if they take medicine for life.

Secondly, patients with coronary heart disease must quit smoking and drinking. There is no doubt that patients with coronary heart disease quit smoking and drinking. Facts have proved that although many patients with coronary heart disease have been taking medicine, their condition can still deteriorate rapidly, which is caused by bad living habits, among which smoking and drinking are one of the chief culprits.

There was once a 50-year-old patient with coronary heart disease in the community who died of a sudden myocardial infarction within a few years. I have seen him smoking in the corridor before, and once I really saw him smoking in the elevator. I didn't know he had coronary heart disease at that time. Later, I learned that every time he smoked, he sneaked out while no one was at home. I can't quit smoking and drinking even if I have coronary heart disease, and the consequences can be imagined.

In short, coronary heart disease is incurable. Patients should never take risks. Remember, drug treatment of coronary heart disease is the key, and lifestyle intervention is the foundation. Quit smoking and drinking as soon as possible, avoid risks and live longer.

I'm Li, a pharmacist, and I talk to you about health every day. Welcome attention! If you have any questions about health, please leave a message for consultation, and you will reply as soon as you see it. You must give up smoking, because smoking is an important risk factor for coronary heart disease, which is beyond doubt. One more thing, some patients with coronary heart disease will eventually develop heart failure, and the whole process is heart failure. Like a mass of cotton stuffed in their chests, they can't breathe, and they can't breathe. They always feel short of breath. Patients will end up in pain, and smoking will speed up the process.

But quitting smoking is a lifetime thing, and no one has quit several times.

Indeed, it is difficult to give up smoking. In the process of quitting smoking, you can seek the help of a respiratory physician, and you can also use some auxiliary drugs to help yourself. Then quitting smoking fails, and reducing the amount of smoking every day is also an improvement.

A small amount of drinking is good for health? Is it true?/You don't say. /You don't say. This statement has no scientific basis. Alcohol can lead to the destruction of liver cells. On the other hand, people who often drink alcohol have poor gastrointestinal function, and are prone to slow response and dementia. The less alcohol, the better. It's best not to drink.

Can coronary heart disease be cured? With the increase of age, coronary atherosclerosis is inevitable. If it can be cured, there will not be so many patients with coronary heart disease, and more and more people need stents, but what we can do is to delay the development of the disease.

Coronary heart disease can't be cured in about 7 days like a cold, but how to improve the quality of life of patients with coronary heart disease and how to prolong their life has been scientifically treated, which can really delay the development of the disease. Therefore, whether patients with coronary heart disease can be cured depends on the patients themselves, whether they can insist on taking medicine and persisting in reexamination.

Do patients with coronary heart disease have to quit smoking and drinking? Can coronary heart disease be cured?

First of all, let's talk about what coronary heart disease is. Coronary heart disease is the abbreviation of coronary atherosclerotic heart disease. It is caused by atherosclerosis that the myocardium in the corresponding blood supply area is ischemic, denatured or even necrotic under some incentives, which is clinically manifested as angina pectoris or myocardial infarction.

Secondly, let's talk about the influence of smoking on patients with coronary heart disease. Smoking will damage vascular endothelial cells and lead to or aggravate atherosclerosis, so smoking will aggravate coronary artery lesions in patients with coronary heart disease, so patients with coronary heart disease should quit smoking.

Thirdly, let's talk about the influence of alcohol on patients with coronary heart disease. In fact, the effect of alcohol on patients with coronary heart disease is controversial. Drinking alcohol can dilate blood vessels and seems to be beneficial to patients with coronary heart disease. However, there is no objective evidence to show how strong this coronary artery dilation is. At the same time, drinking alcohol can increase heart rate and myocardial oxygen consumption. Therefore, drinking alcohol, especially a lot of alcohol, may induce the onset of coronary heart disease. Therefore, the author thinks that patients with coronary heart disease should not drink alcohol.

Finally, talk about whether coronary heart disease can be cured. As mentioned above, coronary artery stenosis is a prerequisite for the onset of coronary heart disease, so once coronary heart disease is diagnosed, it is impossible to completely restore the coronary artery to normal under the existing medical conditions, but most patients can control coronary heart disease in a better range by adopting reasonable lifestyle, drugs, intervention or surgical bypass surgery.

To sum up, patients with coronary heart disease need to quit smoking and drinking, and most patients can control their condition in a better range through comprehensive treatment.

Smoking is one of the most serious risk factors of coronary heart disease, so we must give up smoking; Studies have confirmed that light and moderate drinking is beneficial to reduce the risk of coronary heart disease, but heavy drinking, especially alcoholism, is harmful to coronary heart disease.

It is almost impossible to completely cure coronary heart disease and restore blood vessels to their original appearance, at least not in medicine at present. However, it can completely improve the quality of life and reduce the mortality rate.

The treatment of coronary heart disease includes drug therapy and surgical treatment.

Drug therapy includes: antiplatelet drugs, statins, ACEI/ARB, beta blockers, and some drugs to improve angina symptoms, such as blood lipids.

Surgical treatment includes interventional stent therapy in internal medicine and bypass therapy in thoracic surgery. Interventional therapy is generally suitable for 70% of vascular stenosis, and bypass surgery is suitable for complex vascular diseases, such as multi-vascular diseases, which cannot be treated by interventional therapy.

Preventive measures of coronary heart disease;

Acute myocardial infarction is an acute and critical disease of coronary heart disease. When chest pain or discomfort lasts for more than 30 minutes and cannot be relieved after taking the medicine, please go to the nearest hospital with PCI qualification in time. The sooner the blood vessels are opened, the better.