Blood lipid is a component in the body. As long as it is within the normal range, it is a situation that the body can bear. Beyond this range, we call it hyperlipidemia, also known as hyperlipidemia.
If the blood lipid is high for a long time, the deposition of lipid in vascular endothelium will lead to atherosclerosis, thrombosis and blockage of blood vessels, which will accelerate the occurrence of cardiovascular and cerebrovascular diseases.
But the question is, does hyperlipidemia necessarily lead to coronary heart disease?
Simple hyperlipidemia does not necessarily lead to coronary heart disease. Hyperlipidemia is one of the risk factors of coronary heart disease. There are many other risk factors of coronary heart disease, including hypertension, smoking, abnormal blood sugar, obesity, genetic factors (such as premature coronary heart disease in family members), personality, taking drugs that are easy to cause thrombosis, etc.
Even with these risk factors, it is necessary to analyze whether these factors lead to coronary artery stenosis or occlusion. Only by causing coronary artery stenosis or occlusion and myocardial ischemia and hypoxia can coronary heart disease be diagnosed. Therefore, simple hyperlipidemia does not necessarily lead to coronary heart disease.
But there is already hyperlipidemia, so we should actively treat and intervene. First of all, we should control the diet, suggest a low-salt and low-fat diet, increase exercise, exercise for 30 minutes every day, and exercise for 5 to 7 days every week; Quit smoking and limit alcohol. On the basis of improving bad living habits, drug treatment is also given.
You should understand the two questions and two answers about hyperlipidemia.
1. Does hyperlipidemia lead to hypertension?
For hyperlipidemia, short-term dyslipidemia has no obvious effect on blood pressure. The increase of blood lipid means that the patient's arteriosclerosis is aggravated and the probability of suffering from hypertension is increased.
In addition, hyperlipidemia and hypertension are usually accompanied diseases. It is a part of metabolic syndrome, so there may be a certain relationship between them. But at present, we think it is a development situation of * * *. Hypertension is also not conducive to the control of blood lipids. Dyslipidemia can further aggravate hypertension, so it is called related diseases. I suggest that everyone must control blood pressure and blood lipids.
2. Does hyperlipidemia lead to cerebral infarction?
Hyperlipidemia can cause cerebral infarction. Hyperlipidemia, especially the increase of low density lipoprotein, is the most important risk factor for atherosclerosis. It can lead to vascular endothelial damage and plaque formation. As time goes on, this plaque grows slowly, which will lead to vascular stenosis. If the embolus falls off and flows to the far end with the blood flow, it may cause cerebral infarction.
So how should hyperlipidemia be treated or prevented?
There are two ways to treat patients with hyperlipidemia: lifestyle and drug therapy. Through lifestyle intervention, such as controlling diet, improving diet structure, increasing exercise, quitting smoking, limiting salt and alcohol, etc.
In drug therapy. Patients who need hyperlipidemia need to see a doctor in time, and use different drugs according to the results of blood lipid examination to maximize the therapeutic effect.
References:
Progress in treatment of hyperlipidemia with integrated traditional Chinese and western medicine, Ma Junping, 202 1, 40(2)
Discussion on the curative effect of integrated traditional Chinese and western medicine on hypertension complicated with hyperlipidemia, 202 1, (14)
Analysis of cardiovascular risk stratification and treatment in patients with hyperlipidemia, Liu, 2020, 10( 1).