First, pay attention to this disease from the heart and pay attention to the doctor's words.
Coronary heart disease, the full name of coronary atherosclerotic heart disease, refers to the disease caused by ischemia and hypoxia after long coronary plaque. Among them, acute myocardial infarction caused by plaque rupture is the most serious, and failure to treat in time often leads to death.
For coronary heart disease, we should pay attention to it from the heart. If you are a doctor, you should put your heart in your head and follow the doctor's advice. In life, there are many such patients:
The doctor told him to give up smoking, but he didn't care. The doctor is lying. Keep smoking. It wasn't long before I had a heart attack. Or a bracket was installed, and the bracket was blocked again a few years later.
The doctor asked me to take medicine for a long time, so it was delicious. Some patients find it annoying to take medicine every day and stop taking it directly.
These are all manifestations of not paying attention to this disease from the heart, and ultimately hurting yourself.
Second, insist on taking drugs to treat coronary heart disease.
Coronary heart disease can't be cured at present, so if you get coronary heart disease, you must take medicine for life. You need to adjust your mentality, don't resist in your heart, for fear of trouble. Compared with life, this is nothing.
1, antiplatelet drugs
Antiplatelet drugs refer to antiplatelet aggregation drugs, which are the cornerstone of coronary heart disease treatment and must be taken. The cause of coronary heart disease is plaque in coronary artery. If the plaque ruptures, leading to platelet aggregation, it will form thrombus and completely block the coronary artery, thus forming acute myocardial infarction. This is the main cause of death from coronary heart disease.
At present, there are three commonly used antiplatelet drugs: aspirin, clopidogrel and teGrelleaud. For patients without stents, taking an antiplatelet drug is enough. Aspirin is generally the first choice. If you are intolerant of aspirin, such as allergic to aspirin, you can use clopidogrel instead. If a stent is installed, double antibody therapy is needed. That is, two antiplatelet drugs, one of which is aspirin, and the other can be clopidogrel or teGrelleaud.
It is necessary to remind you again that aspirin enteric-coated tablets should be taken 30 minutes before meals. This is different from the common sense of many people. Some people always think that drugs have little effect on the stomach after meals. However, aspirin enteric-coated tablets melt in the intestine, and staying in the stomach for too long after meals may cause the drug to melt in the stomach.
2. Statins
Statins are another cornerstone of coronary heart disease treatment and must be taken. Statins can reduce blood lipid, stabilize plaque and even reverse plaque. It can prevent the occurrence of acute myocardial infarction and reduce the mortality of patients with coronary heart disease.
At present, there are two most commonly used statins in clinic, atorvastatin and rosuvastatin. These two types of statins have strong lipid-lowering strength, and some studies believe that only these two types of statins can reverse plaque.
The lipid-lowering target of statins is cholesterol, and the main index is low density lipoprotein. Patients with coronary heart disease should at least reduce the low density to1.8 mmol/L.
3.ACEI/ARB class
ACEI/ARB is an antihypertensive drug, which can delay ventricular remodeling caused by long-term cardiac ischemia and reduce the mortality of coronary heart disease.
ACEI/ARB class name followed by XX Puli or XX Sartan. However, not every patient can use these drugs, and patients with hypertension have priority to use these drugs.
4. Beta blockers
Beta blockers are also antihypertensive drugs, and betaloc and bisoprolol are commonly used in clinic. At present, the simple antihypertensive effect has declined, but for patients with coronary heart disease, beta blockers can not only relieve angina symptoms, but also delay ventricular remodeling and reduce the mortality rate of coronary heart disease. It is also a medicine that can be used, and it needs to be used as much as possible.
The above four drugs, antiplatelet drugs and statins are needed by every patient, and the latter two drugs should be used as much as possible.
Third, insist on avoiding the risk factors of coronary heart disease.
The plaque of the heart is formed bit by bit under the action of various risk factors. Some people think that plaque has formed and coronary heart disease has occurred. Is it necessary to avoid these risk factors?
Of course, it is necessary not to interfere with risk factors. The plaque will get bigger and bigger. There may be only one blood vessel with plaque, and there are more and more places behind it.
There are many risk factors of coronary heart disease, such as getting older, and men are more likely to get sick and inherit than premenopausal women. These are risk factors that cannot be intervened. Risk factors that can be intervened include hypertension, diabetes, obesity, high uric acid and smoking. We should intervene in time when we find these problems.
For example, when I was young, I found that my blood pressure was high, so I ignored it and smoked casually. Old age, maybe coronary heart disease is coming. There is a saying that lazy people who used to steal things will be paid twice as much in the future.
Fourth, adhere to a healthy lifestyle.
It is important to stick to a healthy lifestyle. Many people may find that they have rarely heard of coronary heart disease before, but now their lives are good, but these diseases are increasing. The rising prevalence of coronary heart disease is closely related to unhealthy lifestyle.
1, quit smoking and limit alcohol
For coronary heart disease, smoking is more harmful, not only promoting plaque formation, but also making plaque unstable, leading to plaque rupture and inducing acute myocardial infarction. Studies have shown that the average age of onset of acute myocardial infarction in smokers is young 10 years old, and the risk of onset is six times that of non-smokers.
Excessive drinking mainly affects patients with hypertension, which will obviously increase the risk of hypertension, and it will increase with the increase of drinking. It is suggested that men's daily alcohol intake should be less than 25g and women's < 15g. Male's weekly alcohol intake is less than 140g, while female's is less than 80g.
2, to achieve a reasonable diet
The diet is mainly fruits, vegetables, low-fat dairy products, grains and plant proteins, reducing the intake of saturated fatty acids and cholesterol.
Patients with hypertension should limit the intake of sodium salt, and the daily intake of salt should be controlled within 6 grams. Some processed foods, such as salted fish, ham and pickles, should also be eaten less.
3. Insist on moderate exercise
Life lies in exercise, which is not empty talk. Exercise is good for controlling blood pressure and blood sugar and reducing mortality.
Patients with coronary heart disease suggest moderate-intensity exercise, which lasts for about 30 minutes for 5 days a week. During exercise, control the heart rate to about 60%-70% of the maximum heart rate that can be achieved.
There is no limit to the form of exercise, and you can follow your own hobbies. Such as table tennis, badminton, jogging, swimming, walking and so on.
Maximum heart rate =220- age.
4. Regular work and rest
Regular work and rest is very important for people, especially patients with hypertension, who can't sleep well at night and their blood pressure is difficult to control. Try to sleep at the same time every day. People with sleep disorders can consider using sleeping pills.
5, a good attitude
In the face of coronary heart disease, it is not good to have the following two kinds of mentality. One is scared to death, worrying about being scared all day. The other one, I don't care, I don't want to take medicine or recheck it. I feel that doctors are all liars.
In the face of coronary heart disease, we should face it bravely, follow the doctor's advice, take medicine and put a stent. The auditee is the auditee.
Conclusion: in the face of coronary heart disease, we should pay attention to the condition and check it regularly; Insist on correct medication; Avoiding risk factors; Adhere to a healthy lifestyle. To achieve the above four points, I dare not say that everyone can live well. But at least I tried.
In the face of illness, after doing everything possible, we can only resign ourselves to fate and finally let nature take its course.