1. What is coronary heart disease?
Coronary atherosclerotic heart disease is a kind of heart disease caused by coronary atherosclerosis, which leads to stenosis or obstruction of vascular lumen and myocardial ischemia, hypoxia or necrosis. Coronary heart disease? .
The coronary artery is a blood vessel that transports nutrients to the heart. It is divided into left coronary artery and right coronary artery. The left coronary artery is divided into anterior descending branch and circumflex branch after emitting about 1cm. These blood vessels send out many branches to wrap the whole heart, supplying blood and delivering nutrition to the heart.
Cardiac blood vessels have great reserve capacity and will not cause clinical symptoms such as angina pectoris under normal circumstances. When atherosclerotic plaque appears in one or more of these three blood vessels, which causes vascular stenosis, blocked blood supply to the heart and myocardial ischemia and hypoxia, it will cause chest tightness, chest pain and other clinical symptoms. This is what we usually call coronary heart disease. This shows that coronary heart disease is actually a disease that supplies blood vessels to the heart.
Second, how to diagnose coronary heart disease?
Although the most accurate method to diagnose coronary heart disease at present is cardiac angiography, because it can intuitively find the degree of cardiovascular stenosis and give an accurate diagnosis, it is impossible for us to do an angiography for everyone who suspects coronary heart disease. When we diagnose coronary heart disease in the hospital, we will judge whether it is coronary heart disease by combining the symptoms of the patient, the patient's medical history, the patient's high-risk factors, the patient's electrocardiogram and exercise experiments.
We can always hear myocardial ischemia and coronary heart disease after ECG. This is a bit irresponsible, because ECG often suggests myocardial ischemia, not necessarily myocardial ischemia. Electrocardiogram can lie. We usually refer to electrocardiogram to diagnose coronary heart disease. You must have an ECG when you are not uncomfortable at ordinary times, and you should also have an ECG for comparison when you are uncomfortable. If these two electrocardiograms are different, it is the basis for diagnosing coronary heart disease.
Of course, except for special circumstances, such as acute myocardial infarction, we can often tell whether it is a myocardial infarction at a glance.
Third, how to treat coronary heart disease?
The treatment of any disease must first be diagnosed clearly. Many people are fake coronary heart disease. We only talk about how to treat real coronary heart disease. First of all, a healthy lifestyle is the basis for the prevention and treatment of cardiovascular diseases. Quit smoking and drinking, control weight, adhere to aerobic exercise, low salt, low sugar and low oil diet, reduce staying up late, and work and rest regularly. This is the most basic. The treatment of coronary heart disease must also control the three highs, because the three highs will aggravate the process of coronary heart disease; At the same time, aspirin and statins need long-term use. Drugs for controlling angina pectoris should be added to patients with high heart rate, and drugs for treating heart failure should be added to patients with heart failure. Acute myocardial infarction certainly needs thrombolysis or stent therapy; For angina pectoris that cannot be controlled by drugs, stent or bypass is needed.
Fourth, can coronary heart disease recover?
It depends on what you say, that is, coronary heart disease is almost impossible to cure or cure, at least for now, unless there are very few special circumstances. For coronary heart disease with definite diagnosis, effective control is the best treatment only by long-term healthy life and regular drug control. But if angina pectoris or myocardial infarction recovers, of course, but it must be treated regularly, especially myocardial infarction, and the blood vessels must be opened at the first time to recover.
In a word, coronary heart disease is the most common disease in heart disease, and its incidence is increasing year by year. Only prevention is the best treatment.