Coronary heart disease (CHD) is the most common heart disease, which is highly prevalent among the elderly and has also been trending towards younger age in recent years. Coronary heart disease is a lifelong disease. Once diagnosed, it cannot be cured and needs to be maintained by daily medication, and it is often a large amount of medication, which makes the patient feel very afraid.

Is coronary heart disease really scary? Why?

Coronary heart disease, that is, coronary atherosclerotic heart disease, which occurs is the formation of atherosclerotic plaques lead to cardiovascular stenosis, myocardial ischemia and angina pectoris, generally speaking, coronary stenosis of more than 50% can be diagnosed as coronary heart disease. Coronary heart disease can be life-threatening, but patients with coronary heart disease can also be very long life.

There was once a patient with coronary heart disease who had the disease for more than 20 years. When he was in his fifties and had just been diagnosed, he was scared every day, fearing that he might die suddenly one day. Since his diagnosis, he stopped working and stayed at home every day, fearing that his heart would get sick and that he would have to go to the hospital as soon as he felt any discomfort. 365 days a year, just running to the hospital for infusion would take several months. Even his family thought the old man was too cautious. But as it turns out, now more than 20 years later, he is still very healthy and alive. Moreover, his old partner, who used to take care of him, is now less healthy than he is, and he takes care of others instead. This is due to his prudence and the subsequent adjustment of his mindset. From not daring to move at the beginning, to doing some housework and going out to move around every day, from running to the hospital often at the beginning, to the symptoms getting lighter and lighter later on, his whole mindset and sleep are also much better.

To ask the coronary heart disease is terrible, in fact, this patient's experience is enough to say. Moderate caution is necessary for patients with coronary heart disease, but they should not be overly nervous, and they should know that patients with coronary heart disease can live as long as normal people and live as long as they do.

Coronary heart disease is terrible in that it continues to get worse!

Coronary heart disease is scary because it affects the heart, the organ known as the "engine" of the human body. Moreover, myocardial ischemia caused by cardiovascular stenosis inevitably affects the normal functioning of the heart, making the blood supply of the whole body affected. If the coronary artery stenosis exceeds 50%, the patient may experience recurrent angina, especially after physical activity and emotional fluctuations, which can be frightening to the patient.

If the coronary artery stenosis more than 75%, the patient is always facing the risk of plaque rupture, thrombosis and blockage of blood vessels, and then it is an acute heart attack. The danger of acute heart attack can be imagined, may directly kill the patient's life. Even after timely treatment, the heart function will be affected, serious heart failure, to the patient's future life and work caused by the trouble. In addition, there is always the risk of recurrence of heart attack. These are the terrible aspects of coronary heart disease.

Coronary heart disease is not scary because it is not terminal!

It is said that coronary heart disease is not scary because although it is incurable, it is not a terminal disease. If the patient can cooperate with the doctor to actively carry out treatment, adhere to long-term medication, healthy life, can completely control the development of the disease, and live as normal people, and even live longer than normal people.

This is because our heart is strong enough to regenerate the cardiovascular system even though the necrotic heart muscle cannot be regenerated. In other words, even after the coronary arteries have been blocked, the heart will establish collateral circulation to help restore the normal blood and oxygen supply to the heart muscle and maintain the normal functioning of the heart. And by the time the collateral circulation is established, the heart of a coronary artery disease patient is actually the same as that of a healthy person, so he or she can live a normal life and a very long life as well. A researcher once conducted a survey on the diseases associated with centenarians and found that about 1/3 of them had a history of coronary heart disease. This is enough to show that coronary heart disease is not a terminal illness.

The establishment of collateral circulation is a long process, during which the patient needs to take medication regularly, live a healthy life, and stay away from any threatening factors that may worsen the condition, so as to get through the transition period smoothly and win enough time for the establishment of collateral circulation. Once the collateral circulation is established, you will find that the angina symptoms are getting milder and the attacks are less frequent. At this point, patients still need to adhere to the medication, healthy life, can be more assured.

I am Pharmacist Wang, insisting on spreading the knowledge of cardiovascular and cerebrovascular diseases with simple and easy-to-understand words, and dedicating my own small efforts for a healthy China. If you think my answer is helpful to you, please leave a like it! In addition, if you still have coronary heart disease related issues, welcome to leave a message, we discuss together!

Dr. Duan Q&A Online 💥 How scary is coronary heart disease? 💥

Due to the general lack of knowledge and attention to coronary heart disease in China, its incidence is increasing year by year and showing a trend of rejuvenation. Taking Beijing as an example, from 2007 to 2009, the incidence rate of heart attack among 35 to 44 year olds has increased by 31.8%, which shows that we can better prevent and control coronary heart disease only if we understand and pay attention to coronary heart disease related knowledge.

I. What is coronary heart disease:

Coronary heart disease is short for coronary atherosclerotic heart disease, which refers to heart disease caused by atherosclerosis of the coronary arteries, resulting in narrowing or occlusion of the lumen of the arteries, leading to myocardial ischemia and hypoxia or necrosis;

Second, what types of coronary heart disease are included in the clinic:

Stable angina, ischemic cardiomyopathy, occult coronary artery disease; unstable angina, non-ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction;

Many of the above names we all may have heard of, and through the name we can also feel it harm, such as heart attack, then next we will talk about the harm of coronary heart disease.

Third, why coronary heart disease is so harmful:

(1) Anatomical level: the root cause of coronary heart disease is, frankly speaking, the imbalance between supply and demand, that is, the coronary artery because of narrowing or blockage resulting in the supply of blood flow does not meet the demand of the myocardium, resulting in myocardial ischemia, hypoxia, and angina pectoris or even myocardial infarction - the severity of the symptom, which is life-threatening;

(2) Triggering factors: Coronary heart disease can be triggered by a variety of triggering factors, including hypertension, hyperlipidemia, hyperglycemia and other diseases, as well as emotional excitement in life, dietary overfeeding, cold stimulation, tobacco and alcohol addiction, tachycardia, excessive exertion, and poor work and rest can trigger coronary heart disease - a lot of triggers and a wide range of illnesses;

(3) Hidden symptoms: many patients with coronary heart disease communication account of the beginning of no obvious symptoms, wait until the emergence of symptoms diagnosis and treatment, has been to the coronary artery serious stenosis, or even blockage of the situation, some of these patients, some of the patients through timely anticoagulation, percutaneous coronary intervention as well as coronary artery bypass bypass grafting to successfully save the life, but there is still a part of the patient because of the loss of the best treatment time and regret death! --The disease is insidious and rapid;

We can see from the above three aspects that the onset of coronary heart disease is indeed very frightening because it not only reduces our quality of life, but even jeopardizes life in serious cases.

Dr. Duan specifically warned:

(1) Coronary heart disease, although terrible, but completely preventable, controllable, treatable, we only need to change the usual bad habits, the control of triggering factors, the symptoms of timely diagnosis and treatment and other measures, completely able to achieve good preventive and therapeutic effects;

(2) It is recommended that friends with coronary heart disease should review their blood glucose, blood pressure, blood lipids, electrocardiogram, heart ultrasound and other indicators at least once a year to keep abreast of their condition and control the triggering disease.

(3) If there are suspicious symptoms such as pressure-like pain in the precordial area or a sense of dying, chest tightness, chest pain, pain in the left shoulder and the left upper limb, and panic, it is important to seek medical attention promptly so as not to miss the best time for treatment.

👇 Follow Dr. Duan for health and wellness! 👇

Coronary heart disease is really scary, because once the clinical onset comes quickly, the course of treatment is also fast, the effectiveness of treatment is high, there are many treatments, but the rate of sudden death is high, so it is both the most feared disease and the disease that people would like to suffer from when choosing to pass to death because of the speed. But no one can predict in what form they will leave this world in the future.

The scary part: is that it can take your life in a very short period of time.

1. Angina attacks are characterized by a sense of frequent death and fear, but most are rapidly relieved by the inclusion of nitroglycerin. The next medication is still revascularization, but there is always an inexplicable feeling of fear when wearing this hat.

2. Acute myocardial infarction: post-sternal strangulation, tear-like pain will have extreme fear, such as the combination of malignant arrhythmia: ventricular fibrillation, cardiac rupture may be within ten seconds of loss of consciousness, not found in time to save the mortality rate is extremely high. Two months ago I was in outpatient clinic when the nurse called me urgently: someone suddenly 𨄮 collapsed in the waiting area, found to be suffering from loss of consciousness, face and limbs purple, auscultation of the heart sounds disappeared, the pupils have not been dilated so on-site CPR successfully diagnosed acute anterior wall infarction accompanied by ventricular fibrillation, midday rush to do PCI to open up the criminal blood vessels implanted with a stent, five days later discharged from the hospital, fortunately, it happened in the hospital can be rescued, but only 50 years old, the hospital is the only place to find out what happened to the patient. Only 50 years old.

Not scary: know the pathogenesis of coronary heart disease that can prevent its occurrence, has made the occurrence of active treatment can be completely avoided from the worst results.

It is known that hypertension, hypercholesterolemia, diabetes and addiction to smoking are the most likely risk factors for coronary heart disease, then prevent the occurrence of these diseases and do not smoke. Therefore, from childhood to control weight not obese, more exercise, develop good habits, then even if there is a family history of cardiovascular disease can be avoided in you, general hypertension and diabetes are from overweight and obesity, so strict control of sweets, oily food, eat little and refined can be avoided completely obesity. Hypercholesterolemia is more closely related to heredity, the good thing is that with statin drugs can be after the LDL cholesterol down, dietary factors affecting cholesterol is only 20% -30%, appropriate attention to eat less offal, egg yolks, butter, etc. can be.

Finally, of course, I would like to emphasize one point: developing good psychological resilience is crucial to preventing coronary artery spasm that can lead to plaque rupture and activate platelet aggregation into blood clots because people in a state of emotional excitement, anger, excessive stress, anxiety and depression will secrete more adrenaline and norepinephrine to cause arterial spasm.

2019.1.29

I'm Dr. Shadow. Coronary heart disease is really scary and can kill you at any time. Coronary heart disease is a heart disease caused by the coronary arteries. It is a blockage of the blood vessels supplying the heart, and the heart will necrosis without nutritious blood and cannot beat. When the heart stops beating, it is a cardiac arrest, which is certainly terrible. Coronary heart disease remains a major threat to the health of middle-aged and elderly people.

Many large hospitals have an emergency green channel called the Chest Pain Center, and one of the diseases to be treated is myocardial infarction caused by coronary heart disease. Heart attack, the need for timely consultation, timely rescue.

In the last two months, a relative of my family was hospitalized for stent surgery because of coronary heart disease. He had chest pains for several days, suddenly chatting only to tell me, these days a little chest discomfort, climbing stairs or exertion will appear, the attack of profuse sweating, hammering the chest can be relieved. I heard, coronary heart disease! Asked him how many times a day the attack, he said three to four times. I immediately asked someone to rush him to the hospital and contacted the cardiologist there. He still didn't think it was anything, he thought he was too tired and would be fine if he rested, which is what most common people with no medical knowledge would think! It should never be like that.

The reason why I am in such a hurry is that coronary heart disease can kill you at any time. Once the blood vessels are blocked and can't recover, the heart will stop suddenly. This disease is all about time. Don't wait until you really have chest pain that can't be relieved to seek medical attention, then it may really be too late to regret.

He went to the hospital, had an EKG that was fine, and thankfully there was no ischemia in his heart muscle. I strongly recommended that he be hospitalized, and he had many episodes lying down the night he was hospitalized. A coronary angiogram was then done and showed that the left anterior descending branch (the vessel most often blocked) was more than 90% blocked, even occluded. If it had been any later, it might have closed completely, and it would have been even more dangerous then. Therefore, a stent was put in immediately and he is now recovering well.

I explained to him the whole process of the onset of this disease, and he felt fearful when he thought about it, and was lucky to have come a little early. If he had held back, he would have had a seizure and collapsed, and he might never have woken up again.

A typical symptom of coronary heart disease is chest pain, radiating to the front of the neck and arms, which can be relieved after a few minutes. But if it does not resolve and the chest pain persists, an ischemic infarction may have developed. Coronary heart disease attack may not have any precursor, there is a possibility that once the attack can not be saved. Coronary heart disease is also gradually younger.

To prevent coronary heart disease, it is important to control weight, blood lipids, blood pressure, blood sugar, low-salt and low-fat diet, do not stay up too late, and do not be overly emotional. If you have symptoms such as chest pain, you must consult a doctor in time.

I'm Dr. Little Shadow, so follow me if you want to learn more about medicine.

It's really scary. If you go to a better hospital in your area, there are basically two green lanes: a stroke green lane and a chest pain green lane. Patients who take this green channel do not need to queue up for any examination. Because time is the heart muscle, time is the brain, a minute earlier after a clear diagnosis of a minute earlier treatment, may be the difference between life and death.

It should be known that cardiovascular and cerebrovascular diseases rank first in the burden of disease as assessed by the World Health Organization, followed by tumors. Because cardiovascular and cerebrovascular diseases have high disability and mortality rates, once the disease develops, it will bring a heavy burden to patients, families and society.

Coronary heart disease, i.e. coronary atherosclerotic heart disease, is a heart disease caused by atherosclerotic lesions in the coronary arteries that result in narrowing or blockage of the blood vessel lumen, resulting in myocardial ischemia, hypoxia, or necrosis, and is often referred to as "coronary heart disease". The biggest danger is that it affects the patient's heart function, just like the narrowing and blockage of the oil pipeline of a car engine, the heart cannot supply enough blood to the body when you need to exercise. Eating, dressing and talking are so easy for a healthy person. However, for a person with severe coronary heart disease, all these are a luxury. How painful is such a life?

In addition, patients with coronary heart disease are prone to myocardial infarction, which occurs when the chest pain is severe and lasts for a long time (often more than half an hour), which cannot be relieved by nitroglycerin, and can be accompanied by nausea, vomiting, sweating, fever, and even cyanosis, decreased blood pressure, shock, and heart failure. If the blood vessels can be unblocked in time, the possibility of recovery is high, otherwise, life will be in danger. Moreover, coronary heart disease can easily lead to sudden death.

As a chronic disease, coronary heart disease is very difficult to cure, and nowadays the treatment means are mostly to slow down the disease disease progress.

Therefore, coronary heart disease still affects a person greatly and should be actively controlled.

Is coronary heart disease really scary? Why?

Beijing Anzhen Hospital chief physician He Xiaonan said: coronary heart disease mortality rate is still relatively high, and now the cardiovascular and cerebrovascular disease is the first killer of death. Cerebrovascular disease and coronary heart disease is the existence of the same pathogenesis, just manifested in different parts. The mortality rate of cardiovascular and cerebrovascular diseases is now the first cause of mortality in China. The same situation has now been reached in both rural and urban areas.

Cardiovascular diseases are very high-risk diseases, but they are preventable and controllable. As long as these risk factors are controlled and appropriate preventive measures are taken, the disease can be clearly controlled. Moreover, the incidence and mortality rates of coronary heart disease in China are still on the rise, and it requires the continuous efforts of healthcare professionals, as well as patients or their families, to effectively control the morbidity and mortality rates. In addition, the continuous popularization and improvement of medical treatment can also reduce the incidence and mortality of cardiovascular diseases. Therefore, for the treatment of coronary heart disease, we still need to emphasize early diagnosis and early treatment.

From Dr. He Xiaonan's explanation, the incidence of coronary heart disease is very high, but also an important cause of death of the current residents of our country, that is, there is no life-threatening, many people also do stent surgery, or even bypass surgery, affecting the normal state of life, which is, of course, terrible. But if we start from the improvement of living habits, dietary habits and structure, regulating emotions, quit smoking and drinking, moderate exercise, supplemental nutrition, why, etc., to enhance the level of health and wellness, can reduce the incidence rate is much lower, the death of even less, then it is not terrible.

Coronary heart disease is really life-threatening when it is serious, don't you think it's scary? Coronary heart disease light may be the pain from time to time two, or the feeling of chest hair, people who have not experienced this pain may feel nothing, only the real experience of people understand how difficult the pain of coronary heart disease.

So what exactly is coronary heart disease and how does it happen?

Coronary heart disease is the full name of coronary atherosclerotic heart disease, coronary arteries are blood vessels to the heart, and basically by the coronary arteries contracted most of the heart's blood supply, so the coronary arteries are very important to the heart.

Coronary atherosclerosis is the blockage of coronary arteries by an atheromatous vascular impurity.It can be imagined that the coronary arteries are a water supply pipe, and atherosclerosis is the accumulation of impurities in the inner wall of the pipe, and lead to a decrease in the flexibility of the pipe, which leads to a smaller inner diameter of the pipe, and then out of the water is also less, and similarly, the coronary arteries to the heart supply of blood is reduced.

Reduced blood supply to the heart, naturally, the heart will appear a series of ischemia and hypoxia performance, light is no symptoms of myocardial ischemia, a little heavier is in the exercise, emotional excitement from time to time attacks of angina pectoris, these two are considered to be relatively light, angina pectoris can be relieved after taking nitroglycerin.

Anything more serious is myocardial infarction, heart failure, and sudden death coming.

For the treatment of coronary heart disease, early life must pay attention to, try to avoid the onset of coronary heart disease, maintain emotional stability, do not overwork, pay attention to rest, low-salt, low-fat diet, if necessary, need to use medication to deal with.

Of course, if coronary artery disease occurs in the heart coronary artery serious stenosis (degree of stenosis is greater than 75%), and cause the heart myocardial blood supply is insufficient, is required to interventional stenting treatment.

First of all, let me share it with you directly: the most critical type of coronary heart disease is called acute myocardial infarction, and it is one of the most common causes of sudden cardiac death, which is why coronary heart disease is a very scary type of heart disease.

In response to this topic, it is recommended that we first clarify two aspects, on the one hand, whether or not it is coronary heart disease, and secondly, if it is coronary heart disease, what exactly should be done?

This is because in my clinical work, I find that it is particularly common for many people to be diagnosed as having coronary artery disease when they actually do not have coronary artery disease. For example, in myocardial ischemia, many people are diagnosed as having myocardial ischemia because of the T-wave changes in the electrocardiogram, and after visiting the outpatient clinic and completing a number of tests, it turns out that the patient is not suffering from myocardial ischemia, that is to say, he is not suffering from coronary artery disease either.

That's why this condition can lead to many people being treated incorrectly, which increases the risk of many unwanted drug-related side effects.

In addition, it is all too common that some patients who really have coronary artery disease do not take treatment seriously, including not taking medication and so on.

If coronary artery disease has been diagnosed, even with mild symptoms, serious cardiac events, including acute myocardial infarction, may still occur.

In conclusion, patients with coronary artery disease have different severity of symptoms and different clinical outcomes, but regardless, once diagnosed with coronary artery disease, serious treatment is required.

I'm Dr. Hui, Deputy Chief Physician of Cardiovascular Medicine at Dalian Central Hospital. Thank you for your interest.

Coronary heart disease is for the most part not scary, as long as it is diagnosed and managed in a timely manner.

Acute coronary heart disease, mainly acute heart attack, as fast as possible to the hospital, in the big hospital, if you can 96% survival, county hospitals can also 92% survival.

People who can't get to the hospital because they have symptoms and don't go to the doctor and lose the opportunity to save their lives.

As for chronic coronary heart disease, the mortality rate is only 1 to 2% per year, which means that the vast majority are fine.

Therefore, most coronary heart disease is preventable and treatable. There is always alarmist talk on the Internet about how dangerous it is, but in fact there is no need to be alarmed.

For the acute phase of an acute heart attack, open the blood vessels as soon as possible. Chronic coronary heart disease most need first drug treatment is also possible. If frequent attacks, drug control is not good, and then consider stents and so on.

Patients often ask Dr. Wang if coronary heart disease is scary.

In fact, the most critical to see how we treat coronary heart disease, attitude determines the result, if we pay attention to coronary heart disease, then coronary heart disease is not terrible, if we do not pay attention to coronary heart disease, coronary heart disease is really terrible.

Coronary heart disease is really not scary at the initial stage, most people have no symptoms, but if it is not actively controlled at this time, then it may be further aggravated, angina pectoris, or even myocardial infarction, myocardial infarction, which we have all heard of, is a very serious heart disease with a high mortality rate.

Coronary heart disease probably means when the heart's blood vessel junk is aggravated, causing a >50% narrowing of the blood vessels. When there are different degrees of coronary heart disease, the results are different. According to the degree of stenosis, <70% stenosis generally, we will not feel anything and there is no danger;

More than 70% stenosis, in the exercise, exertion, cold, smoking, alcohol, exertion and other stimuli may cause myocardial ischemic attack, angina pectoris, which is dangerous. Not only will it cause discomfort to the patient, but more importantly, if it is an unstable plaque, unstable angina, then plaque rupture may occur to form a thrombus, causing acute myocardial infarction.

How to prevent stenosis from progressing from 50% to more than 70%, because stenosis less than 70% is very difficult for most of us to detect because there are no symptoms, and people are not likely to go and get a coronary CTA or an angiogram. So most people who find coronary artery disease have more than 70% stenosis. So how do we know if we have a stenosis?

It can only be judged from the high-risk factors, the more high-risk factors, the greater the likelihood of coronary heart disease, high-risk factors are not well controlled, the more terrible coronary heart disease. High-risk factors that cause cardiovascular stenosis include: heredity, that is, both parents or one parent in middle age or youth had coronary heart disease, especially myocardial infarction, the higher the risk of coronary heart disease; hyperlipidemia is not controlled; diabetes mellitus is not controlled; high blood pressure is not controlled; long-term smoking alcoholism; sedentary do not exercise; unhealthy diet; stay up late at night with a lot of pressure and so on the more of these factors, the more the manufacture of vascular garbage, the greater the possibility of causing coronary heart disease. The more of these factors, the more vascular waste is created, and the greater the likelihood of coronary heart disease.

We can not wait until the stenosis has exceeded 70%, has caused angina before we want to think of prevention; although cardiovascular stenosis <70% of the time, we have no symptoms, but we should know whether we have three high, should know whether they have a low-salt, low-fat, low-sugar diet, should know whether they are not obese, should know whether they have sports, should know whether they have smoked and drunk, should know Whether they have stayed up late and stressed out. The more of these points, the more they should be corrected and the more they should prevent coronary heart disease.

Occurrence of angina is the heart's last alarm, when we have angina, usually can be relieved in about 3-10 minutes, but only just temporary relief, which is a reminder to seek medical attention as soon as possible, or else a more serious myocardial infarction may occur. Angina is not only a pain in the heart area, angina is a symptom that includes pain in the precordial area, chest pain, chest tightness and breath-holding, tightness in the throat, toothache, epigastric pain, back pain and so on. They are episodic, that is, they will suddenly have an attack, especially after activity and exertion, after a few minutes can be relieved, good as normal, but this good is only temporary, this is the last alarm of the heart, we must consult the doctor in a timely manner, so as not to aggravate the situation. Diagnosed coronary heart disease must be regular medication control + continued healthy lifestyle.

The dreaded myocardial infarction, not everyone can do the above prevention, as usual, every day people will have a myocardial infarction. Once diagnosed with myocardial infarction, is and is time in the race, the faster the diagnosis the more life-saving, the current treatment of acute myocardial infarction only thrombolysis and stenting, the general principle is to be able to stent stent as much as possible, can not immediately stent as soon as possible thrombolysis. But we must remember, this time do not delay, do not give any seven aunts, eight aunts call, the only thing to do is to cooperate with the doctor's signature, the only way to save lives, in order to reduce the occurrence of heart failure.

In conclusion, coronary heart disease is not so terrible, but the key still depends on how you treat the coronary heart disease, formal treatment of coronary heart disease, coronary heart disease will be obedient, ignore the coronary heart disease, coronary heart disease will surely take revenge on you.

[Protected by the rights warrior, infringement will be investigated! If you have any cardiovascular problems, please send a private message!