Coronary heart disease is a common and frequent disease in cardiology. In the cardiology ward, coronary heart disease patients can account for more than half of the patients we admit, so the prevalence of coronary heart disease can be imagined. Coronary heart disease is actually a series of clinical symptoms caused by the narrowing or even occlusion of the coronary arteries, the nutrient vessels of the heart. One of the most common causes is coronary atherosclerosis, of course, coronary artery spasm is also one of the causes of coronary heart disease. Coronary artery spasm is also one of the causes of coronary heart disease. I think this question, we may have already had the answer in mind, but still hold a chance. Dr. Zhang will talk to you about this topic today.

First of all, we must make it clear that smoking is definitely one of the risk factors for coronary heart disease, and there is no doubt about it. Moreover, the number of cigarettes smoked is directly proportional to the degree of coronary atherosclerosis, and the risk of coronary heart disease or sudden death is 3.2 times greater for men aged 30 to 50 who smoke more than 20 cigarettes a day compared with non-smokers; whether active or passive smoking can lead to an increase in the incidence rate of coronary heart disease; regardless of whether it's a man or a woman, the higher the level of smoking, the greater the relative risk of coronary heart disease. In fact, in addition to coronary heart disease, smoking and lung cancer, oral cancer, laryngeal cancer, cervical cancer and other malignant tumors are also closely related. The incidence of pulmonary blisters and emphysema is also significantly higher among smokers.

Therefore, I am sure you are well aware of the dangers of smoking. So is it necessary to quit smoking? For the sake of your health, your family's health, and your family's happiness, Dr. Zhang gives you a clear answer: you must quit smoking, without any room for manoeuvre.

In addition, Dr. Zhang would like to remind you: low-salt, low-fat and low-sugar diet, abstaining from alcohol, moderate exercise, maintaining a comfortable mood, regular medication and review are very important, please do not believe that just a health care product or food can cure coronary heart disease.

There are more risk factors for coronary heart disease identified, and the strength of the effect of each risk factor varies. By categorizing the risk factors for coronary heart disease, smoking has been formally classified as a curative risk factor.

Although the mechanism of coronary atherosclerosis by high risk factors such as smoking, high blood pressure, high cholesterol, high LDL, low HDL, and elevated blood glucose is not well understood, there is a large body of evidence to support a direct causal relationship between them and atherosclerosis. At the same time, these factors act independently, meaning that each of them can directly contribute to the development of coronary atherosclerosis. The formation of coronary atherosclerosis is accelerated in the presence of elevated LDL. Of course, these risk factors can also be called major risk factors because they are common and powerful. It is clear that smoking is a high risk factor for coronary heart disease.

You must stop smoking if you have coronary heart disease. Quitting smoking is difficult for a patient who has smoked for a long time and is addicted to smoking. Under the guidance of a doctor, the patient can get rid of the addiction as soon as possible and achieve the goal of quitting smoking by determining the degree of concern about smoking, understanding the benefits brought by quitting smoking, clarifying the difficulties in quitting smoking and the reasons triggered by smoking, and enlisting the support of people around him or her, and starting with a small amount of smoking in combination with nicotine replacement therapy.

Jing Yun Zhang Unit: Beijing Fengtai Hospital Member of Pharmacy Network October 14, 2018

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Every time you talk about quitting smoking it causes a big debate!

The main point is centered on: didn't whoever smoked live to be 90, 100 years old?

Most anyone who suggests such an idea doesn't read the article, they just participate in the comments, or call people names.

These people won't quit smoking even if they read the article because quitting really isn't easy for a lot of people.

Do you quit smoking even if you have coronary heart disease?

Smoking cessation is recommended even if you don't have a disease, let alone if you have coronary heart disease.

Let's answer the questions first about those who say that whoever smokes lives to be 100 years old.

Often you only see those who smoke and live to be 100 years old, but ignore those who don't smoke and live to be 100 years old, just like you see someone who is fine with DUI, you will say that whoever is fine with DUI, you don't see more car accidents have something to do with DUI.

Evaluate something by looking at the big numbers, not whoever you see is whoever you see. We all learned in first grade, the story of a frog looking at the sky... is the sky really that big?

Getting back to the point, smoking increases the incidence of coronary heart disease by 3-4 times, and quitting smoking reduces coronary heart disease mortality by 36%.

Coronary heart disease requires long-term medicationThe purpose of taking medication is to thin the blood and slow down the growth of plaque to prevent plaque rupture causing acute myocardial infarction. What about smoking? It can significantly increase this risk.

That is, if you take a pill to prevent it and smoke to aggravate it, isn't that the same as not treating it?

So, smoking cessation is definitely recommended for coronary heart disease!

Smoking cessation is also recommended in the absence of coronary heart disease!

(Dr. Cardiovascular Wang officially authorized original protection, such as theft must be held legally responsible.)

As a professional pharmacist, you are advised that you must stop smoking if you have coronary heart disease!

Because in recent years, the mortality rate of cardiovascular diseases has been ranked first, nicotine, carbon monoxide, oxygen free radicals, polycyclic aromatic hydrocarbons and butadiene in tobacco can damage the cardiovascular system through a variety of pathways, inducing vasospasm, aggravating hypertension, and promoting abnormalities in lipid metabolism. Controlling tobacco use is of great significance to the prevention and treatment of cardiovascular diseases.

Then, if you have decided to quit smoking, let's see what you need to do at the same time.

1. When you decide to quit smoking, you can tell your family not only for them to support you but also to monitor you.

2. Starting from quitting smoking, you can keep track of your own time from gradually reducing smoking to not smoking at all, and give yourself a daily punch card to encourage you to do so, and after 3-4 months you will be successful.

3. Throw away all cigarettes, lighters, matches and ashtrays.

4. Avoid places or activities where you used to smoke, tell your friends that you are quitting and ask for their support, and if you can join them, even better.

5. Drink water, eat fruit or take a walk after a meal to get rid of the idea of a cigarette after a meal.

6. Smoking addiction to come, to immediately do deep breathing activities, or chewing sugar-free gum, avoid snacks instead of cigarettes, otherwise it will cause elevated blood sugar, the body overweight.

7. Resist the temptation of cigarettes and remind yourself that one more cigarette is enough to derail your quit smoking program.

8. Do not deny yourself if you relapse, this is a common phenomenon in the process of quitting smoking, you need to summarize the experience and start again, know the dangers of relapse, and avoid factors and environments that may lead to relapse.

You can also choose to seek the help of a medical professional if you are experiencing difficulties in quitting smoking on your own.By diagnosing and evaluating your smoking addiction and understanding your personal situation, your doctor can develop a personalized treatment plan and choose the right medication for your treatment.

The smoking cessation medications currently available in this country are:Bupropion hydrochloride extended-release tablets and varenicline tartrate tablets.

When taking medication, remember toAlcohol should be reduced or avoidedThe following points should also be noted:

Bupropion Hydrochloride Extended-Release Tablets

1,These people can't use it!

1) People with epilepsy;

2) Patients with bulimia or anorexia;

3) Patients who have abruptly quit drinking or discontinued sedation;

4) Nursing mothers and pregnant women.

2, cannot be used with these medications!

Isoniazid tablets/injection, moclobemide tablets, selegiline hydrochloride tablets, levodopa tablets/capsules, ginseng, antler velvet, he shou wu (何首乌).

Varenicline Tartrate Tablets

1,These people can't be used:Pregnant and lactating women

2Caution:The administration of alcohol while taking the drug can lead to increased intoxication effects in some patients and aggressive behavior and/or transient amnesia, and in rare cases patients may experience seizures.

Special attention:

If you use bupropion or varenicline and have any of the following symptoms, you must stop using the medicine and contact your doctor or nurse:1) become very stressed 2) become depressed 3) start doing strange things 4) consider suicide

Quitting smoking is a long-term process, and most smokers go through several attempts before successfully quitting. So whether you are experiencing withdrawal, relapse or emotional distress during the quit period, talk to your doctor to find out how you are doing physically and psychologically to help you kick the habit.

The above is a result ofJieqing Zhang, Zhongshan Hospital, Fudan University, provides answers!

Thanks for the invite.

Coronary heart disease (coronary artery heart disease abbreviation) in the prevention and treatment of a very important point is to actively quit smoking, tobacco contains a variety of harmful substances, will damage our blood vessel endothelium, promote platelet aggregation, increase the risk of coronary heart disease, but also with high blood pressure, strokes, chronic bronchitis, chronic obstructive pulmonary disease, lung cancer, and many other diseases are closely related to the occurrence and development. So for the sake of health, please make sure to quit smoking.

Tobacco is a clear risk factor for coronary heart disease, but the majority of our population still lacks knowledge of this fact. There are numerous risk factors for coronary heart disease, common ones such as hypertension, diabetes mellitus, hyperlipidemia, obesity, family history, bad lifestyle habits, etc. However, according to existing studies, the effect of smoking in the occurrence of coronary heart disease is second only to hyperlipidemia, and it is more important than the effect of hypertension and diabetes mellitus, especially in the patients without the underlying etiology of hypertension, diabetes mellitus, obesity, etc. Smoking is the most likely predisposing factor.

According to domestic and international studies and guidelines, we can know that under the same conditions, the probability of coronary heart disease in smokers is 3-4 times higher than that in non-smokers, while quitting smoking can reduce the risk of death from coronary heart disease by about 36%. The treatment of coronary heart disease includes improvement of lifestyle, drug therapy, stent intervention and surgical bypass, etc., in which the intervention of lifestyle not only can prevent the occurrence of coronary heart disease, but also has a very important role in the long-term stable control of coronary heart disease. In our daily life, we should pay attention to reasonable diet, smoking cessation and alcohol restriction, appropriate exercise, regular work and rest, weight control and maintain the mind, and at the same time, we should carry out regular drug treatment under the guidance of doctors. For frequent angina attacks, acute myocardial infarction, and coronary stenosis ≥ 75% of the population, stents can be placed, and those with complex coronary artery lesions can be bypass grafting treatment.

I hope that everyone will correctly recognize tobacco and coronary heart disease. Tobacco is not only related to the occurrence of lung cancer, but also an important risk factor for coronary heart disease, and its influence is absolutely no less than that on lung cancer. It is not early to say that someone who smokes and drinks still lives to ninety-nine, while someone who does not smoke or drink has not yet lived to sixty-six. This phenomenon is after all a minority, and in fact, the risk of disease and death for smokers is much greater than that for non-smokers, so for the sake of your health, please stay away from tobacco.

Thanks for reading and good health to all. This article was originally written by General Practice Sweeper on Today's Headlines & Wukong Q&A, Copyright © All Rights Reserved.

The author has seen many patients who have smoked a lot for a long time, have coronary artery disease, and some of them have had stents as a result, and have repeatedly tried to quit smoking, but they just can't resist the temptation to quit. Repeatedly because of angina attacks to the doctor. The medication did not work, so they had no choice but to have a stent, and they still could not quit smoking. As a result, some patients had in-stent restenosis, and had to be dilated with medication or have another stent implanted. Some patients with mild-to-moderate stenosis or no lesions developed severe stenosis and had to be re-stented.

The relationship between smoking and coronary heart disease has long been confirmed by experiments and clinical practice. The incidence of coronary heart disease in smokers is 3.5 times higher than in normal non-smokers. The probability of acute myocardial infarction in smokers is 2 to 6 times higher than that of non-smokers. Cardiovascular diseases are 30% to 40% related to smoking.

Coronary heart disease occurs through the following main pathways when you smoke for a long time.

(1) It may lead to dyslipidemia, increase LDL, and promote the formation of atherosclerotic plaques; (2) long-term smoking can damage the endothelial function of coronary arteries, making it easier for LDL to infiltrate under the vascular intima, and platelets to adhere to the damaged intima, accelerating the formation of atherosclerotic plaques; (3) long-term smoking can lead to spasm of coronary arteries, and angina pectoris occurs; (4) long-term smoking, the Increased carbon monoxide content in the blood, myocardial hypoxia, stimulate the production of erythrocytes in the blood, increase blood viscosity, easy to form blood clots, leading to myocardial infarction and angina attack.

Therefore, with coronary heart disease must do a good job of secondary prevention of coronary heart disease, to prevent recurrence of cardiovascular events. Usually have to eat to inhibit platelet aggregation drugs, to prevent thrombosis; taking statin drugs, stabilization and reversal of plaque; there are "three high" people, to control blood sugar, blood pressure, blood lipids, so that blood pressure, blood sugar, blood lipids up to standard. We also need to change our lifestyles, including low-salt and low-fat diets, moderate exercise, etc. Quitting smoking is one of the important elements.

Almost everyone knows the answer to this question: patients with coronary heart disease definitely need to quit smoking. However, many people may not know why you must quit smoking when you have coronary heart disease. Now, let me talk about my understanding of coronary heart disease and smoking.

Coronary heart disease occurs because coronary artery atherosclerosis, plaque formation, the coronary artery becomes narrower, can no longer provide sufficient blood flow, oxygen and other nutrients to the heart, resulting in heart ischemia, hypoxia. Therefore, the fundamental lesion of coronary heart disease is atherosclerosis of coronary arteries. Smoking, which produces harmful substances, can damage the endothelial cells of blood vessels, accelerate atherosclerosis and damage coronary arteries. Some patients have normal blood lipids, blood pressure is normal, blood sugar is no problem, but just get coronary heart disease, they complain about God, but ask, have you smoked?

Secondly, since the endothelial cells of blood vessels release nitric oxide, which can diastole blood vessels and lower blood pressure, and smoking can damage the endothelial cells of blood vessels, leading to increased blood pressure, and hypertension is also the cause of atherosclerosis, smoking can lead to coronary heart disease by affecting several links.

In addition, smoking does not only lead to increased coronary artery damage in smokers, but the secondhand smoke produced also harms those around them, such as their own family members. Their exposure to secondhand smoke also increases the incidence of coronary heart disease.

So, smokers, please quit smoking in order to maintain our coronary arteries and make our hearts last a few more years, as well as for the health of our families.

Thanks for reading!

Greetings! The answer to this question is yes: you must quit! Must quit! Must quit 。。。。。。 Smoking does more harm than good, and it adds to the progression of a person with coronary heart disease.

The smoke produced by tobacco combustion contains a large number of harmful substances, which can not only increase the incidence of tumors and affect fertility, but also increase the incidence of chronic diseases, such as respiratory and cardiovascular diseases, including coronary heart disease. According to statistics, smokers than non-smokers coronary heart disease incidence rate increased by 3 to 4 times, while smoking cessation can make coronary heart disease death risk decreased by about 36%.

The reason why smoking leads to an increase in the incidence of coronary heart disease is mainly related to its damage to the endothelial cells of blood vessels. Vascular endothelium is a single layer of flat epithelium lining the inner surface of blood vessels, you can not underestimate this layer of endothelial cells, his function is very powerful, not only can phagocytosis of foreign bodies, microorganisms, necrotic and aged tissues, but also more importantly, it will produce nitric oxide, involved in the vascular contraction and diastole; Secondly, the vascular endothelial cells will also affect the pathology of atherosclerosis and other changes. Harmful substances produced by smoking will damage the endothelial cells of blood vessels. When the endothelial cells of blood vessels are damaged, the vasoconstriction and diastole will be out of balance, and the blood pressure will rise, leading to the occurrence of atherosclerosis and narrowing of the lumen of the arteries. Moreover, smoking increases the incidence of diabetes, which also increases the incidence of atherosclerosis. The main cause of coronary heart disease is atherosclerosis of the coronary arteries, resulting in narrowing of the lumen, and when severely narrowed, the blood supply to the myocardium will be affected, resulting in myocardial ischemia and hypoxia, and even acute myocardial infarction.

Therefore, patients with coronary artery disease had better quit smoking to avoid aggravation of coronary artery damage, leading to the occurrence of acute myocardial infarction. Secondly, they should also actively control risk factors such as blood pressure, blood glucose and blood lipids, control body weight, reduce fat intake, exercise appropriately, abstain from alcohol, avoid exertion, and cooperate with reasonable and regular drug therapy. Avoid the occurrence of acute complications, reduce the death rate of coronary heart disease.

Why is it necessary to stop smoking when you have coronary heart disease?

First of all, let's first understand what is coronary heart disease. Coronary heart disease, also known as coronary atherosclerotic heart disease, refers to coronary artery atherosclerosis caused by narrowing or occlusion of the lumen, resulting in myocardial ischemia and hypoxia or necrosis caused by heart disease.

There are many risk factors for coronary heart disease such as age, dyslipidemia, hypertension, smoking, diabetes mellitus, obesity, and family history.

So why does smoking aggravate coronary heart disease?

The incidence of this disease in smokers is generally higher than that of non-smokers and is related to the number of cigarettes smoked per day. Because people in the smoking, the body of blood carboxyhemoglobin concentration is high, the arterial wall oxygenation is insufficient, increased synthesis of fatty acids in the subendothelial layer, prostacyclin release is reduced, resulting in platelets easy to adhere to the arterial wall aggregation, and at the same time, smoking will also make the blood of high-density lipoprotein decreased, serum cholesterol increased, easy to cause atherosclerosis. In addition, nicotine contained in tobacco can act directly on the coronary artery and myocardium, causing arterial spasm and myocardial damage, which has a great impact on heart function.

From this, it is easy to see how harmful smoking is to coronary heart disease.

It is advisable for people with coronary heart disease to quit smoking as early as possible and refrain from smoking if they can.

Tobacco this thing a hundred harm and no good, not to mention the coronary heart disease, is healthy and healthy without disease also have to quit ah, how much damage to tobacco, many people know, such as it contains nicotine, cyanide, heavy metals, aminophenol, methylhydrazine, formaldehyde, carbon monoxide, etc., each of which can be put to death, and similar substances in the tobacco is more than 200 kinds of foot;

In addition, there is another thing that many people do not know, tobacco contains a radioactive substance called polonium 210, so smoking is equivalent to exposure to radiation, it is confirmed that 30 cigarettes a day, continuous smoking for a year, is equivalent to doing 300 times the X-ray fluoroscopy, weekdays, we are always worried about doing a chest X-ray examination will not be injured by the radioactive material, but it is in the unknowingly pit themselves!

As for coronary heart disease, there is even less to say, must quit smoking, smoking will make the prevalence of coronary heart disease increased by nearly 15 times, and, every year due to cardiovascular disease deaths in the number of people on the 40% is caused by smoking; what's more, the tobacco to thepassive inhalationThe harm is also great, according to an international sample survey confirmed that 50% of smoking cancer patients are passive smokers, and a large number of surveys have shown that if the husband smokes, his wife's chances of developing lung cancer will be nearly four times higher than normal, of course, live together and not only his wife, but also his parents and children, so even for their sake, the smoke is also necessary to give up!

The above is for reference only!