Every day in clinical work, people often ask, "Dr. Zhang, how do I know I have coronary heart disease?" Yes, how to make a preliminary assessment of your current condition, how to be able to initially determine whether you and your friends and family have developed coronary heart disease, this is a cardiologist should be popularized with everyone. Today, Dr. Zhang will talk about this issue. Dr. Zhang said the following, are the people can be practically accessible, high-tech for the time being do not talk about.

I. Judging by symptoms

Typical symptoms of coronary artery disease are pressure-like pain in the precordial area and retrosternal area after physical activity or emotional excitement, which can also be oppressive, stuffy, or burning, and in severe cases, accompanied by a sense of near death. In some patients, the pain is not obvious and manifests as chest tightness or discomfort. The range is the size of the palm of the hand, and sometimes the posterior boundary is not very clear. It often radiates to the left shoulder, the inside of the left arm up to the fingers, and sometimes to the neck and jaw. The pain usually worsens gradually after the onset of the pain, angina pectoris does not last more than 15 minutes, most angina pectoris relieves in 3-5 minutes, myocardial infarction is more than 20 minutes. Generally speaking, angina can be relieved after stopping the triggering factors, and some angina patients need to take nitroglycerin to relieve the pain.

If you have the above symptoms, the possibility of coronary heart disease is highly suspected, and you need to consult a cardiologist in time.

II. By electrocardiogram

Abnormal changes in the electrocardiogram (ECG) are also helpful in the initial screening for coronary heart disease. The most common ECG changes in coronary heart disease are ST-segment depression and T-wave inversion. The most common ECG changes in coronary artery disease are ST segment depression and T wave inversion. Of course, ST elevation is seen in myocardial infarction. Of course, this is the most common coronary heart disease changes, there are some other less common ECG changes, not to be repeated here. In conclusion, the presence of ischemic changes on the ECG is one of the tools for the initial diagnosis of coronary artery disease.

III. Adoption of assays

Once you find elevated cardiac enzyme profile, CTNI, CTNT in the laboratory tests, do not let go, to highly suspect the possibility of coronary heart disease, as soon as possible and timely medical treatment is most important.

IV. By cardiac ultrasound

Maybe you do not know too much, in fact, through the heart ultrasound can also help to help diagnose coronary heart disease, for example, a person to do cardiac ultrasound found to exist segmental ventricular wall motion abnormalities, or to do cardiac ultrasound found to exist in the signs of old infarcts, which can be suggestive of the patient the existence of coronary heart disease, which is also need to be hospitalized as soon as possible in a timely manner.

The above four aspects are the four aspects that the common people have the most contact with, Dr. Zhang did not strictly follow the guide, because that would be difficult to understand, but still according to the general public can understand the way to speak out. I hope it will be helpful to you.

For more health information, please follow Dr. Zhang Zhiying's headline.

Determining the presence or absence of coronary artery disease that's a doctor's business, and it's a cardiovascular doctor's business, not your own.

The oldest patient with acute myocardial infarction treated by Dr. Wang this year was 91 years old, and he had treated a 21-year-old patient with myocardial infarction last year.

The incidence of coronary heart disease is getting higher and higher, at present, there are about 11 million patients with coronary heart disease in China, spanning the age of 20-90 years old; once the diagnosis of coronary heart disease is confirmed, long-term attention is needed, and it can even be said that long-term medication is taken to control it. Then Dr. Wang gives you some reminders, when you have these high-risk factors, or have these Jane uncomfortable, you have to suspect that you are not coronary heart disease, as soon as possible to go to a cardiovascular doctor to see, at least you can consult the doctor on the Internet there is no need to go to the hospital to see.

Coronary heart disease risk factors: there is a family history, such as your parents suffer from a clear coronary heart disease, or have had a myocardial infarction, or stent or bypass surgery; hypertension, diabetes mellitus, hyperlipidaemia; smoking and drinking; obesity; do not exercise; unhealthy diet; and so on these are the coronary heart disease risk factors, which means that these people are more likely to get coronary heart disease. When these people once bleeding below these uncomfortable, basically may be coronary heart disease:

Episodic precordial pain, chest tightness, chest tightness and breath-holding, toothache, pharyngeal constriction, headache, left shoulder pain, back pain, abdominal pain, and other manifestations; all of these pains are episodic in nature and last for 2-15 minutes at a time, and can be significantly relieved by the inclusion of nitroglycerin.These discomforts mostly occur after activity, exertion, straining to pass stools, overeating, going up stairs, and other exertions; when these symptoms get better, they are the same as normal. Simply put, these manifestations of coronary heart disease come and go as they please. This time to add you seize the time to go to the hospital to see.

And how do we cardiovascular physicians diagnose coronary artery disease?

In addition to detailed inquiry about the above symptoms, we also need to combine with ECG, preferably with ECG during the attack, so that the diagnosis can be clearer; of course, theoretically, we can also diagnose coronary artery disease based on dynamic ECG, exercise test, coronary CT, coronary angiography; however, we need to combine with the specific situation to choose a suitable for the patient, rather than giving the patient a coronary angiography at the first sight.

In conclusion, diagnosing coronary heart disease is a matter for cardiovascular doctors; all we need to do is to adhere to a healthy lifestyle and reduce the incidence of coronary heart disease!

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

Today, coronary heart disease is becoming younger and younger, and you can hear the word "coronary heart disease" everywhere. People often joke: what coronary heart disease? Lack of care or care too much, got this "care disease".

The full name of this "disease of concern" is coronary atherosclerotic heart disease.

There are many types of coronary heart disease. Again, it may show symptoms that allow you to prevent it in advance. Or it may be so well hidden that you don't notice it, and when he strikes, you're swimming on the edge of life and death.

The greatest killer of all is the asymptomatic myocardial infarction, which leaves you defenseless and deadly. The youngest to die under his knife is known to be in his early 20s.

When a killer makes a move, it's not without a trace. You'll always feel the atmosphere around you is not right, something is hinted at. That's why we can't ignore details.

The first and foremost thing I want to say is that you feel physical pain and your doctor suggests an EKG, make sure you don't say no.

Pain in every area can be a precursor to a myocardial infarction. From toothache to abdominal pain. I met an elderly man with lumbosacral pain, plus he had lumbar spondylosis, and when he got to the hospital it was a myocardial infarction, and in less than 10 minutes before and after, the man passed away.

（The purpose of this paragraph is to tell you that it is better to have an electrocardiogram (ECG) done when you have pain in your body. Because I meet patients who come to the clinic always puzzled, think the doctor is messing up the examination again, I have a toothache, stomach pain, etc., why do I need to do an ECG.）

Back to business.The gold standard for coronary artery disease, coronary angiography is required to confirm the diagnosis!The rest of what CTA of coronary arteries, electrocardiogram, cardiac ultrasound, chest X-ray, myocardial enzyme profile, troponin, etc. can only be the doctor's consideration of coronary artery disease, the diagnostic aid.

Some of the typical symptoms of coronary heart disease are:

1. Chest tightness and shortness of breath

Coronary heart disease patients are prone to chest tightness, palpitations and shortness of breath after physical activity, which will worsen as the disease progresses. When lying down at night, the patient feels chest tightness and breathlessness, and the patient needs to lie on a high pillow or sit or stand to feel comfortable.

2. Cough and phlegm

The patient may also cough up sputum, which may be noticeable at night when lying down. Pink frothy sputum may be present in the presence of left heart failure.

3、Cyanosis of the lips and mouth

Weakened cardiac function allows ischemia and hypoxia, cyanosis of the lips and mouth, aggravated by cyanosis of the accompanying skin mucosa.

4. Abdominal distension and poor appetite

Patients may experience abdominal distension and poor appetite with hiccups and belching, which is mainly caused by gastric, intestinal and hepatic stagnation following weakened cardiac function.

5. Arrhythmia

Panic with or without a trigger, the patient often describes the mood as if he/she has stolen something from someone else, and his/her heart beats "dangling".

6. Pain

Angina or pain in other areas. As I mentioned above. Angina, sublingual "heart pills" should basically relieve. If not relieved, do not waste any more time, immediately to the hospital, or better yet, call 120 emergency. If it is indeed myocardial infarction, a green channel can be established to save time and save lives.

Individuals can use the above to find out if they are at risk for coronary heart disease.

Never make yourself anxious by being right. Nor should you take it lightly and delay the diagnosis.

The reason why I am spending large paragraphs today is not to teach you how to tell if you have coronary heart disease, but to let you know not to delay in saving yourself when you are at the most dangerous moment.

As a doctor, after facing too many deaths, I feel deeply that life is precious!

Many patients suspect that they have coronary heart disease, most of them have the symptoms of chest tightness and shortness of breath, but are there symptoms of coronary heart disease? To determine whether you have coronary heart disease mainly depends on the following points:

When the patient has the objective fact of myocardial ischemia (for example, electrocardiogram suggests ischemia), but the patient does not have any symptom, then we recognize this kind of patient as hidden coronary artery disease, then the patient needs to carry out active primary and secondary prevention, so as to avoid aggravation of the disease or progression of the disease into symptomatic coronary artery disease.

When the patient because of emotional excitement, overexertion, full meals, upstairs and other triggers and chest pressure, stuffiness, suffocation', some patients feel to the back of the shoulder (left side of the majority), the neck, the throat is radiating pain, rest or nitroglycerin relief, that you may have angina pectoris symptoms, if the above manifestations in the 1~3 months is relatively stable, remove the triggers to be able to If the above performance is relatively stable in 1~3 months, can be relieved after removing the triggers, and the nature of the pain and the pain site during the attack have no obvious changes, then we suspect that such patients are stable angina. At this point, we should go to the hospital for relevant examinations and drug interventions in a timely manner, and at the same time avoid the triggers that induce angina symptoms.

When the patient has the following symptoms: ① chest pain in the nature of pressure, tightness, burning, cutting or heavy feeling; ② abdominal distension, abdominal pain without obvious causes; ③ pain radiating to the neck, jaw, shoulders, back, left arm or both upper arms; ④ "heartburn" feeling, like eating chili pepper, burning sensation in the pharynx, chest tightness accompanied by nausea or vomiting; ⑤ with persistent shortness of breath or dyspnea; ⑥ with weakness, vertigo, dizziness or loss of consciousness; ⑦ with sweating and other symptoms, it is highly suspicious that the patient has acute coronary arrears. Nausea or vomiting; ⑤ with persistent shortness of breath or dyspnea; ⑥ with weakness, dizziness, lightheadedness or loss of consciousness; ⑦ with profuse sweating, etc., then there is a high suspicion that the patient has acute coronary syndrome, and he or she should go to the emergency room of the hospital or the Chest Pain Center immediately, without delay.

After admission to the hospital, relevant examinations should be perfected, including: electrocardiogram, cardiac enzymes, plate exercise, coronary angiography and other related professional examinations, the identification of specific test items and results should listen to the doctor's advice and professional interpretation, and actively change the lifestyle and standardized drug therapy. Regarding the use of drugs, including ACEI/ARB, nitrates, aspirin, clopidogrel, beta blockers, calcium antagonists, etc., the specific choice of drugs should be to listen to the advice of physicians and pharmacists, do not blindly believe in the network of some pseudo-scientific propaganda, superstitious prescriptions, and ultimately delayed the optimal time for treatment, delayed condition.

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

Along with the improvement of living standards, people's awareness of health care is also increasing. Especially for coronary atherosclerotic heart disease (coronary heart disease), which is a common and serious threat to the life and quality of life of the population, people are more eager to determine whether it is occurring or not in a simple and accurate way, so as to avoid the serious consequences it brings.

In fact, the coronary arteries that give blood supply to the heart have a strong compensatory capacity, and the symptoms of chest pain (angina pectoris) will not be triggered in patients unless the major blood vessels undergo severe stenosis, spasm, or even dislodgement of thrombus or atherosclerotic plaques within the blood vessels. Otherwise, many patients will become victims of asymptomatic coronary heart disease (latent coronary heart disease), i.e., there is no problem in daily life, while abnormal manifestations will appear in the ECG (at rest or with a certain load), and with the development of the disease, angina pectoris, myocardial infarction, heart failure, arrhythmia and even sudden death will eventually occur. This is one of the causes of sudden cardiac death, which we often hear about, when people around us, without any previous discomfort, suddenly die.

So how do you determine if you have coronary heart disease by self-assessment? It depends on a number of factors:

1. Gender and age factors: Coronary heart disease occurs more often in middle-aged and elderly people, more men than women, especially pre-menopausal women, because of the strong protective effect of estrogen, the chances of suffering from coronary heart disease is very low.

2. Family history: If there is a clear history of coronary artery disease in the family, especially among parents and siblings, you should be alert and undergo coronary artery disease related examinations as early as possible.

3. Past medical history: Patients with hypertension, diabetes mellitus, hyperlipidemia, and cerebral infarction, even if asymptomatic, are recommended to undergo a comprehensive coronary artery disease-related examination after the age of 45 for men and 50 for women.

4. Symptoms: Patients who experience crushing pain behind the sternum (the bone in the middle of the chest) after activity or in the morning, ranging from the size of the palm of the hand, discharging to the teeth or the left shoulder, lasting for a minute or a few minutes, and relieved by resting or taking nitroglycerin, should seek medical attention as soon as possible.

6. Bad habits: stay up late, smoking, alcoholism, obesity, lack of physical activity, emotional friends, pay attention to cardiovascular related checks.

7. Physical examination abnormality: In the daily physical examination, if you find abnormal changes in electrocardiogram, blood glucose, blood lipids (or patients with fatty liver), blepharoplasty, etc., you should be alert to the high risk of cardiovascular disease.

In conclusion, coronary heart disease is a multifactorial disease, and since there is no cure at present, prevention is more important than treatment after the onset of the disease. Maintaining good living habits and regular medical checkups are crucial, and at the same time, detecting the disease and actively cooperating with the doctor's treatment to slow down the progression of the disease, improve the quality of life and reduce the risk of sudden death is the ultimate goal.

Special reminder: If certain treatments or medicines, claiming to be able to eliminate, remove or dissolve atherosclerotic plaque, cure coronary heart disease, it must be false propaganda, please friends to be vigilant, do not let the crooks succeed!

To diagnose any disease, evidence is gathered from several sources: history, physical examination, and laboratory tests.

The process of making a diagnosis is like convicting a criminal; if too little evidence is collected, the criminal can only be designated as a suspect; whereas the more evidence is available and the stronger the evidence is, the stronger the basis for conviction will be.

Medical History:

The main symptom is chest pain.The site is after the middle or upper part of the sternum, and may spread to the precordial area, the range is about the size of the palm of the hand, and the boundary is not clear. It is sometimes accompanied by radiating pain in the left shoulder, left arm, neck, throat, and jaw. The pain often occurs after activity or during emotional stress, and may be relieved by rest or nitroglycerin. (Strength of Evidence ★★★★)

Other medical history:The suspicion of coronary heart disease increases if the patient has a past history of high blood pressure, diabetes, or high blood cholesterol. A history of smoking, obesity, lack of exercise, and after age 40 for men and after menopause for women are also key suspects for coronary heart disease. (Strength of evidence ★★★)

Physical Examination:

Early coronary heart disease usually has no special signs. At the onset, there may be elevated blood pressure, increased heart rate, and cold sweat on the skin. Corresponding signs such as heart failure, valve closure insufficiency, and arrhythmias may occur in later stages, but none are specific. (Strength of evidence ★)

Ancillary checks:

1 Electrocardiogram

Corresponding ischemic changes on the electrocardiogram during an episode of chest pain. Strong evidence for the diagnosis of coronary artery disease. (Strength of evidence ★★★★)

The patient's ECG at rest is likely to be normal. However, if there is an old infarction or typical ST-T changes, this may also be used as evidence. (Strength of evidence ★★★★☆☆)

2 Electrocardiogram in special states

24-hour ambulatory electrocardiogramIt is more helpful for us to capture the ECG changes at the onset of the patient's illness, and the diagnostic confidence is more improved than that of normal ECG.

ECG loading test (exercise loading test).Specialized use of exercise to stimulate myocardial ischemia with simultaneous ECG recording may also improve the diagnosis of coronary artery disease.

3 Ultrasound of the heart:

Plain cardiac ultrasound can detect reduced ventricular wall activity in ischemic areas. However, it is difficult to detect early coronary artery disease. (Strength of evidence ★★★★★)

4 Coronary CT angiography:

It is possible to directly observe the coronary vessels for stenosis and blockage through CT imaging, but the accuracy is limited by the precision of the equipment, and the accuracy is not comparable to that of direct imaging for the time being. (Strength of evidence: ★★★★☆)

5 Coronary angiography:

Coronary angiography has been called the "gold standard" for the diagnosis of coronary heart disease. The strength of the evidence for this one test overrides all of the previous tests. (Strength of evidence: ★★★★★)

summarize

Coronary heart disease can also do radionuclide, magnetic resonance and other tests, because usually the general hospital application is relatively less, here will not say more.

If you want to diagnose coronary artery disease, follow the order I mentioned earlier and collect the evidence one item at a time.

The more evidence of a negative (normal test result), the less suspected coronary artery disease, the more evidence of a positive (abnormal test result), the more suspected coronary artery disease, and the greater the strength of the evidence for a positive result, the greater the likelihood of coronary artery disease.

● For the average person's physical examination, at least the most basic tests such as blood pressure, blood lipids, blood glucose, and electrocardiogram should be done.

● If you have symptoms of chest pain, you should also have a 24-hour ambulatory electrocardiogram, exercise stress test, and cardiac ultrasound.

● If there is a high suspicion of coronary artery disease, further coronary CT or imaging is required.

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Coronary heart disease is considered a common disease for middle-aged and elderly people, especially middle-aged and elderly men! So it's really quite necessary to know how to tell if you have coronary heart disease.

Coronary heart disease is the full name of coronary atherosclerotic heart disease, which refers to the atherosclerosis of the coronary arteries, thus causing heart disease.

The diagnosis of coronary heart disease is a comprehensive judgment, including medical history, physical examination, laboratory tests, etc. Now, let me talk about them one by one!

First, symptoms

The typical symptom of coronary heart disease is angina pectoris, a pain in the anterior region of the heart, behind the sternum, or a feeling of tightness that occurs after activity or emotional excitement. It can radiate to the left shoulder, the inside of the left arm up to the fingers, and sometimes to the neck and jaw. It is relieved by rest or nitroglycerin, usually in 3-5 minutes, and usually not more than 15 minutes. If it lasts more than 20 minutes, it often suggests a myocardial infarction. If symptoms of angina are present, the possibility of coronary heart disease should be considered, so please go to the hospital.

Second, electrocardiogram or electrocardiogram load test

The most common ECG in coronary artery disease is depression of the ST segment and inversion of the T wave. ST elevation occurs in myocardial infarction. The presence of these lesions is often indicative of ischemic lesions in coronary artery disease.

Sometimes, however, the visit is not during an angina attack, and the coronary ECG may be completely normal.

In some cases, the doctor will perform an ECG load test to check this, which means that the patient will run on a treadmill or take a medication to increase the load on the heart to see if it induces changes in the ECG.

Third, coronary CTA

The above symptoms and electrocardiogram are not directly look at the coronary arteries, for coronary heart disease is a direct method of examination is to directly assess the situation of the coronary arteries, in which the coronary artery CTA belongs to the non-invasive method of judgment, is through the blood vessels after the injection of contrast material for CT scanning, and then three-dimensional reconstruction of the way of judgment, the advantage is that the harm is very small, the disadvantage is that the false-positive rate (is not coronary heart disease diagnosed as) is relatively high. The disadvantage is that the false-positive rate (the chance that a person who does not have coronary artery disease will be diagnosed as having coronary artery disease) is high.

Fourth, coronary angiography

It is the most direct method of determining coronary artery disease, and is the gold standard for diagnosing coronary artery disease. A catheter is placed into the opening of the coronary artery by means of cannulation, and a contrast agent is played to directly determine the condition of the coronary artery, and once a serious lesion is detected, it can also be handled at the same time. The disadvantage is that it is somewhat invasive.

The above four aspects are several methods of diagnosis of coronary heart disease, of which the first and second are convenient and quick, and are routine tests, and the third and fourth, the doctor decides whether to use them or not according to the previous results.

Coronary heart disease, a common disease in cardiology, is categorized into five types, angina pectoris type, myocardial infarction type, sudden death type, arrhythmia type, and asymptomatic type. Among them, angina pectoris, sudden death and myocardial infarction have been well known because they are relatively common and appalling. But the other two, perhaps we have merely heard of them, so how can we tell if we have coronary heart disease, and how should we know?

I. Typical symptoms

Coronary heart disease, most of which can be manifested as pain in the anterior region of the heart, suffocation, pressure, tightness, etc., can also be manifested as tightness in the chest, shortness of breath, shoulder and back discomfort and other symptoms, but these symptoms need to be differentiated from digestive diseases, lung diseases, chest wall diseases, neuroses, etc., and then combined with other relevant tests, in order to confirm the diagnosis of coronary heart disease.

II. Electrocardiogram changes

ECG with changes is generally more meaningful, such as changes in T waves, changes in st segments, the appearance of Q waves, etc. ECG with changes can often suggest the possibility of coronary heart disease. However, an ECG without changes cannot completely exclude the possibility of coronary artery disease. Therefore, a combination of hematology and imaging tests is needed to confirm the diagnosis.

III. Hematological findings

Changes in cardiac enzyme profiles, myoglobin, troponin, etc., tend to be more meaningful, especially troponin's specificity is very high, that is, if troponin is elevated, most of them suggest that myocardial damage and myocardial infarction, eight or nine can't run away, but it is not absolute, and need to be combined with the diagnosis of imaging tests.

IV. Cardiac ultrasound

Cardiac ultrasound suggests coronary artery disease, and it is often the presence of abnormal ventricular wall motion, ventricular wall tumors, and other tests that suggest coronary artery disease, and in general, ultrasound seems to be more accurate than electrocardiograms. However, a combination of other tests is still needed to confirm the diagnosis.

V. Coronary artery-related examinations

Coronary artery examination, mainly coronary artery CTA, as well as coronary angiography, which can clearly show whether the coronary arteries are narrowed, whether the occlusion, etc., more intuitive, but also the diagnosis of coronary heart disease commonly used examination items. In general, if there is a coronary artery examination has a clear lesion, it suggests that the possibility of coronary heart disease is almost certain.

Coronary heart disease, need to synthesize a lot of factors, is not simply a matter of one test or two tests, we need to use the eyes of wisdom to carefully identify. In order to make a more accurate judgment.

How do I know I have coronary heart disease?

Generally, if you have not seen a coronary heart attack, or if you are not in contact with people who have coronary heart disease, you will not know that you have coronary heart disease. Only have seen a coronary heart attack, they have the same symptoms, will think of their own may also suffer from coronary heart disease, of course, need to go to the hospital to further confirm the diagnosis.

I am now coronary heart disease, I found 6 years ago, those days a burst can not break the alarm heart, I thought, probably have coronary heart disease. Because I know something about coronary heart disease, my uncle, mother are decades of coronary heart disease, the symptoms of the attack to see a lot. At that time, rural conditions are not, there is no hospitalization of a serious, and have not heard of the next heart stent ah, bypass surgery and so on, just take some of the blood circulation and blood stasis of drugs, such as salvia tablets, rutin tablets, dibazolol, nitroglycerin tablets, cardiac glycosides, and so on, and even then, occasionally also have an attack. I can't help forgetting to take my medication or getting an unexpected shock, anxiousness, anger, etc., so I may have an attack at some point. Nitroglycerin is often can not be cut off, when a seizure, hurry to take nitroglycerin tablets 2 to 3 tablets, put the mother's sublingual root, a moment will be slowed down. In reality, it is not a very serious seizure, 1 tablet of nitroglycerin is also useful, in order to be on the safe side, to give my mother every time is 2 to 3 tablets.

What is coronary heart disease?

Heart disease caused by atherosclerosis of the coronary arteries, which impairs the blood supply to the heart muscle, is known as coronary atherosclerotic heart disease, or coronary heart disease for short.

Symptoms & Hazards.

Due to insufficient blood supply to the coronary arteries cause a series of symptoms, the beginning of light, no obvious symptoms, although the gradual aggravation of the condition, there will be chest tightness, shortness of breath, shortness of breath, panic, palpitations, heart suffocation of panic, angina pectoris, in addition to angina pectoris can be radiated to the sternum, the left shoulder, the left upper limb, up to the pinky finger and ring finger. Most of them are oppressive, suffocating, or stuffy. If, early detection and treatment can reduce the condition. If it develops seriously it can cause myocardial infarction or death.

Because I have seen, so, I know a difficult to probably coronary heart disease, to the village doctor to see, and then to the county hospital to see, diagnostic examination, and indeed is coronary heart disease, from then on, the drug has not been broken, and did not go to the seriousness of the development. I deliberately tested, to stay two days without medicine to see how, the results do not work, to stay two days without medicine, it would like to hold in the heart, angina, then often eat it! It seems that it is not good to remove the medicine. Doctors have told us to avoid this and that! We're not happy about it! Anyway, this is the case, I like fishy love meat, no matter so much, the medicine also eat, want to eat what according to eat, so old, when to put out the fire when to loose it! But the medicine must be eaten, otherwise the moment will be difficult ah! Friends do not learn from me, want to be healthy or listen to the doctor, yes!

More and more people have heard of or have experienced "coronary heart disease", but many people are also some "angina pectoris" "myocardial infarction" or "myocardial infarction "and so on confused, clinically found that many patients or family members are not clear about the relationship between, directly leading to the misjudgment of the severity of coronary heart disease, resulting in irreversible consequences!

So what exactly is the connection between coronary heart disease and angina, myocardial infarction or myocardial infarction?

Coronary heart disease, also known as coronary atherosclerotic heart disease. It is in fact a collective term for angina pectoris, myocardial infarction or myocardial infarction, ischemic heart failure, asymptomatic myocardial ischemia, and sudden death coronary heart disease, which is caused primarily by inflammation and embolism leading to narrowing and occlusion of the coronary arteries!In mild cases, there may be nausea, vomiting, sweating, fever, cyanosis, and a drop in blood pressure, while in severe cases, it can lead to shock, heart failure, and even death! And heart attack is the more serious form of coronary heart disease!

While myocardial infarction is an old term from the past, as medicine continues to advance, it is more commonly referred to as myocardial infarction in clinical practice, so the two belong to the same category of disease to a certain extent!But angina and myocardial infarction is indeed the development of coronary heart disease to different degrees at different stages of performance, the patient performance atherosclerotic plaque is relatively stable, episodic chest pain, short duration, 3-5 minutes, through rest or sublingual nitroglycerin may be relieved, that may be angina; but if the patient appears unstable plaque, rupture, bleeding, the formation of thrombus, blocking the blood vessels, there is persistent chest pain However, if the patient has unstable plaque, rupture, bleeding, thrombus formation, blockage of blood vessels, persistent chest pain, accompanied by profuse sweating, low blood pressure, shock and other symptoms, acute myocardial infarction is very likely to occur, and then time is of the essence, and we must consult the doctor in time for thrombolytic therapy or cardiac stenting, or it may lead to the death of patients.Angina pectoris and myocardial infarction are also by far the most common coronary heart diseases encountered in normal life and are worth preventing and detecting!

So under what circumstances can we initially determine that we have this type of coronary heart disease and need to seek prompt medical attention?

It is important to make one thing clear: myocardial infarction is not the preserve of the elderly either, and more and more young people are losing their productive lives as a result! The youngest patient I ever treated was 21 years old! There is always nothing wrong with taking it seriously!

Prevention of myocardial infarction, in addition to its consequences that may lead to death, in fact, many times even if saved you will find that its quality of life is seriously reduced, clinically, some of the later lying tired, myocardial damage to the heart function of the cardiac function of the heart greatly reduced performance for the force of the heart, there is a kind of living feeling!As a matter of fact, myocardial infarction is not an unpreventable and unforeseeable disease. Clinical experience and some patients' experience tell me that many patients with coronary artery disease have more or less such symptoms in the early stage!

1. Patients with incipient chest painThe heart will feel a sense of stuffiness, the weather is not stuffy, it is a feeling of breathlessness, go up and do not take over, may also be accompanied by sweating, has lasted a few minutes are not relieved, at this timePeople who are not aware of heart attack usually don't pay attention to it, only a few will go to the hospital to check an EKG, if they don't pay attention to it or the static EKG when the symptoms are gone, they may not find anything, and a 24-hour ambulatory EKG may be a better choice!
   
2. The majority of patients with heart attacks are patients who have had episodes of chest pain before, only to be taken seriously when they recur, and only when they are worse and last longer than before; relative stability may not affect treatment, and instability may lead to serious consequences;
   
3. Unexplained stuffiness in the epigastric region, mistaken for other diseases, completely different from the previous abdominal pain, but simply thought that it was stomach pain, the number of unrelieved continued without myocardial infarction in this area of the investigation;
   
4. Chest tightness with excessive sweating, dizziness, impaired consciousness, or even fainting, do not think that it is just simple low blood sugar or low blood pressure, it is more important to be alert to the possibility of myocardial infarction.
   
   
   

The most important point:Chest pain is a typical symptom of coronary heart disease, self-testing methods are just a reminder to seek medical attention in time, but really to diagnose, must go to the hospital to do electrocardiogram, heart ultrasound, cardiac enzyme profiles and other specialized tests, do not blindly confident!