Coronary heart disease (CHD) is a serious disease that harms human health, and it is very common in developed countries. In the United States, about 500,000 people die of this disease every year, accounting for 33%-50% of the annual population deaths and 50%-75% of the heart disease deaths. In China, the incidence rate is also increasing year by year. This disease mostly occurs after the age of 40, with more men than women and more mental workers.
The occurrence of coronary heart disease is often familial, which may be related to genetic defects in the family. In addition, hyperlipidemia, hypertension and diabetes may lead to arteriosclerosis and coronary artery stenosis, which may lead to coronary heart disease. Therefore, we must actively treat these diseases to avoid inducing more serious diseases.
Coronary heart disease, mild, clinically asymptomatic, only found in physical examination ECG. The most common coronary heart disease is angina pectoris. The clinical manifestation is paroxysmal chest pain in precordial region, which can radiate to left shoulder or back, or burning sensation behind sternum. There are also some patients who often show pain and discomfort under the sword (heart socket) and are misdiagnosed as stomach diseases. Generally nitroglycerin can be relieved in a few minutes under the tongue. It happens every few days or weeks, or it may happen many times a day.
Typical symptoms of angina pectoris: tightness, tightness, burning sensation and pain in the precordial area, burning sensation, dull pain and pressure behind the sternum. Sublingual administration of nitroglycerin to the left shoulder, back, left arm, left arm ring finger and small index minutes can relieve the typical symptoms of myocardial infarction such as severe pain, fear of death and fever in precordial area or behind sternum. Arrhythmia at 38-39℃, dizziness, syncope shock, dysphoria, pale face, cold hands and feet, gastrointestinal reactions: nausea, vomiting, hiccups, heart failure, dyspnea, cough and cyanosis. If the coronary artery is severely narrowed or blocked and the myocardium is severely and permanently ischemic, myocardial infarction will occur. Clinically, there may be severe pain in the precordial area or behind the sternum, accompanied by pallor, cold sweat and cold hands and feet; Shortness of breath, palpitation, fainting, fever, nausea, vomiting and burping.
Atherosclerosis is the main predisposing factor of coronary heart disease, and the formation of atherosclerosis is related to diet, age, genetic factors, occupation, obesity, elevated blood lipid and blood pressure.
Eating more animal fat directly leads to the increase of blood lipids, and further deposition of blood lipids on the arterial wall will form atherosclerosis. If this kind of atherosclerosis occurs in the coronary artery, it will cause coronary artery stenosis and cause coronary heart disease.
People who eat more salt like to eat more salt. The main component of salt is sodium chloride. Sodium ion can cause water retention, increase blood volume and blood pressure, which will undoubtedly aggravate arteriosclerosis and easily cause coronary heart disease.
Eating sweets frequently can easily induce diabetes (see "Diabetes" for details), while diabetics can easily cause arteriosclerosis and coronary heart disease.
Overeating is often the cause of angina pectoris and myocardial infarction in coronary heart disease. Eating too much, the diaphragm lifts, which increases the pressure on the heart and increases the burden on the heart, thus inducing angina pectoris or myocardial infarction.
The inducing factors of angina pectoris and myocardial infarction are fatigue, emotional excitement, smoking, satiety, cold and rainy days and so on. Atherosclerosis began to appear over 40 years old, and the progress accelerated over 49 years old. Therefore, over 40 years old, especially after 49 years old, becomes the high incidence period of coronary heart disease.
Obesity, overweight and obesity are prone to this disease. This is especially true for people who gain weight rapidly. This is mainly because weight gain increases the blood supply to the whole body and increases the burden on the heart. Relatively speaking, the demand for blood and oxygen in myocardium is greatly increased, while most obese patients have high blood lipids, narrow coronary arteries and insufficient blood supply to the heart, so there is a contradiction between supply and demand, so they are prone to coronary heart disease.
Occupation is engaged in jobs with too little physical activity and nervous mental activity, and often has a sense of urgency, so it is easier to suffer from coronary heart disease.
Type a person, impatient and enterprising; People who concentrate on their work and don't arrange rest are prone to coronary heart disease.
Under the premise of coronary atherosclerosis and stenosis, fatigue will inevitably increase the burden on the heart, increase the blood consumption and oxygen consumption of myocardium, and lead to angina pectoris and myocardial infarction.
Emotional excitement during coronary artery stenosis, coupled with emotional excitement (great anger, great joy, great sadness), can accelerate heart rate, increase blood pressure, increase heart load, and induce angina pectoris and myocardial infarction.
According to the statistics of smokers, compared with non-smokers, the incidence and mortality of this disease increased by 2-6 times. Mainly because smoking can induce coronary artery spasm, sudden drop of blood flow and angina pectoris.
Cold and rainy days, vasospasm, hypertension, coronary artery spasm and myocardial ischemia are easy to induce angina pectoris and myocardial infarction. The rainy weather is depressed, the heart burden is heavy, and angina pectoris and myocardial infarction are also prone to occur.
Causes of coronary heart disease: People like to eat animal fat, like sweets and eat too much salt. Over 40 years old, genetic factors, impatience, strong initiative, too little mental work. Obesity suffers from hyperlipidemia, hypertension and diabetes. It is beneficial to prevent obesity, exercise heart function and regulate blood lipid metabolism, thus achieving the purpose of preventing diseases. However, physical activity should be determined according to one's own physical strength and heart condition, with the principle of not increasing the burden on the heart too much and not causing discomfort. Not suitable for strenuous activities, it is recommended that the elderly take a walk (every day 1 hour), do sports and play Tai Ji Chuan.
Reasonable arrangements for work and life should be regular, maintain an optimistic and happy mood, avoid overwork and emotional excitement, pay attention to the combination of work and rest, and ensure adequate sleep. It plays an important role in preventing coronary heart disease or angina pectoris and myocardial infarction.
Advocating not smoking and drinking can prevent angina pectoris and myocardial infarction. However, drinking a small amount of low-alcohol can increase high-density lipoprotein and help prevent coronary heart disease.
Actively treat related diseases, such as hypertension or hyperlipidemia, obesity, diabetes, etc. To prevent the aggravation of coronary heart disease or caused by these diseases (see each section for details).
Avoid sudden colds, go outdoors as little as possible in winter, and don't be under an air conditioning fan in summer to avoid angina pectoris.
The lifestyle and diet of coronary heart disease should be adjusted appropriately, physical labor and exercise should be arranged reasonably, working life should be promoted, non-smoking should be actively treated, sudden colds should be avoided, low-fat diet should be restricted, high-sugar food should be restricted, salt content should be restricted, and low-fat diet should be paid attention to. Even if you are over 40 years old, even if your blood lipids are normal, you should abide by this principle. Foods containing too much cholesterol and animal fat, such as fat, animal offal, egg yolk, cream, oysters, crab roe and squid, should be low in cholesterol.
Restricting foods with high sugar content and foods with high sugar content in salt, such as potatoes, desserts and sweets, is helpful to obesity or induce diabetes, which is the chief culprit of coronary heart disease. Eating too much salt can easily cause high blood pressure and aggravate coronary heart disease.
Advocate a light diet, eat more vegetarian food, and eat more foods rich in vitamin C (fresh vegetables, melons and fruits) and plant protein (such as beans and their products). If possible, try to use vegetable oils such as soybean oil, rapeseed oil, sesame oil and corn oil as cooking oil.
You should know that vitamin C can stimulate the decomposition of triglycerides in fat metabolism; In cholesterol metabolism, it can stimulate the conversion of cholesterol into cholic acid. In addition, it can keep the arterial wall intact. Therefore, vitamin C supplementation is completely beneficial to the prevention and treatment of coronary heart disease. Patients should take at least 3 grams of vitamin C every day.
Vitamin E Vitamin E can protect tissues and cells from lipid peroxidation, and vitamin E is also involved in the growth and repair of intima of arterial wall. Some researchers have found that the higher the vitamin E content in a group of middle-aged men, the higher the incidence of coronary heart disease. The lower the mortality rate. Therefore, it is recommended that patients with coronary heart disease take vitamin E300 mg daily.
Nicotinic acid Nicotinic acid can lower cholesterol. Therefore, when dietary improvement is ineffective, it is often considered. But nicotinic acid also has some side effects, such as redness and itching of the skin. You can usually eat 300 mg a day.
Vitamin B6 Vitamin B6 can reduce the content of cysteine, which is helpful to prevent heart attacks caused by arterial embolism and regulate blood lipids. Take B640 of vitamin B every day.
Folic acid Folic acid can convert bad cysteine into methionine, which will reduce the damage to blood vessels. It is advisable to consume folic acid no more than 5 mg per day.
Pantothenic acid belongs to B vitamins, and its activated form can reduce elevated cholesterol and triglycerides. In order to maintain normal blood lipids, you can take 900 mg/day.
Mineral calcium can reduce blood lipid and prevent atherosclerosis. In western-style diet, calcium content is often insufficient, so people with western-style eating habits have a high incidence of coronary heart disease. Patients with coronary heart disease should be supplemented with 500 mg of calcium citrate every day.
The content of chromium in chromium dietary towel is usually on the edge of critical deficiency, but the lack of chromium will increase the risk of atherosclerosis. Chromium supplementation is beneficial to prevent arteriosclerosis and maintain normal blood lipids.
Magnesium is another mineral that is easily lacking in the diet. Many heart diseases are related to magnesium deficiency. Magnesium can prevent arteriosclerosis, reduce arrhythmia and angina caused by coronary artery spasm, and reduce death caused by heart disease. You should take 400 mg of magnesium every day.
Selenium, like calcium, chromium and magnesium, is often insufficient in diet. When the selenium content in the body is low, it will increase the risk of heart attack. Supplementing 200 micrograms of selenium every day can reduce this risk.
Other carotene carotene is rich in carrots, cantaloupes, pumpkins, sweet potatoes and spinach, which can effectively prevent and slow down atherosclerosis. In addition, carotene can be converted into vitamin A needed by human body and is an effective antioxidant.
Antioxidant bioflavonoids provide color for citrus fruits and vegetables. Some bioflavonoids are powerful antioxidants, which can keep the cholesterol in the blood from being oxidized, and can also prevent the blood from being too thick and difficult to agglomerate. When used with vitamin C, it can improve the strength of blood vessels and microvessels. Therefore, it is a good nutrient for preventing and treating coronary heart disease.
Nutrition menu daily supplement 3 grams of vitamin C daily supplement 300 milligrams of vitamin E daily supplement 300 milligrams of nicotinic acid (vitamin B3) daily supplement B640 milligrams of vitamin B daily supplement 5 milligrams of folic acid daily supplement 900 milligrams of acid daily pay attention to the intake of essential minerals daily supplement a certain amount of carotene daily supplement a certain amount of antioxidants daily supplement a certain amount of essential fatty acids linoleic acid and linolenic acid daily supplement a certain amount of unsaturated fatty acids that cannot be made by human body but must be obtained from food, rich in soybeans, various stones, seeds and green leafy vegetables. Linoleic acid is an ω-6 fatty acid, especially in safflower oil, corn oil, cottonseed oil and soybean oil. Linolenic acid is high in soybean oil, linseed oil, cottonseed oil and corn oil. They are precursors of prostaglandins, which can reduce elevated cholesterol, slow down arterial embolism and reduce the risk of atherosclerosis. Therefore, it is very necessary to eat a certain amount of food rich in these substances every day.
Nutritional medicated diet for coronary heart disease is only suitable for normal recuperation and prevention of attack, not for angina pectoris attack and myocardial infarction. Usually, a medicated diet of invigorating qi and promoting blood circulation is often used to reduce the attack of angina pectoris.
Salvia miltiorrhiza, a herb, can promote blood circulation, nourish blood and soothe the nerves. Contains tanshinone, danshensu and vitamin E, which can dilate coronary artery, increase coronary flow, improve myocardial ischemia, infarction and cardiac function, regulate heart rhythm, dilate peripheral blood vessels, improve microcirculation and reduce blood lipid. Therefore, Salvia miltiorrhiza is a commonly used drug for clinical treatment and prevention of coronary heart disease, angina pectoris and hyperlipidemia. Many drugs used to treat coronary heart disease in modern clinic are made from salvia miltiorrhiza.
Safflower Safflower can promote blood circulation, remove blood stasis and relieve pain. Contains safflower yellow pigment, safflower oil, arachidic acid, linoleic acid and other ingredients. Pharmacological studies have confirmed that safflower water extract can slightly excite the heart and increase coronary flow, which can be used to treat and prevent coronary heart disease and angina pectoris. Now safflower injection has been used in clinic.
Trichosanthes kirilowii can broaden the chest, benefit qi and resolve phlegm, and it is a traditional medicine for blindly treating chest obstruction (chest pain). Modern medicine is used to treat coronary heart disease, and different drugs can be combined according to different conditions. Animal experiments have proved that Trichosanthes kirilowii can significantly increase the coronary flow of isolated animal hearts, which provides an objective basis for Trichosanthes kirilowii to treat coronary heart disease.
Bulbus Allii Macrostemon has the effects of warming and activating yang, promoting qi circulation and guiding stagnation, and is a commonly used medicine for treating thoracic obstruction. Contains alliin, garlic sugar and other ingredients. Modern pharmacological studies have confirmed that Allium macrostemon can reduce arterial lipid plaque, blood lipid and serum lipid peroxide, and inhibit the proliferation of arterial smooth muscle cells.
Egg yolk has the effect of nourishing the heart and calming the nerves, and can be used to treat weak heartbeat, shortness of breath, palpitation, etc.
Sophora flavescens contains matrine, Sophora flavescens flavonoids and other substances. Has the effects of resisting arrhythmia, increasing coronary flow, protecting myocardial ischemia and reducing blood lipid. Can be used for treating heart diseases, such as tachycardia and frequent premature beats.
American ginseng American ginseng is a commonly used Chinese medicine for invigorating qi, which has the effects of invigorating qi, nourishing yin, clearing fire, promoting fluid production and quenching thirst. It is also called American ginseng because it is mainly produced in the United States and Canada. Contains 12 saponins, volatile oil, starch, amino acids and other ingredients. Modern pharmacological studies have proved that Panax quinquefolium can obviously inhibit myocardial ischemia, inhibit the development of hypercoagulable state after myocardial infarction, increase myocardial blood flow, reduce coronary artery resistance and reduce myocardial oxygen consumption. It also has certain antiarrhythmic effect. There are ready-made western-style tableware on the market now. Taking 2-3 tablets a day and soaking in water can play a certain health care role.
Sanqi, also known as Shensanqi. Has the effects of removing blood stasis, stopping bleeding, reducing swelling and relieving pain. In recent years, it is also one of the commonly used drugs to treat coronary heart disease. Modern pharmacological research of panax notoginseng contains panax notoginseng saponins a and b, which have cardiotonic effect. Panax notoginseng can dilate coronary artery, increase coronary flow, lower blood pressure and cholesterol.
30g of Danshen wine and 30g of Salvia miltiorrhiza each, about seven days later, about 10g each time, 2-3 times a day, before meals. Can be used for treating and preventing coronary heart disease.
30 grams of safflower wine and 500 grams of Chinese liquor are soaked in it for seven days. Take it once10g, 2-3 times a day.
Egg butter Cook the egg, take out the yolk, crush it, fry it in an exothermic pot, scoop it out with a spoon and put it in a container. Take one teaspoon at a time for one week. Can be used for treating palpitation, shortness of breath, and weak heartbeat.
30g of Fructus Trichosanthis and Bulbus Allii Macrostemon white liquor soup, 5g of Bulbus Allii Macrostemon 1 5g, and 0/5ml of white liquor/kloc-0, decocted in water, daily1dose. Can be used for treating coronary heart disease and frequent angina pectoris.
Sheep heart safflower soup 1 sheep heart, 6 grams of safflower. Soak safflower in 1 glass of water, add a little salt, and slowly sprinkle it on the heart of sheep to cook. Can be used for preventing and treating coronary heart disease.
3 grams of chrysanthemum tea, raw hawthorn slices 15g, and 65438g of cassia seed, soaked in boiling water, stewed for 30 minutes, and then drank tea frequently. It can reduce blood lipid and blood pressure and prevent angina pectoris.
Mulberry sesame, Polygonum multiflorum Thunb, Mulberry 300g, Black Sesame 300g, Polygonum multiflorum Thunb 300g. * * * Grind into powder and bottle, 9g each time, 3 times a day, and mix well with honey. After taking it for two months, the blood lipid reduction rate was 86%. Can be used for treating arteriosclerosis.
Salvia Miltiorrhiza porridge 30g Salvia Miltiorrhiza, 5 red dates and 50g japonica rice. Decoct Saviae Miltiorrhizae radix with water to remove residue and leave juice, add red dates and japonica rice to cook porridge, and add appropriate amount of rock sugar to serve. Has that effect of promoting blood circulation and remove blood stasis, and is mainly used for treating hypertension, arteriosclerosis and coronary heart disease.
American ginseng stew pork heart American ginseng 5g, pork heart one (about 250g), notoginseng 1 g. Put Panax quinquefolium and Panax Notoginseng into pig's heart, tie it tightly with cotton thread, put it into a cup, cover it and stew it in water, take out the cup after 45 minutes, open it when the cup is cool to warm, drink soup before going to bed at night, and eat proper amount of pig's heart and ginseng residue after getting up the next morning. Once every three days. Three months later, it was changed to American ginseng 10g and notoginseng 2g, once every seven days. Long-term use is beneficial to the control of coronary heart disease.
Inducing factors of myocardial infarction: fatigue, emotional excitement, smoking, satiety, cold and rainy days.