Modern medicine cholesterol coronary heart disease is due to lipid deposition in the coronary artery wall intima, the endothelial cells, smooth muscle cells, connective tissue proliferation and platelet aggregation and atherosclerotic plaque formation, causing stenosis or occlusion, or by coronary artery intimal smooth muscle contraction caused by the strong coronary artery spasm, leading to myocardial ischemic changes. Blood cholesterol, high blood pressure and smoking are occurring major risk factor for this disease.
The main basis for the diagnosis of coronary heart disease with acute or chronic myocardial ischemia reflect a variety of clinical symptoms or laboratory findings, and the pathogenesis of atherosclerosis and related to age, hypertension, elevated blood lipids and other factors as a secondary basis. ECG clinical examination remains the primary method of myocardial ischemia, angina patients may have ECG S-T segment depression, myocardial infarction patients may have dynamic ECG S-T segment and T wave changes and pathological features of Q wave . When necessary, can be used for ECG stress test, such as the double secondary staircase test, test and pedal pedal test. There are other tests coronary heart vectorcardiogram methods, echocardiography, cardiac function graph, dynamic electrocardiogram. Because coronary angiography is invasive examination, and with some risk, although it is a valuable diagnostic tool, it is not yet as a general method for early diagnosis of coronary heart disease and widely used.
Coronary heart disease treatment principle is to try to improve coronary circulation and neuropsychological status. Vasodilator antianginal with active treatment of various diseases can aggravate angina, patients from the spirit of life and all aspects of work and diet guidance and care.
Coronary heart disease in Chinese medicine are mostly "Chest", "really sad", "Jue heartache" and other areas. Description of the symptoms as early as the fifth century BC "via" in there records, Wei Zhiwei "heart disease", "really sick." Mainly by Qi stagnation, blood stasis is not General Erzhi pain. The invasion of six exogenous pathogenic cold, so cold coagulation vein wall, Juji closing argument; food accidentally, cream beam Atsumi, metamict phlegm, phlegm violations, occupied the area Qing Kuang; or phlegm burning network, fire is on yan ; yin and yang of body fluid or blood deficiency, blood deficiency, resulting in slow, can lead into stasis disease. Impassioned internal injuries, qi stagnation, blood stasis in the chest, will also cause chest pain Chest.
Friday, November 19, 2010
The Features of Coronary heart disease (ischemic heart disease)
Coronary heart disease is called "coronary heart disease", also known as "ischemic heart disease." Cardiac blood supply mainly responsible for the occurrence of atherosclerotic coronary artery, causing stenosis, or blockage of blood supply to the heart, rather then completely cut off, leading to nutritional deficiency is caused by myocardial necrosis, resulting in a severe clinical symptoms. Stenosis caused by other reasons, such as coronary artery spasm, also can produce similar clinical manifestations and therefore its total known ischemic heart disease.
The main clinical manifestations of coronary heart disease are angina pectoris, myocardial infarction, arrhythmia, heart failure. Typical angina pain showed the central part of the chest or 1 / 3 can be left shoulder, left arm radiation; its atypical cases may be pain in the lower sternum, upper abdomen, left chest, etc.. The nature of pain to pressure, heaviness, Jinshu feeling, burning sensation based, and the chief complaint of chest tightness were more non-rare. Most of the time pain in the attack last 2-3 minutes, usually less than half an hour. Often a result of strenuous exercise, stairs, weight or emotional excitement, joy, anger, excessive and cold, after eating, and so induced. Frequently there is a sudden heart attack, severe, frequent, prolonged duration of angina than the original, the original can not make it ease the commonly used drugs, pain accompanied by sweating, pale purple, heart rate bradycardia or arrhythmia, cardiac insufficiency and so on.
The main clinical manifestations of coronary heart disease are angina pectoris, myocardial infarction, arrhythmia, heart failure. Typical angina pain showed the central part of the chest or 1 / 3 can be left shoulder, left arm radiation; its atypical cases may be pain in the lower sternum, upper abdomen, left chest, etc.. The nature of pain to pressure, heaviness, Jinshu feeling, burning sensation based, and the chief complaint of chest tightness were more non-rare. Most of the time pain in the attack last 2-3 minutes, usually less than half an hour. Often a result of strenuous exercise, stairs, weight or emotional excitement, joy, anger, excessive and cold, after eating, and so induced. Frequently there is a sudden heart attack, severe, frequent, prolonged duration of angina than the original, the original can not make it ease the commonly used drugs, pain accompanied by sweating, pale purple, heart rate bradycardia or arrhythmia, cardiac insufficiency and so on.
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