The treatment of hypertension and coronary heart d

Question
The treatment of hypertension and coronary heart disease, we should pay attention, quot;four-early principlequot;
Answer
In fact, as a result of long-term blood pressure, blood vessel wall effectively the impact of blood vessels to increase the mechanical load, susceptible to damage artery walls, making it the normal physiological function disorders, and as a result of changes in arterial side pressure, lipids easily penetrated and deposition of the formation of plaque in the vessel wall. Or as a result of increased vessel wall tension, excessive intima done, the breakdown of elastic fibers, resulting in intimal injury, if thrombosis, intimal fibrosis, so that for the formation of atherosclerosis foundation. In addition, also as a result of vascular spasm and contraction of blood vessels caused by malnutrition, may also trigger the formation of coronary atherosclerosis, since it is easy to madeExhibition for coronary heart disease. According to a number of data indicate that approximately 90% of hypertensive patients can be complicated by atherosclerosis (including coronary atherosclerosis), hypertension, atherosclerosis patients the incidence of hypertension than those who did not want to over 3 times higher. Information at home and abroad have proved that patients with coronary artery disease about 50% to 70% suffering from high blood pressure, hypertension and coronary heart disease patients have high blood pressure than those who did not more than 2 to 4 times, and longer duration of hypertension, coronary heart disease higher incidence. Can be seen between coronary heart disease and hypertension is a very close relationship, it is no wonder they are called quot;sister diseasequot; miles! In order to prevent longPeriod of high blood pressure lead to the occurrence of coronary heart disease and development, we should be quot;four-early principlequot;, early prevention, early detection, early diagnosis and early treatment. Early prevention and control of blood pressure in the doctor choose the right, under the guidance of antihypertensive agents, long-term control of blood pressure 140/90 mm Hg in the following, preferably maintained at about 130/80 mm Hg. Blood pressure levels remained stable, which is the prevention of coronary heart disease the most important aspect. In this way, to prevent intimal injury. Should be eating a reasonable diet usually light, with unsaturated fatty acid deprivation more animal fats, such as whole milk, fatty meat, beef, butter, lard, as well asCholesterol-rich foods, such as heart, brain, liver, kidney and other animal organs, bone marrow, cuttlefish, roe, squid, clam, snail, oysters, quail eggs and no fish scales, such as fish, eels, eels and so on. Eat more protein-rich foods such as lean meat, chicken, duck, turtle, fish, herring, carp, salmon, jellyfish, sea cucumber, protein, mushrooms, black fungus, milk, soy products, skimmed milk powder. Eat more vitamin C and potassium-rich vegetables and fruits, such as potatoes, fresh peas, celery, tomato, carrot, orange, orange, lemon, pineapple, bananas, kelp, seaweed, mushroom type, such as sunflower son. Do not eat food containingEdible oils and fatty acids (vegetable oils), such as sesame oil, vegetable oil, soybean oil or corn oil. Do not eat coconut oil. Eat less sugar, fructose and sugary sweets, cold drinks and so on. Sodium eating more foods such as salted fish, bacon, pickled vegetables, pickles and so on. Daily cholesterol intake not exceed 300 mg daily protein intake of total calories 10% to 20%. Avoid overeating. Scientific and reasonable diet, can prevent abnormal blood lipids, do not lead to lipid deposition in the vessel wall, leading to atherosclerosis. Quit smoking or not smoking because of tobacco containing nicotine and inhalation of blood, quot;catecholaminequot; increased secretion of this material will heartJump up, peripheral vascular contraction, vascular intimal injury, hypertension, coronary artery spasm, leading to increased myocardial oxygen consumption, induced angina. There are a lot of smoking on the harmful effects of coronary artery, therefore, high blood pressure patients should not be smoking, smokers should quit smoking. Should be the law of daily life, should not stay up all night to avoid the night life often to ensure adequate sleep at night and good sleep quality, and ensure the daily half-hour afternoon nap, usually will not鎼撻夯at night to see涓寸潯鍓峫ess tense thriller or television drama . Early morning, adoption of a healthy lifestyle, cutting thick tea and coffee. Psychological balance to avoid too much tension and the situationEmotional thread to maintain a pleasant mood, emotional stability, to avoid adverse stimulate and strengthen the capacity of self-control, not ecstasy, fury, sorrow too, the music, to maintain psychological balance, to prevent high blood pressure and lead to coronary artery spasm. Exercise proper exercise to enhance myocardial function and improve myocardial metabolism, and promote the establishment of collateral circulation, but also effective in improving lipid metabolism and speed up the functioning of lipid, decomposition and excretion. In addition, exercise can improve the body#39;s glucose metabolism, coagulation, and platelet function and reduce blood viscosity, which will contribute to the prevention of atherosclerosis and development of the occurrence. Prevention and treatment of coronary heart disease has importantSignificance. Generally based on cardiac function and physical strength of the situation, to engage in appropriate physical activity and physical activity, such as walking, playing Taijiquan, do淇濆仴鎿? practicing qigong, such as the most suitable to avoid excessive physical activity and sports are too intense or competitive sports. Periodic review to the hospital regularly to review blood pressure, blood lipids, blood viscosity, ECG and so on, if it is found that abnormal early to hospital for treatment. Early detection of long-term high blood pressure patients, such as chest tightness, frequent symptoms, mostly in the middle of the night attack, or awakened from a nightmare, and sometimes painful chest tightness, a high degree of vigilance to early coronary heart disease may also have in mind beforeOr sternum like after squeezing or burning kind of feeling, and radiation to left shoulder, back, inside left forearm, and even radiation to the ring finger or little finger, but also extend to the maxillary or pharynx, attack duration of 3 to 5 minutes , there is generally no more than 15 minutes, including nitroglycerin or Shexiangbaoxin remission after pill. At this time, should be on high alert due to coronary artery spasm may be caused by angina pectoris. Especially in fast running, cold wind blowing the opposite direction, eat too much, smoking, excessive fatigue, emotional excitement induced, we should suspect that this may be, must not let any one suspicious point in time to the hospital for further examination, as soon as possible in order to clearDiagnosis. Early diagnosis as a result of the above symptoms should go to the hospital under the guidance of a doctor to carry out the following checks in order to early diagnosis: chest X-ray to find out whether or not widened aorta, aortic arch, whether or not prominent, tortuous, whether or not an extension of descending aorta At the same time, to observe whether the phenomenon of left ventricular enlargement will help early diagnosis. ECG of the conventional 12-lead ECG, myocardial ischemia can reflect the situation in different parts of the ECG from the graphics performance, which can be estimated indirectly, have a coronary artery disease, which is more silent myocardial ischemia diagnostic significance. Treadmill exercise testA post-mortem examination if the resting ECG electrocardiogram normal, but patients often have chest tightness or chest pain, can be used for treadmill exercise test. Because some patients with coronary artery disease does not appear in the resting myocardial ischemia in the performance of movement, as a result of increased myocardial oxygen consumption, coronary blood supply of more than ability, it appears the performance of myocardial ischemia, which will contribute to the diagnosis. Dynamic 24-hour continuous ECG recorded in electrocardiogram under different body to detect the availability of myocardial ischemia, such examination of the detection rate of coronary heart disease up to 70% ~ 90%. Echocardiography shows the activities of regional wall abnormalities,The activities of left ventricular posterior wall stiffness, widened aortic root, ventricular wall in the systolic and diastolic lower rate and so on. Selective coronary angiography coronary artery disease can be observed the location, extent and degree of stenosis is the most reliable diagnostic method. There are symptoms of chest tightness or angina, and these examinations are normal, in order to consider the purposes of this inspection. Once the early treatment of patients diagnosed with hypertension associated with coronary heart disease, active treatment should be as soon as possible to prevent the further development of coronary heart disease. First of all, should be under the guidance of a doctor can choose a reasonable step-down as well as angina or myocardial ischemia to improve the antihypertensive drugs (specificContents refer to the quot;family medicinequot; in 2003 10, p. 6). For a smooth blood pressure, blood pressure remained at about 120/80 mm Hg to prevent further injury intima. Secondly, the choice of drug treatment of coronary artery disease. Under different circumstances, under the guidance of a doctor a reasonable choice of the following drug treatment. The use of acute angina pectoris nitroglycerin (resistant twist-ling), or isosorbide dinitrate (isosorbide dinitrate), such as sublingual, aerosol inhalation Isoket. Proprietary Chinese medicines, such as the heart-protecting musk pills, Jiuxin pill, Compound Danshen Dripping Pills sublingual. To improve the prevention of angina pectoris or chest symptomsShould be taken as soon as possible long-term Elantan, Monory U.S. and Elantan,椴佸崡娆ｅ悍new Ya-dan extinction, Deming, Barenboim more reactive power re-Jia Chen, isosorbide dinitrate (isosorbide dinitrate) and so on. Proprietary Chinese medicine, can be long-term use Danshen Tablets, Compound Danshen Tablets, Erigeron films, Di#39;aoxinxuekang capsules, tablets Xinkeshu coronary Tablets, capsules Nuodikang, Tongxinluo Capsule, Granule Lemai, Xuefu Zhuyu Oral Liquid and Ginkgo biloba (Bai-Lu Da, Styron, brain-yan, Taponin) and so on. Associated with increased blood cholesterol can choose Tiaozhi statin drugs, such as lovastatin (U.S. drop of), simvastatin (Zocor), pravastatin (pravastatin), Fluvastatin (Lescol) and atorvastatin (Lipitor) or proprietary Chinese medicines such as Xuezhikang Tarivid, long-term use of these drugs may improve vascular endothelial function, plaque stability, prevent Atherosclerosis further progress to reduce the occurrence of cardiovascular accidents, and reduce the mortality rate of coronary heart disease. These drugs should be reasonable under the guidance of doctors selected. (Editor: Wang Hai-e)