How severe is coronary artery atherosclerosis?

Nov 10, 2024 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

Under normal circumstances, coronary atherosclerosis is relatively severe. It may lead to coronary artery stenosis, thereby causing symptoms of myocardial ischemia and hypoxia, and may be accompanied by chest tightness, chest pain, angina pectoris, shortness of breath, and other symptoms. In severe cases, it may also trigger cerebral thrombosis, resulting in impaired limb movement and speech difficulties.

Generally speaking, coronary atherosclerosis is a relatively serious condition. The detailed analysis is as follows:

Coronary atherosclerosis usually refers to coronary artery disease caused by atherosclerosis. This condition is primarily caused by diseases such as hypertension, hyperlipidemia, and diabetes. Under the combined effects of these factors, lipid deposition on blood vessel walls and the risk of inflammatory reactions may increase, thereby accelerating the progression of atherosclerosis.

In addition, coronary artery disease may lead to narrowing of the coronary arteries, causing symptoms of myocardial ischemia and hypoxia, and may be accompanied by chest tightness, chest pain, angina, and shortness of breath. Severe cases may even trigger cerebral thrombosis, resulting in impaired limb movement and speech difficulties. Therefore, it is considered a relatively severe condition.

Patients should usually reduce the intake of high-fat, high-cholesterol, and high-sugar foods, and increase consumption of vegetables, fruits, and whole grains. Engaging in moderate physical activity is also recommended—at least 150 minutes per week of moderate-intensity aerobic exercise, such as brisk walking, jogging, or swimming, which can help control weight, lower blood pressure, and improve cardiovascular function.

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What should I do if I experience frequent premature heartbeats?

In general, cardiac premature beats refer to premature contractions. Frequent premature contractions may be caused by factors such as emotional fluctuations, excessive fatigue, hyperthyroidism, coronary artery atherosclerotic heart disease, and pulmonary arterial hypertension. Treatment options include general management and medication, under a doctor's guidance. If symptoms occur, prompt medical attention is recommended.

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What is Takotsubo cardiomyopathy?

Takotsubo cardiomyopathy refers to stress-induced cardiomyopathy, a transient left ventricular dysfunction that occurs following intense emotional or physical stress. It resembles acute myocardial infarction, but without obstructive coronary artery disease. Initial treatment primarily includes beta-blockers and ACE inhibitors, with diuretics added if necessary. Positive inotropic agents are contraindicated due to the potential to worsen outflow tract obstruction.

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What to do about myocardial ischemia

In general, myocardial ischemia may be caused by factors such as aging, unhealthy lifestyle habits, coronary atherosclerosis, coronary artery spasm, and hypertensive heart disease. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general management, medication, and other treatments. Daily efforts should focus on maintaining emotional stability and avoiding excessive tension or anxiety.

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What medication should be taken for angina?

In general, the main causes of angina pectoris include excessive physical exertion, emotional stress, coronary atherosclerosis, coronary artery spasm, and hypertensive heart disease. Patients should follow medical advice and select appropriate medications such as nitroglycerin tablets, enteric-coated aspirin tablets, or nifedipine controlled-release tablets according to their specific conditions. In daily life, it is important to avoid excessive fatigue and emotional excitement.