What is the best treatment method for coronary heart disease?

Apr 11, 2022 Source: Cainiu Health

Dr. Li Man

Introduction

The treatment of coronary artery disease (CAD) is primarily proportional to its severity. For patients with CAD confirmed by angiography showing 50–70% stenosis, long-term medical therapy may be selected. When stenosis reaches approximately 70%, and the majority (about 70%) of patients exhibit evident myocardial ischemic symptoms, percutaneous coronary intervention (PCI) with stent implantation may be considered. However, for patients with severe stenosis or multivessel disease…

Coronary artery disease (CAD) is a common condition encountered in daily life, and many individuals have experienced it firsthand. Numerous treatment options exist for CAD; however, many people remain uncertain about the optimal approach—what is the best treatment for coronary artery disease?

What Is the Best Treatment for Coronary Artery Disease?

The choice of CAD treatment primarily depends on the severity of the disease. For patients with angiographically confirmed coronary stenosis of 50–70%, long-term medical therapy is generally recommended. When stenosis reaches approximately 70% and patients exhibit clear symptoms of myocardial ischemia, percutaneous coronary intervention (PCI) with stent placement may be considered. In contrast, patients with severe stenosis or multivessel disease typically require surgical coronary artery bypass grafting (CABG). Therefore, the optimal treatment strategy for CAD is largely determined by disease severity, and no single universally applicable treatment exists.

Preventing CAD begins with smoking cessation and maintaining stable, normal blood pressure. Hypertension prevention and management strategies include maintaining a healthy body weight, limiting alcohol and salt intake, ensuring adequate dietary intake of potassium, calcium, and magnesium, and keeping lipid levels within normal ranges. High-risk individuals should undergo regular health screenings, follow a low-fat diet, engage in regular physical activity, and take lipid-lowering medications as prescribed. Additionally, avoiding mental stress and maintaining consistent exercise habits help control body weight, reduce hyperlipidemia and hypertension, and lower the risk of developing CAD.

In daily life, personal hygiene should also be maintained, and chronic sleep deprivation should be avoided. We hope this information proves helpful to you.

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Why should patients with coronary heart disease avoid eating hairtail fish?

Coronary heart disease generally refers to coronary atherosclerotic heart disease. Generally speaking, there is no such restriction that patients with coronary atherosclerotic heart disease cannot eat hairtail fish (Trichiurus lepturus). However, patients should consume it in moderation, avoiding excessive intake of fat and cholesterol, which may adversely affect their condition. Additionally, cooking methods should be light and清淡; frying, pan-frying, or grilling—methods that involve high fat—should be avoided.