Keywords: coronary heart disease
Coronary heart disease, including the following five types, namely, the occult, angina pectoris, myocardial infarction, heart failure and arrhythmia and sudden death type, any type can be caused by factors other than coronary atherosclerosis reasons. Therefore, clinically we must master the strict diagnostic criteria must not be easy under the diagnosis of coronary heart disease, in order to avoid the burden of mental and somatic damage for patients, and caused great waste of drugs. The diagnostic criteria include:
(1) typical angina pectoris or myocardial infarction without severe aortic stenosis, regurgitation, cardiomyopathy and other evidence.
(2) resting electrocardiogram significant myocardial ischemia performance or ECG exercise test was positive, and no other reason (such as a variety of heart disease, significant anemia, obstructive emphysema, autonomic dysfunction, applications digitalis drugs and electrolyte disorders, etc.) to be investigated. If the patient only the performance of ECG ischemia without angina can be diagnosed as asymptomatic myocardial ischemia.
(3) patients over the age of 40 cardiac enlargement, heart failure, and papillary muscle dysfunction, rather than using myocardial disease or other reason to explain, and two of the following three: the ① hypertension; ② high cholesterol hyperlipidemia; ③ diabetes.