Keywords: coronary heart disease
How rational drug use had coronary heart disease is a problem, of course, the majority of patients and their families are most concerned about the rational use of drugs should first be used under the guidance of a doctor. In general, if we persist executed in accordance with the principles of the following four basic medication, you can greatly reduce the incidence of acute coronary events, so unstable angina, acute myocardial infarction, severe life-threatening arrhythmias such as ventricular tachycardia and ventricular fibrillation etc. The incidence decreased significantly reduce the disease so as to achieve the purpose to improve symptoms and prolong life. Four basic medication method at the beginning of the first letters of the alphabet as A, B, C, D, respectively, in order to facilitate memory, we call it the ABCD program.
A, 3 A: ① aspirin (Aspirin): Long-term daily oral administration of 50 to 100 mg of aspirin with confrontation and inhibition of platelet aggregation, reduces coronary thrombosis, coronary kept clear. ② antianginal (Anti-Angina): coronary heart disease angina attack, should immediately sublingual sublingual nitroglycerin 1 to 2, not only to relieve pain and can alleviate the condition. Of course, after the above treatment still can not be relieved by chest pain should immediately to the hospital for treatment. ③ angiotensin-converting enzyme inhibitors (ACEI): used as captopril, enalapril captopril, ramipril, the medicines are not only able to treat high blood pressure, can improve heart function, heart weight reduction Plastic also has a protective effect on the heart, As for usage and dose doctors should be determined according to the disease.
B 2 B: ① application of β-adrenergic receptor blockers (Betablocker): such as metoprolol, carvedilol lol Ah atenolol, bisoprolol, currently considered as long as there are no contraindications disease of coronary heart disease per capita should be the routine use of beta-blockers, because these drugs can lower blood pressure, reduce the burden on the heart, and to treat angina pectoris, arrhythmia reduction, prevention of myocardial infarction again and improve heart function. (2) control of blood pressure (Bloodpressure): Hypertension is an important risk factor for coronary heart disease, therefore, is particularly important to control blood pressure in coronary heart disease. Best able to blood pressure control below 130/85 mm Hg, so that not only can reduce the incidence of acute coronary events, and can reduce hypertension complications, such as stroke, cardiac hypertrophy, heart, kidney dysfunction, and retinopathy and so on.
C 2 C: (1) reduce the cholesterol (Cholestero1): As we all know, hypercholesterolemia is a risk factor for coronary heart disease the most important. Cholesterol-lowering first tube good mouth, eat less animal offal, egg yolk, fat and cholesterol-rich foods such as high cholesterol down as far as possible; serum cholesterol after diet control is still not down to a normal level, you must take lipid-lowering drugs. The most commonly used drug is a statin drug, simvastatin, pravastatin, atorvastatin, etc., try to reduce serum cholesterol to below 4.6 mmol / l (180 mg / dl), the medicines not only can lower cholesterol, and can stabilize atherosclerotic plaque, reduce the incidence of acute coronary events. ② quit smoking (Cigarettes): quit smoking can not only reduce the chronic bronchitis, emphysema, pulmonary heart disease and lung cancer incidence and reduce tobacco vascular endothelial damage, so as to achieve the purpose of prevention of coronary heart disease. Smoking more harm than good to the majority of smokers are advised to look out for themselves.
D, 2 D: (1) prevention of diabetes (Diabetes): diabetes is not only to make the blood sugar, often accompanied by lipid metabolism disorder, is caused by coronary heart disease is another risk factors. Control diet, application of hypoglycemic agents, and lipid-lowering drugs, blood glucose control in about 6 mmol / liter, serum cholesterol below 4.6 mmol / l, you can greatly reduce the recurrence rate of coronary heart disease. ② control diet (Dlet): In a sense, coronary heart disease is to eat out! Requirements of patients with coronary heart disease eat foods rich in cholesterol, advocates for dinner eight full and avoid overeating this is the best regimen.
In short, coronary heart disease as long as adhere to the ABCD four basic principles of medication and prevention measures under the guidance of a doctor, so coronary heart disease can be controlled.