What should I do if the elderly have coronary heart disease?

Coronary atherosclerotic heart disease is a very harmful disease. And the patients at this time are also called coronary heart disease. Patients often have various uncomfortable symptoms of the heart. Of course. The patients themselves have different degrees of coronary artery atherosclerosis. At this time, there are often symptoms of vascular stenosis. What should the elderly do if they have coronary heart disease?

Treatment of coronary heart disease includes: ① Changes in lifestyle: quitting smoking and limiting alcohol, low-fat and low-salt diet, proper physical exercise, weight control, etc.; ② Drug treatment: anti-thrombotic (antiplatelet, anticoagulant), reducing myocardial oxygen consumption (β-receptor blockers), relieving angina (nitrates), lipid regulation and plaque stabilization (statins); ③ Revascularization therapy: including interventional therapy (endovascular balloon angioplasty and stent implantation) and surgical coronary artery bypass grafting. Drug treatment is the basis of all treatments. Long-term standard drug treatment should also be maintained after interventional and surgical treatments. For the same patient, medication can be used to ideally control the disease at a certain stage, but at another stage, the effect of drug treatment alone is often not good, and drugs need to be used in combination with interventional treatment or surgery.

1. Drug treatment

The purpose is to relieve symptoms, reduce the onset of angina and myocardial infarction; delay the development of coronary atherosclerotic lesions, and reduce coronary heart disease deaths. Standardized drug treatment can effectively reduce the mortality rate and the occurrence of re-ischemic events in patients with coronary heart disease, and improve the clinical symptoms of patients. For patients with severe or even complete occlusion of some blood vessels, vascular reconstruction therapy can further reduce the mortality rate of patients on the basis of drug treatment.

(1) Nitrate drugs This type of drugs mainly includes: nitroglycerin, isosorbide nitrate (nitroglycerin), 5-isosorbide mononitrate, long-acting nitroglycerin preparations (nitroglycerin ointment or adhesive plaster patch), etc. Nitrate drugs are routinely used for patients with stable angina. When angina attacks, nitroglycerin can be taken sublingually or nitroglycerin aerosol can be used. For patients with acute myocardial infarction and unstable angina, the drug is first given intravenously, and then switched to oral administration or skin patch after the condition stabilizes and symptoms improve. The drug can be stopped after the pain symptoms completely disappear.

Warm reminder: It is necessary to actively treat coronary heart disease. And you should know that once patients with coronary heart disease use nitrate drugs casually, there will be side effects if they continue to use them. Once drug resistance occurs, the effectiveness of this drug in relieving coronary heart disease will actually decrease.