The incidence of coronary heart disease is not unfamiliar to everyone, and with the improvement of people’s living standards, the incidence is also on the rise. Now we summarize some of the more questions asked by the patients and elaborate on them: First, what is coronary heart disease? The doctor usually does not understand what the heart itself blood supply coronary arteries atherosclerosis, resulting in the heart’s own blood demand can not keep up, myocardial ischemia, hypoxia, we call coronary heart disease. If the coronary arteries are compared to a river and the river is the blood, if the river becomes blocked or silted up, then the flow of water downstream will be significantly reduced or cut off, which will then lead to an angina attack or myocardial infarction. If you suffer from coronary heart disease, you should learn more about this disease and pay attention to coronary heart disease is to cherish your life. It is important to know that nearly ninety percent of sudden death cases are caused by coronary heart disease, and the age is easy to occur in the 20 to 60 years old. If you have coronary heart disease, you have to fight with it clearly, and it is very important for us to get the right treatment and choose a more suitable hospital and doctor. Second, the diagnosis and examination of coronary heart disease, what needs to be done, why my examination cost so high Many patients are not very clear about the diagnosis and treatment of coronary heart disease sometimes have ideas about the diagnosis and treatment plan given by doctors, especially coronary angiography, 64-row CT, stent implantation, coronary artery bypass grafting and so on. Before choosing a hospital doctor, we’d better understand and prepare for the visit. The diagnosis of any disease is inseparable from the medical history, symptoms, signs, necessary examinations and laboratory tests, and the diagnosis of coronary artery disease is no exception. In other words, it is not necessary to check everything in order to diagnose coronary artery disease, but sometimes the diagnosis is easy, but further tests are needed for further treatment. Non-invasive examinations for coronary artery disease include electrocardiogram, ambulatory electrocardiogram, myocardial imaging, cardiac ultrasound, 64-row CT, etc. Except for 64-row CT, other examinations can detect myocardial ischemia and clarify the location, but the only shortcoming is that they cannot clearly understand the specific lesions of coronary arteries. 64-row CT has just emerged in recent years and is used for early diagnosis of coronary artery disease and screening of suspected patients, etc. It is non-invasive. Coronary vascular image reconstruction can understand the coronary vascular lesions, but not for the smaller vessels. Simply put, coronary angiography is an interventional technique to establish a pathway from the patient’s femoral or radial artery to the coronary artery, and view the specific situation of the coronary artery under x-ray through contrast, which can be said to be the gold standard for the diagnosis of coronary heart disease, and is an invasive test, but it is not the open surgery that we imagine, and is very traumatic, but also dangerous, but the probability is very low. Currently, coronary angiography is widely used, such as interventional treatment of coronary artery disease, pre-coronary bypass examination, pre-surgery examination of heart in elderly patients, etc. The purpose is to have a more visual understanding of coronary artery lesions, so that the diagnosis and treatment can be more clear. If 64-row CT reveals that the degree of coronary stenosis requires intervention, coronary angiography should be performed before stent implantation, and if the CT reveals a mild lesion, but the symptoms are typical and belong to unstable angina, then it is also necessary to do an angiography to exclude the possibility of serious lesions. It is possible to avoid invasive examinations and reduce pain. It is important to listen to the doctor’s advice and analyze the specific problems. Third, the choice of treatment for coronary heart disease should be treated on the one hand, on the other hand, attention should be paid to adjust their lifestyle to avoid further damage from adverse factors (such as hypertension, hyperlipidemia, diabetes, etc.), the main treatment methods are drugs, interventional or surgical treatment, the specific treatment should be based on the condition, the doctor will consult with the patient to determine. The following is a brief description. The purpose is to improve the blood supply to the coronary arteries, and to determine the type and dosage of medication according to your condition. Make it clear that you must use the medication under the guidance of your doctor, do not change the medication or dosage without permission, especially in coronary artery disease, which can be very detrimental to your condition. Usually, you should pay special attention to carry “nitroglycerin, quick-acting heart pills” and other drugs with you, so that you can use them as soon as you feel uncomfortable. Coronary intervention and coronary artery bypass are invasive treatments for coronary artery disease, which are usually talked about a lot. Both of these treatments require the support of coronary angiography results, which means that the treatment plan is more appropriate according to the degree of coronary lesions. Stent implantation is to support the stenosis with a stent to significantly improve the coronary blood flow, which is less traumatic compared to bypass and can significantly reduce the mortality rate of heart attack in the emergency treatment of acute heart attack, and is suitable for the treatment of mild lesions and single branch lesions. After coronary angiography, if stent implantation is suitable, it can be done at the same time as angiography to avoid the pain of re-puncture. Stents cannot be removed after implantation and are carried for life. The disadvantage is that there is a possibility of restenosis at the stent site, and it is necessary to intervene with drugs in the early stage, and the stenosis rate is higher and the relative cost is also high. For patients who are ready to do interventional treatment, there is still a question whether to choose a drug-relaxed stent or a bare stent. The drug coating only reduces the incidence of early postoperative restenosis compared to a metal bare stent, and its long-term efficacy has not been determined, and the number of observed cases is relatively small compared to a bare stent. The long-term efficacy has not been determined, and fewer cases have been observed compared to bare stents. This can be considered based on your own economic conditions, as well as the habits of the hospital you visit or your doctor’s recommendations. The standard term for bypass surgery is “coronary artery bypass grafting”. In this case, we can use our own blood vessels to build another “river” or several “rivers” across the stenosis, so that the blood flow can reach the downstream of the stenosis smoothly through the built vessels. This allows blood flow to reach the downstream of the stenosis, improving the blood supply to the heart muscle and achieving therapeutic goals. Compared to coronary intervention, it has a wide range of indications and can effectively relieve symptoms, but the disadvantage is that it is an open-heart surgery, which is very traumatic and has relatively more complications. The choice of intervention or bypass must depend on the condition of coronary vascular lesions, but also consider the advantages and disadvantages, listen to the doctor’s advice, and choose the appropriate treatment plan. Remind that coronary intervention is in cardiology, while coronary bypass is in extracardiac or thoracic. The cost of coronary angiography is about 5,000 yuan, and the cost of a coated stent is about 30,000 yuan, and the cost of bypass is about 40,000 yuan, which is only for reference, because the cost of each person’s examination and treatment is different, there will be some differences. Fifth, the choice of medical, medical problems Coronary heart disease treatment must choose the regular hospital, you can follow the principle of proximity, consider their own convenience, coronary heart disease is a common disease, the treatment of various large hospitals are no problem, if their own situation is more serious, or the nearest hospital does not have the conditions for further treatment, then you need to come to choose a larger hospital or a well-known hospital. If you look up the keywords of coronary artery disease, cardiac intervention and heart bypass on the website, there will be a list of doctors recommended by other patients in this area, and you can see the experience shared by users around the world in the treatment of coronary artery disease, which can be used as a reference for choosing hospitals and doctors. If you need to do coronary intervention, you should choose a hospital with cardiovascular intervention qualification, currently the national regulations on this piece of strict, if the selected hospital is allowed to do coronary intervention, then from the level of no problem, you can consider. Six, the coronary heart disease patients have to say for coronary heart disease patients, must be timely treatment, do not delay. Whether it is drug therapy, surgery or interventional therapy, all are important methods of coronary heart disease treatment, making up for each other and irreplaceable. For complex lesions, surgical coronary artery bypass grafting is still the best choice. How to prevent coronary heart disease is also very important, such as avoiding smoking, obesity and other undesirable factors, and actively treating hypertension, diabetes, hyperlipidemia and other diseases. We will not go into details here.