☆ What are the main aspects to look for when initially determining if it is coronary heart disease?
Research shows that the risk factors of coronary heart disease are closely related to the accuracy of clinical diagnosis, the more risk factors, the higher the possibility of coronary heart disease, attention to risk factors will help reduce the clinical misdiagnosis of coronary heart disease. The main risk factors for coronary heart disease are hypertension, hyperlipidemia, obesity, smoking, diabetes, etc.
☆ Who are the main people at risk? What is the age of people with symptoms that should be considered for coronary heart disease?
High-risk group refers to people who have a high number of risk factors for coronary heart disease and are more likely to have coronary heart disease. Nowadays, the onset of coronary heart disease is advancing, and there are people who have myocardial infarction in their 20s for treatment, and usually men are over 40 years old and women have a significantly higher incidence of coronary heart disease after menopause.
☆ If a young person in his 20s or 30s has typical symptoms of coronary heart disease, is it necessary to consider coronary heart disease?
Nowadays, the onset of coronary heart disease is advancing, and there are cases of myocardial infarction in the 20’s and 30’s. Young people in their 20’s and 30’s who have typical symptoms of coronary heart disease should still pay high attention to them and actively investigate ECG, exercise test, CT coronary artery imaging, etc.
☆ What are the main aspects of past medical history to focus on?
Mainly the risk factors, the occurrence of chest pain, previous examinations, medications and their effects.
☆ Do coronary heart patients always have changes in blood lipids, blood sugar and blood pressure?
Usually some of them are abnormal, but not absolutely. It may be a genetic cause for the decline of coronary endothelial function and the development of plaque in blood vessels
☆ Is it necessary to investigate coronary artery disease in people who do not have the three highs found, but have symptoms such as angina pectoris and shortness of breath?
An electrocardiogram, cardiac ultrasound, CT coronary imaging or even coronary angiography should be performed to detect coronary artery disease.
☆ What are the typical symptoms of coronary heart disease? Is angina pectoris the key to determine?
Typical symptoms of angina pectoris are behind the sternum up to the pharynx or in the precordial region, radiating to the left shoulder and left arm. The pain is sometimes in the upper abdomen or the glabella, while the posterior part of the lower sternum is often suffocating and uncomfortable. Atypical sites include pain in the right chest, jaw, neck, teeth, rare head, lower leg thighs and even toes. The nature of the pain is cramp-like or pressure pain, or tightness or burning pain, often accompanied by irritability, sweating, and fear,. The duration is often about several minutes, and can be relieved by rest and nitroglycerin.
☆ How does angina really hurt?
The typical site is behind the sternum up to the pharynx or in the precordial region, radiating to the left shoulder and left arm. The pain is sometimes in the upper abdomen or the glabella, while the posterior part of the lower sternum is often suffocating and uncomfortable. Atypical sites include pain in the right chest, jaw, neck, teeth, rare head, lower thighs and even toes. The nature of the pain is cramp-like or pressure pain, or tightness or burning pain, often accompanied by irritability, sweating, and fear,. The duration is often about several minutes, and can be relieved by rest and nitroglycerin.
☆ Is there a relationship between the severity of the symptoms and the severity of coronary artery disease?
Usually the more severe the symptoms, the more severe the coronary artery lesion of coronary artery disease
☆ What do the atypical symptoms of coronary artery disease mean and what do they include? Is it easy to be mistaken for other diseases?
Atypical chest pain includes pain in the right chest, jaw, neck, teeth, rare head, lower thighs and even toes.
☆ Is there any asymptomatic coronary heart disease?
Yes, this “silent” type of coronary heart disease is usually asymptomatic, but often has its first symptoms when cardiac insufficiency, shock, sudden death and arrhythmia occur. Painless symptoms can also be seen in the following cases: (1) patients with diabetes; (2) elderly people; (3) patients with acute myocardial infarction after recovery from anesthesia; (4) patients with cerebrovascular disease; and (5) patients with dehydration and acidosis.
☆ For coronary artery disease with atypical or asymptomatic symptoms, how to achieve early detection?
Check exercise stress ECG, nuclear perfusion CT coronary artery imaging or coronary angiography
☆ Are there any cases that look like coronary heart disease but are not actually coronary heart disease at all? How should we differentiate?
Yes, CT coronary angiography or coronary angiography