How to treat the early symptoms of coronary heart disease?

       How to treat the early symptoms of coronary heart disease?  Coronary heart disease is a kind of heart disease caused by myocardial ischemia and hypoxia (angina) or myocardial necrosis (myocardial infarction) due to organic (atherosclerosis or dynamic vasospasm) stenosis or obstruction of coronary arteries, also called ischemic heart disease, which seriously affects patients’ life health and their quality of life. So how to early treatment of coronary heart disease, what are the symptoms of early coronary heart disease? How to treat early symptoms of coronary heart disease?  The early symptoms of coronary heart disease are: dull pain behind the sternum or precordial area or pressing Young pain when exertion or nervousness, relieved by itself after 3-5 minutes of rest; recurrent irregular pulse, unexplained tachycardia or bradycardia; easy to appear panic, chest tightness, shortness of breath or chest pain discomfort after exercise. Coronary angiography is the most certain way to diagnose coronary artery disease.  Pain in the precordial region is a typical symptom of coronary heart disease, when it can attract the attention of patients. However, the atypical symptoms of coronary artery disease in a few patients make patients take it lightly and often make doctors misdiagnose it, thus delaying the diagnosis and treatment of coronary artery disease.  (1) Some patients with coronary heart disease do not have chest pain, but only show various arrhythmias such as atrial fibrillation, ventricular premature, atrioventricular block, or shortness of breath, nocturnal paroxysmal dyspnea and other heart failure manifestations as the first symptoms, which is clinically called “arrhythmia and heart failure type of coronary heart disease”, which is a rare type of coronary heart disease.  (2) Angina pectoris occurs outside the chest and manifests as headache, toothache, sore throat, shoulder pain and leg pain, which often need to be differentiated from the discomfort caused by the corresponding organs.  (3) A few patients with coronary heart disease, especially in acute myocardial infarction, only show manifestations of cerebrovascular disease, such as dizziness, limb paralysis, sudden loss of consciousness, convulsions and other cerebral circulatory disorders, because in myocardial infarction, the blood supply to the brain decreases due to a decrease in cardiac blood output, and severe arrhythmia also often causes a decrease in blood supply to the brain. Therefore, when elderly people have cerebrovascular manifestations, electrocardiogram should be performed and followed up for a short period of time to exclude the possibility of acute myocardial infarction.  (4) Gastrointestinal symptoms such as epigastric distension and discomfort, especially when the pain is severe, often accompanied by nausea and vomiting, are easily misdiagnosed clinically as acute gastroenteritis, acute cholecystitis, pancreatitis, etc.  (5) If coronary artery disease is combined with other acute diseases, such as diabetic ketoacidosis, acute infection, surgical emergencies, even if acute myocardial infarction occurs, the symptoms are often masked. Therefore, patients and their families should reflect the condition of coronary heart disease to the doctor in time to provide reference.  (6) Since elderly people often have memory loss, dull senses and are not good at expressing symptoms, they are easily ignored by family members and doctors, so don’t forget to do a routine electrocardiogram when doing relevant examinations for the elderly. Once evidence of myocardial ischemia is found, apply drugs such as nitrates to treat it.