1, in recent years, the incidence of myocardial infarction in China has been rising, especially in middle-aged people aged 35 to 44 years old, and the onset of heart attack is also becoming increasingly young, why heart attack on these people? The two main causes of myocardial infarction are the unhealthy lifestyles of modern people, such as smoking, heavy drinking, mental stress, lack of exercise, unreasonable nutrition and other reasons to become a breeding ground for disease; secondly, heart attacks are mostly caused by hypertension, hyperlipidemia, diabetes, obesity and other abnormal metabolic diseases. Modern urbanites, especially middle-aged people, live a stressful life, socialize a lot, often drink to excess, frequent smoking, stay up late, etc., while among young people, hypertension, hyperlipidemia, diabetes, obesity and other four types of diseases are increasing, not in place to control, these factors have greatly increased their risk of disease; nicotine contained in tobacco can form hundreds of toxins in the body, seriously damage blood vessels and thus lead to atherosclerosis Plaque formation, so it is vital to quit smoking. Alcohol should also be consumed in moderation, each time you drink white wine should not exceed one or two, red wine preferably not more than 100ml, and beer as little as possible. 2.Why is it that once a young person has a heart attack and is sent to the hospital, his condition is often more critical than that of the elderly? Even the chance of sudden death is higher than that of the elderly? Myocardial infarction in young people usually has a rapid onset, dangerous symptoms, mostly without aura discomfort, and a higher rate of sudden death in the early stage. Once myocardial infarction occurs in young people, it is very easy to cause acute ischemic necrosis of myocardial tissue, complicated by electrophysiological disorders of myocardial tissue, lethal arrhythmias, cardiogenic shock and other critical illnesses. There are many reasons for this, mainly including the following three aspects: (1) Mostly first-onset: Unlike the elderly or patients with long-term myocardial ischemia, the majority of young and middle-aged myocardial infarction is first-onset. (2) Lack of “ischemic preconditioning”: Before the onset of myocardial infarction, the underlying lesions of the coronary vessels that nourish the myocardium are usually mild, without significant plaque and fixed stenosis, so the heart fails to establish the protective effects of vascular collateral circulation and myocardial ischemic preconditioning (so-called “ischemic preconditioning”). (so-called “ischemic preconditioning”, i.e., repeated transient myocardial ischemia has a protective effect on subsequent longer-term myocardial ischemia and can improve the tolerance of myocardial tissue to ischemia). (3) Ignoring early symptoms: Due to their previous good health, young people are easy to ignore even early signs of discomfort and delay seeking medical attention, thus missing the best time for emergency treatment. 3.In addition to symptoms such as continuous chest tightness and chest pain, what other early manifestations of heart attack are easy to be ignored? It is worth noting that not all heart attacks manifest as “angina pectoris”, and about 30% of patients have atypical heart attacks, which can have various manifestations. Some manifest themselves as sudden worsening of dyspnea, especially in the elderly with dizziness, sudden loss of consciousness, convulsions and other symptoms. Some patients show epigastric pain, nausea and vomiting, or even abdominal pressure and muscle tension, and a few people also have toothache, sore throat, joint pain, etc., which are easily overlooked and missed and misdiagnosed by doctors. 4.Why do some people have myocardial infarction without pain or boredom? There are also about 20% of acute heart attack patients without any painful symptoms, clinically known as painless heart attack. Studies have shown that this may be because the heart lesion site is different, the sensitivity to pain will be different. If the lesion is in the right coronary artery, it is not very sensitive to pain; there is posterior wall myocardial infarction, which may also not be painful; and when subendocardial myocardial damage occurs, there is often no pain sensation. Second, individual differences are insensitive to pain. For example, the aging of the whole body organs and tissues of the elderly, dull senses, reduced sensitivity to pain, coupled with brain atrophy or dementia, language expression ability decreases, can not say a clear discomfort, masking the condition. In addition, elderly patients with diabetes combined with coronary heart disease often have peripheral neuropathy, impaired plant nerve function and sensory nerve involvement, which can dull the pain sensation or even no pain sensation. 5.How to save yourself in case of sudden heart attack? The first thing to do is to immediately call 120, before the arrival of rescue personnel, the patient to stop all physical activities, calm down the agitation, while taking deep breaths, and then cough hard. And immediately take 1 tablet of nitroglycerin and musk pills under the tongue, which can be repeated after 5 minutes. 6, the vast majority of heart attacks and strokes occur in the early morning or early morning, if you drink a glass of plain water at night to rehydrate in time, does it really help prevent the occurrence of cardiovascular disease? Lack of water may increase the chance of blood clot formation for the elderly. Japanese researchers have studied the elderly in groups, one group got up in the middle of the night to drink 250 ml of plain water, and the other group did not drink water overnight, and then measured their blood in the early morning, and found that the group that drank water had significantly lower blood viscosity. Older people will have varying degrees of atherosclerosis and higher blood viscosity due to factors such as physiological aging. People breathe and sweat at night, which will dissipate some water; in addition, the elderly often have the habit of getting up at night, so the body water consumption at night is higher; now in the dry autumn, the body is more likely to be dehydrated. The increased viscosity of blood and the ease of platelet coagulation make the already atherosclerotic blood vessels more prone to embolism, thus endangering the lives of the elderly. According to statistics, the vast majority of heart attacks and strokes occur in the early morning or early morning, theoretically speaking, if you drink a glass of plain water at night, timely hydration, will help prevent the occurrence of cardiovascular disease. 7, heart attack containing aspirin first aid? Is this life-saving method scientific? In the case of sudden coronary heart disease and angina, patients are advised to take quick-acting heart pills or nitroglycerin, but not in the case of acute coronary syndrome, high-dose chewable aspirin will be advocated. Aspirin is a common drug for coronary heart disease, ischemic stroke and other diseases, and has the effect of inhibiting platelet aggregation and preventing thrombosis. Patients with coronary heart disease generally need to take it every day after meals and continue to take it throughout their lives. In addition, patients with coronary heart disease should also chew 300 mg of aspirin in advance of interventional procedures as a way to reduce the risk of blood clots during the procedure. In the event of a sudden heart attack, nitroglycerin can effectively relieve myocardial ischemia and angina, while aspirin can only play a role in relieving pain to a certain extent, and cannot play a substantial first-aid effect, “life-saving” effect is “hard to say”. 8, in the prevention of heart attack, Chinese medicine has what wonderful method? According to Chinese medicine, the etiology of heart attack is mostly due to deficiency of the root cause and the symptoms. This deficiency is mainly due to the deficiency of Yin, Yang, Qi and Blood. After a heart attack, the patient’s mental and physical strength decreases to different degrees. Heart Qi is depleted, chest Yang is not invigorated, and blood transport is weak. After heart attack, the heart is easily depressed, blood stagnates in the heart, chest yang is not expanded, and blood vessels are not harmonized. Coronary angiography also shows that the degree of stenosis in patients with stasis evidence is severe, indicating that there are objective pathological changes as the basis for the classification of TCM. Therefore, patients prone to reinfarction after heart attack are mainly classified as Qi deficiency type, blood stasis type and Qi deficiency and blood stasis type. The recurrence rate can be reduced by giving preventive treatment according to the different symptom characteristics. The qi deficiency type is characterized by vague pain in the heart and chest, chest tightness and shortness of breath, wheezing when moving, palpitations and panic, tiredness and fatigue, or lazy speech, pale complexion, sweating, and a pale, fat tongue. white, spontaneous sweating, light fat tongue with tooth marks, thin coating, weak and slow pulse or knotted generation. Myocardial ischemia and various types of cardiac arrhythmias are seen on electrocardiography. The treatment should be to nourish the heart qi, warm the yang and activate the ligaments. The formula is based on the combination of Bao Yuan Tang and Gan Mai Da Zao Tang with addition and subtraction. Ginseng and Astragalus help to nourish the heart qi; roasted licorice warms the heart qi and opens the meridians to treat palpitations; cinnamon nourishes yang and disperses cold to treat heart pain, and returns qi to the kidney to treat shortness of breath and wheezing, with the addition of Salvia miltiorrhiza and Angelica sinensis to nourish blood and remove blood stasis. Mai Dong and Jujube benefit heart energy, nourish the heart and mind, and sweeten and moisten the heart to relieve urgency. Blood stasis type can be seen with severe pain in the heart and chest, such as stabbing like strangulation, with chest tightness, which does not heal over time, and may cause severe pain in the heart and chest due to emotional disorders. The tongue is dark red, purple or with petechiae, or the blood veins under the tongue are blue, the moss is thin, and the pulse is stringent or knotted. ECG examination mostly shows manifestations of myocardial ischemia and persistence, complicated by ventricular arrhythmia or conduction block, etc. Treatment should be based on activating blood circulation to resolve blood stasis, clearing blood vessels and relieving pain. Radix Angelicae Sinensis, Rhizoma Chuanxiong, Rhizoma Peach Root, Radix et Rhizoma Red Flower, Radix Paeoniae Alba activate blood circulation to remove blood stasis and promote blood circulation. All the medicines together form an agent to dispel blood stasis and open the veins, move Qi and relieve pain. The selection of blood-boosting drugs should avoid the use of more, for a long time, so as not to deplete the vital energy. 9, in food therapy for health, which foods can help people prevent cardiovascular disease? (1) Heart patients should try to eat less meat, and animal offal and other high-fat, high-cholesterol food. Excessive fat intake can easily lead to obesity, hyperlipidemia and atherosclerosis. And too much cholesterol intake can increase coronary heart disease, fatty liver and hyperlipidemia and other diseases. (2) Eat more vegetarian food. One of the major commonalities of heart disease patients is that many have had excessive saturated fat intake for many years, and insufficient intake of vegetables and fruits. Fresh fruits and vegetables and legumes are rich in many vitamins, trace elements, antioxidants and dietary fiber, which help to reduce high blood pressure and protect cardiovascular. Dietary fiber helps reduce cholesterol production in the body and reduces the risk of coronary heart disease. There are many vegetarian foods rich in fiber, such as, celery, leeks, dried plums, bamboo shoots, soybeans, oats, etc. Studies have found that a daily intake of 26 grams of fiber can reduce the risk of heart disease in women, while the risk of myocardial infarction is also relatively lower. (3) In order to reduce saturated fat intake, you should eat less red meat such as steak, or replace red meat with chicken or fish to help protect your heart more in the long run. 10.In our daily life, what good habits should we adopt to prevent cardiovascular diseases? In normal life, we should pay attention to adjust the diet structure, reasonable diet, eat less and more meals, do not overeat, eat more vegetables and fruits, less salt; mood should be as calm as possible, prevent emotional excitement, reduce tension, anxiety, ensure good sleep; adhere to the appropriate amount of outdoor exercise, have the opportunity to participate in more beneficial social activities.