With health, there is everything. As one of the most common cardiovascular diseases among middle-aged and elderly people, coronary heart disease (coronary atherosclerotic heart disease) is a constant threat to the health of this group of people, and the follow-up maintenance of patients with coronary heart disease after the initial diagnosis and treatment is a very delicate and systematic task, which will inevitably lead to the reoccurrence of adverse cardiac events for those who are careless. As the guardians of the heart, we are always concerned about the state of your heart’s health, and we would prefer to remind our patients once again, in a not-so-appropriate nagging manner, that “you can forget everything, but don’t forget to take your medication!” “Remember, don’t think that your heart will be fine after installing a cardiac stent, remember that all safety is based on strict medication and systematic management of the disease!” Coronary heart disease patients, especially patients with acute myocardial infarction after discharge from the hospital, how to reduce the risk of myocardial infarction or other cardiovascular diseases is the most important topic that every patient should be concerned about. First of all, we emphasize the standardization of medication for patients with coronary heart disease, the important measure to improve the prognosis of patients with coronary heart disease is to adhere to the medication. First of all, we should understand what the main purpose of each drug in our hands is. One of the most core of the basic medication has two categories: 1, antiplatelet drugs: the occurrence and development of thrombus is the core of the serious manifestations of coronary heart disease, and the activation of platelets is one of the core factors. Effective antiplatelet is the core link in the prevention and treatment of coronary events, of which the commonly used drugs are: aspirin, clopidogrel, tegretol; if there is no contraindication, all patients with coronary artery disease should take aspirin for a long period of time, and if it is intolerable, it can be replaced by clopidogrel. For patients with acute myocardial infarction (acute coronary syndrome) or coronary stent implantation, the combination of aspirin and clopidogrel (Tegretol) should be used for at least 12 months, after which the doctor will decide whether to switch to a single drug. During the medication period, regular blood tests should be conducted. If there is any suspected discomfort (e.g. petechiae, dizziness, headache, dark stools, hematuria, etc.), please follow up with the clinic in a timely manner. 2, statin drugs: “coronary heart disease” full name “coronary atherosclerotic heart disease”, the underlying pathological changes for the atherosclerosis of the coronary arteries, that is, the arteries supplying the heart’s own blood supply atherosclerosis occurs in the lipids in the “oxidized low-density lipoprotein”. “Oxidized low-density lipoprotein (LDL) is the core of this. Statin as the most common clinical lipid-regulating drugs, patients generally have a more limited understanding of it, you know, this type of drug long-term use in addition to regulating lipids can also be stabilized or reversed on your blood vessel wall plaque, do not feel that your blood lipids normalize on their own to stop the drug. Coronary artery disease patients can consider controlling LDL <1.8mmol / I (70mg / dL), also remember not to think that the standard can be discontinued. Note: this type of drug to take regular testing of liver function, creatine kinase, etc.; Second, the multiple risk factors of coronary heart disease control According to statistics, about 70% of coronary heart disease deaths and 50% of myocardial infarction occurs in patients with diagnosed coronary heart disease, confirmed coronary heart disease, or recurrence of myocardial infarction and the chance of sudden death than those without a history of coronary heart disease, 4 to 7 times higher. Hyperglycemia, hyperlipidemia, hypertension, smoking, accelerated heart rate, and mental stress are the main risk factors. A large amount of research evidence shows that through effective prevention and comprehensive control of a variety of risk factors can significantly reduce the incidence of re-myocardial infarction and sudden death, and improve the overall survival rate of patients with coronary heart disease. 1, reasonable diet: the basic concept is to reduce cholesterol intake, do not drink chicken soup, old duck soup! Do not drink bone soup! Do not blindly believe in supplements! Did you know that many patients with coronary heart disease are over-nourished? Increase micronutrient-rich foods as appropriate. Hypertensive patients need to reduce sodium intake (summer sweating, to avoid too strict control). 2, quit smoking and alcohol: quit alcohol, quit smoking (including second-hand smoke) to have a lot of hard. We all know that smoking is harmful, but always find excuses; people also often say that drinking wine can activate the blood, but we would like to say that drinking will be addictive, the amount of alcohol you can not control, drink less than enjoyable, drink more than perhaps on the infarction (a lot of cases Oh!), it is recommended that you give up that insignificant, but not the best. However, we would like to point out that alcohol is addictive, you can't control the amount, you can't enjoy it, and if you drink too much, you may have a heart attack (there are many cases!). We don't want to say any more, but we'll say it three times: Stop drinking! Stop smoking! Stop drinking! Stop smoking! Stop drinking! Stop smoking! When you regret to come back to the hospital, your health is far away from you. 3, control body mass: goal: overweight and obese people in 6 to 12 months to reduce body mass 5% to 10%; waist circumference control in men ≤ 90 cm, women ≤ 85 cm. patients are encouraged to maintain or reduce body mass through physical activity, reduce caloric intake. The use of drugs to control body mass is not recommended. Tip: People with thin arms and legs but big stomachs should pay special attention! 4, control blood pressure: no matter what kind of antihypertensive drugs you are currently using, the primary goal is to be able to control blood pressure to the ideal state, manage your own blood pressure (not everyone's target value is the same, oh, your target value is recommended to consult with your specialist attending physician). Note: Some antihypertensive drugs, drugs to control the ventricular rate need regular review of ECG, renal function, electrolytes. 5. Do you snore? Snoring can also increase the risk of adverse cardiac events, please also visit your whistleblower, ear, nose and throat department for evaluation. 6.Blood glucose control: It is generally recommended that fasting blood glucose <8mmol/L, after meals for about 10mmol/L, to avoid excessive requirements, hypoglycemia is more harmful! 7, heart rate management: most of the research results show a negative correlation between heart rate and the prognosis of patients with coronary heart disease. The current recommendation is that patients with coronary heart disease resting heart rate should be controlled at 55 to 60 beats / min. 8, emotional management: maintain a good state of mind, to overcome the anxiety and depression of patients and their families. Sleep management: Insomnia (<6>9 h) is a risk factor for coronary heart disease in adults aged >35 years without a history of heart disease, and one of the signs of depression in patients with coronary heart disease. Pay attention to maintaining a good state of mind and getting enough sleep. 10, finally, the weather is cool, pay attention to add clothing to keep warm. If you have chest tightness, chest pain and other discomforts, please consult a doctor in time.