Patient: Description (onset, main symptoms, hospital, etc.): Male, 53 years old, perennial heart disease, hypertension, arrhythmia, atrial fibrillation, thick blood, gout, obesity, sudden heart attack on April 17, missed thrombolysis time, hospital diagnosis of third degree heart failure, breathing difficulties after hospitalization, usually sleep often suddenly sit up, hospitalized for more than 20 days, in two times a total of four stents, after doing Four days after the stents, he was discharged from the hospital in his hometown. During the hospitalization, I was given medications such as blood sparing, dopamine and sodium nitroprusside, albuterol, asthma, tachyphylaxis, etc. My breathing has improved, and the situation of sitting up suddenly when sleeping has also improved, but I still have some difficulty breathing from time to time, and the gout attack is more serious. Now I am discharged from the hospital and resting at home. I am taking the following drugs: aspirin, poliovir, isosorbide mononitrate tablets, lovastatin capsules, spironolactone, and currently the pressure difference is small, high pressure is normal, low pressure is high, and the doctor does not prescribe antihypertensive drugs for the time being. I would like to ask, firstly, do I need to go to Beijing for further consultation and treatment in this situation? Second, are these drugs for heart treatment contradictory to gout, which is quite serious, and what should I do? The family is very anxious, thank you very much! Li Kang, Department of Cardiology, Beijing Hospital, Ministry of Health: First of all, gout: 1. Avoid animal offal, seafood, mushrooms, fish, chicken, lentils and other high purine foods, very important, must be diet control! Be sure to quit beer! Quit all alcoholic beverages! 2. Alkalize urine, 1-2 tablets of sodium bicarbonate daily. 3.Take Ligurian, 1 tablet per day. 4.Be less active and wear loose cloth shoes. 5, pain is very serious when the pain can be compounded with painkillers such as fenbid and other drugs. Coronary heart disease treatment: 1.Control weight, quit smoking and alcohol, low salt diet. 2.Change lovastatin to simvastatin 20 mg 1 tablet per night. 3.If the heart rate is not slow, it is recommended to add Betaloc 25 mg twice daily.