☆ When initially judging whether it is coronary heart disease, what are the main aspects to look for? It is very important for patients to remember some concise contents, and to know when to seek medical attention in time First: uncomfortable symptoms: the location, nature, trigger, duration and other characteristics of chest pain, the relationship with breathing exercise and diet, how to relieve it, whether it is recurrent, and whether there are similarities in the characteristics of each attack. Second: A routine 12-lead ECG can give some preliminary information, such as whether there are emergency and non-specific changes of myocardial ischemia. Third: Are you in a high-risk group? ☆ Who are the main people in the high-risk group? How many people over the age of 1 should be considered for coronary heart disease? High-risk group mainly refers to: smoking (active and passive smoking), obesity, hyperlipidemia, diabetes, hypertension, frequent late nights, stressful work, lack of physical exercise, overeating or a specific bad habit in daily life: such as love of fatty food, no meat, etc., or a family history. Age gender: men, the current situation over 40 years old with symptoms to promptly seek medical attention, women, the age can be appropriately relaxed (after menopause), but also in combination with risk factors comprehensive analysis ☆ If a young man in his twenties or thirties shows typical symptoms of coronary heart disease, is it necessary to consider coronary heart disease? It is not uncommon for young people in their 20s and 30s to develop coronary heart disease, but it is not a common phenomenon. It is mainly seen in the above-mentioned high-risk groups, especially in patients who smoke heavily or have familial hypercholesterolemia. ☆ What are the main aspects of past medical history? Smoking, hypercholesterolemia, hypertension, diabetes mellitus, arteritis, chronic kidney disease, etc., as well as lifestyle and exercise habits and family history. ☆ Do coronary heart patients always have changes in blood lipids, blood glucose and blood pressure? Most of the patients seen clinically have them. Just because the blood lipids, blood sugar and blood pressure are not high does not mean that they will not develop coronary heart disease, and there are also factors that cannot be changed such as age, family history and gradual aging of blood vessels. ☆ Do people who are not found to have three highs but have symptoms such as angina and chest tightness and shortness of breath need to be screened for coronary heart disease? If you have symptoms, you need to rule out coronary heart disease because it is dangerous and can instantly threaten your life. ☆ What are the typical symptoms of coronary heart disease? Is angina pectoris the key to determine? Ischemic chest pain is the key. There are also shortness of breath and palpitations as the first symptoms! ☆ What exactly is the pain of angina pectoris? In common parlance, “I can’t tell, I can’t tell, I can’t tell exactly which point”, but it is uncomfortable, uncontrollable, crushing, suffocating, and boring. ☆ Is there any relationship between the severity of symptoms and the severity of coronary artery disease? There is a relationship. For example, intense crushing-like pain often indicates serious conditions such as occlusion of blood vessels. ☆ What do the atypical symptoms of coronary artery disease mean and what do they include? Is it easy to be mistaken for other diseases? The pain under the glabella, numbness of the end of the fingers, pain in the back of the shoulder, toothache, jaw pain, etc. are easily misdiagnosed. Yes, as patients become more health conscious, asymptomatic coronary artery disease is often detected by 3D reconstruction of coronary CT during physical examination! ☆ How to detect coronary heart disease with atypical or asymptomatic symptoms early? At a certain age, frequent physical examinations can be done for 3D reconstruction of coronary CT, which has a greater significance. ☆ Is there any seemingly coronary heart disease, but actually not coronary heart disease at all? How should people distinguish? Yes, but first of all, we still need to exclude the real coronary heart disease and exclude the organic disease in the related parts.