Myth 1: Coronary heart disease and hypertension are diseases only for the elderly Many young people believe that coronary heart disease and hypertension are diseases only for the elderly and have nothing to do with them. In fact, in terms of hypertension, the incidence of hypertension has reached about 8% among primary and secondary school students aged 6 to 18 years old in China alone, of course, some of these are secondary to other diseases and hypertension, but for young people with a family history of hypertension, blood pressure should be measured regularly, especially after the age of 30, in order to detect early, timely treatment, and to correct the increased blood pressure induced by drinking alcohol, taste The blood pressure of young people with a family history of hypertension should be measured regularly, especially after the age of 30, so that early detection, timely treatment, and correction of alcohol consumption, excessive salty taste and other bad habits that induce higher blood pressure. So, what about coronary heart disease? In fact, coronary heart disease is the hardening of the arteries of the heart vessels, a process that actually begins as early as youth or even early childhood. Of course, due to factors such as genetics, diet, lifestyle habits and the external environment, the age of onset varies from person to person, and some people do not even show obvious symptoms throughout their lives. Only when the blood vessels are narrowed to a certain degree, or in combination with acute thrombosis, do the symptoms become apparent. The youngest patient I ever treated for myocardial infarction with coronary artery disease was only 32 years old, and it is sad to say that there are even younger ones. These remind us that age is our greatest asset, but it is not a safe deposit box, and it is up to you to make good use of this asset! Myth 2: Angina can carry, try not to take drugs Many patients with coronary heart disease, usually when they commit angina, always first bear, try not to take drugs, think that if the drug often eat, later may be ineffective, but not, on the one hand, the most commonly used emergency medicine for angina is nitroglycerin, this type of drug only long-term eat, and eat every day when the frequency is very frequent may produce resistance, eat once a day occasionally On the other hand, when angina attacks, coronary artery spasm, myocardial ischemia, early drug treatment can relieve coronary spasm as soon as possible, improve myocardial blood supply, reduce the degree of damage to myocardial ischemia, and even reduce the possibility of acute myocardial infarction. If the onset of angina and nitroglycerin, half an hour after the symptoms are still not relieved, be highly alert to the occurrence of acute myocardial infarction, should go to the hospital as soon as possible to minimize myocardial necrosis, said “time is the heart muscle” is not too much. Myth 3: Everything will be fine if a stent is put in for coronary heart disease Modern medicine is developing rapidly, and the emergence of stenting technology has provided an effective treatment for patients with coronary heart disease, and many patients with frequent angina attacks have had their symptoms disappear after stenting surgery, and have even resumed physical activity. Therefore, some people mistakenly think that they are fine after stent placement. In fact, stenting is only a physical therapy that improves the quality of life of patients by improving the local stenosis of blood vessels, thereby reducing myocardial ischemia and bringing relief from angina. However, because the patient has coronary artery sclerosis, other parts of the stenosis will also occur, and the risk of coronary heart disease still exists, which means that coronary heart disease is not “cured”. In addition, some patients have more vascular lesions and stents are placed in only a few important parts, and some stenoses are not stented (incomplete hemodialysis), or restenosis occurs after stent implantation, which will make patients continue to have angina symptoms. Therefore, even if a stent is placed, it is not the same as everything is fine. We should also pay attention to controlling blood lipids and blood pressure, exercising appropriately, quitting smoking and improving lifestyle, and continue to take aspirin, clopidogrel, statin and other medications as required by the doctor according to the condition. Myth 4: Lipid-lowering drugs are not needed if the lipid test results are normal Some patients’ blood lipids are within the normal range, but the doctor prescribes lipid-lowering drugs for them, why? In recent years, large-scale clinical trials at home and abroad have proved that a normal lipid test result does not necessarily mean that no treatment is needed, but it depends on the individual situation. However, for patients who have suffered myocardial infarction, undergone stenting, coronary artery bypass surgery, have diabetes or have multiple risk factors at the same time, the lipid level is high and LDL-C should be reduced to less than 100 mg/dL, which can significantly improve the long-term prognosis of patients and reduce the possibility of cardiovascular events. In addition, for patients with acute coronary artery disease, such as unstable angina and acute myocardial infarction, statin lipid-lowering drugs can play a role in stabilizing coronary atherosclerotic plaques, and the use of lipid-lowering drugs at this time is actually to play a cardiovascular protective role other than the “lipid-lowering effect” of the drug, not to lower blood lipids. Myth 5: You can stop taking the medication after your blood lipids are normal. Hyperlipidemia is a disorder of blood lipid metabolism and is a lifelong disease like hypertension. By taking lipid-lowering drugs, blood lipids can be controlled within the normal range for a long time, but it is not the same as hyperlipidemia is “cured”, once the drug is stopped, blood lipids will rise again soon. In the treatment of hypertension, when the blood pressure is stable for a long time, the dose and type of drugs can be reduced on a trial basis to maintain the target blood pressure with the least amount of drugs and the lowest possible dose. In the case of lipid-modifying drugs, there is no evidence that it is feasible to reduce or discontinue the drug after lipid targets have been reached. The encouraging results from long-term large-scale clinical trials have been based on fixed doses or gradually increasing doses. Clinical observations also show that dose reduction after reaching the standard often causes rebound of lipids, and at the same time, dose reduction tends to shake patients’ belief in adherence to lipid-lowering therapy, which is not conducive to the maintenance of long-term efficacy. Therefore, as long as there are no special circumstances, such as serious or intolerable adverse reactions, the dosage should not be reduced or the lipid-lowering drugs should not be stopped. Of course, in clinical practice, specific analysis should be made on a case-by-case basis. The reduction of lipid-lowering drugs must be based on the premise that the blood lipid standard (e.g. LDL-C <100mg/dL in patients with coronary heart disease) is reached, and on this basis, the blood lipid situation should be monitored regularly, and the original dose should be added back once the standard is exceeded. Myth 6: Hypertension without symptoms, there is no need to treat Generally speaking, about 50% of patients with early hypertension can be completely without any symptoms, this hypertension is actually potentially more dangerous! Because, people with symptoms will prompt him to seek timely medical attention and adjust the treatment plan, thus helping to control the disease; while people without symptoms, just due to individual differences, not sensitive to hypertension, and thus neglected to treat, but the harm caused by high blood pressure continues, and as a result, many people do not go to treatment until after the emergence of heart failure, brain hemorrhage and other serious complications, it is too late to regret. Therefore, as long as the diagnosis of hypertension, should be seriously treated. There are also many hypertensive patients who take their medication intermittently, thinking that they need to take medication only when their blood pressure is high, resulting in repeated fluctuations in blood pressure and an increase in cardiovascular and cerebrovascular events. There are many factors that cause interruptions in medication, one of the key factors is the lack of awareness of the need for long-term treatment of hypertension, the misconception that once the blood pressure has dropped you can stop taking the medication, worrying that a long period of time with the medication will cause adverse reactions. This misconception is extremely harmful and should be eliminated. It is important to know that hypertension is not yet curable, and it is due to the role of drugs that blood pressure is reduced to normal, and once the drugs are stopped, blood pressure will quickly return to the original level. Therefore, patients with hypertension generally need lifelong medication. Myth 7: Take antihypertensive drugs in accordance with the experience of others A hypertensive patient is more enthusiastic, their own effect with Betalexin is very good, immediately told his friends, friends are worried about finding the right antihypertensive drugs and immediately also take this drug, the result of eating once, the heart rate slowed to more than 50 times, uncomfortable. What is going on here? The cause of hypertension is complex, there are many clinical subtypes, each person's responsiveness to drugs, adaptability and tolerance are different, and the performance of various antihypertensive drugs also varies, so you can not use the same fixed pattern of medication, but should adhere to the "individualized" principle of medication, such as betalactam for fast heart rate, combined with coronary heart disease hypertension For example, betalactam should be used for patients with a fast heart rate and hypertension with coronary artery disease, but it should be contraindicated for those with a slow heart rate, asthma, severe cardiac insufficiency or conduction block! In a study of 4,000 patients with mild to moderate hypertension in the United States, it was found that about 40% of people whose blood pressure was not controlled after taking the first antihypertensive drug gradually achieved satisfactory results after changing the drug. This shows that hypertensive patients should be under the guidance of a doctor, regular treatment, and not simply rely on the experience of others to take medication.