How to control heart rate in patients with coronary artery disease

  Previously we talked about coronary heart disease patients, to emphasize the control of heart rate, coronary heart disease patients, and how to reasonably control the heart rate?  How to control the heart rate in order to effectively reduce the risk of cardiovascular disease? For this problem, do not simply understand to eat which drugs so simple, control the heart rate, but also a combination of life conditioning, drug control, heart rate monitoring multifaceted comprehensive intervention process, these aspects of active good, in order to better strengthen the stability of heart rate control.  1, lifestyle attention (1) pay attention to avoid factors that can increase the heart rate, such as quit smoking, quit drinking alcohol, avoid drinking strong tea or coffee and other irritating Калога.  (2) Pay attention to the management of emotions, avoid instigating anger, excessive excitement, long-term anxiety and tension and other excessive emotions.  (3) Avoid staying up late, keep regular rest and rest; avoid overworking rabbits, pay attention to the combination of work and rest: avoid rabbits overeating, eating too much and other bad eating habits.  (4) At the same time, exercise has been a simple and effective way to control the heart rate. Here the exercise must be regular and persistent, requiring patients to adhere to about 30 minutes of exercise every day? At least 5 times a week is appropriate, and the exercise should be selected according to their condition, not too high exercise, jogging, brisk walking, climbing, tai chi and other aerobic exercise as the main to develop good habits.  2, drug treatment (1) beta-blockers.  Commonly used drugs are (metoprolol, bisoprolol) can become a slow heart rate weakening myocardial contractility, thereby reducing the work done by the heart and reducing the demand for oxygen. Therefore, beta-blockers are commonly used in the treatment of angina pectoris and prevention of myocardial infarction, and long-term use can significantly reduce cardiovascular events and mortality. As long as there are no contraindications, all patients with coronary artery disease should have long-term application of beta-blockers as secondary prevention.  Use should start with a small dose and increase the dose step by step. The dose should be used to reduce the heart rate to within the target range. β-blockers are contraindicated and used with caution in conditions such as asthma, chronic bronchitis, tachycardia, atrioventricular block and cardiac insufficiency.  (2) Non-dihydropyridine calcium antagonists, (such as diltiazem, verapamil, etc.), in addition to acting on l-type calcium channels on vascular smooth muscle, also have selective effects on calcium channels in the sinus node and atrioventricular node causing slowing of heart rate and decreased sympathetic nerve activity. It can be used to enhance heart rate control in patients with exertional angina and is effective in patients with unstable angina with coronary spasm.  (3) Sinus node If inhibitor: Ivabradine. Indicated in patients with chronic stable angina pectoris who are disabled or intolerant to beta-blockers and have normal sinus rhythm. This is another killer in the current control of patients with coronary artery disease by reducing the sexual heart rate through a specific mechanism of action that can effectively avoid the effects of beta-blockers in patients with asthma.  Another point to note about heart rate control medications is that in general, regardless of the drug chosen, it is recommended to start with a low dose and to do a good monitoring and measurement of heart rate and to test blood pressure because these heart rate lowering drugs have an effect on blood pressure. The principle is to achieve the resting heart rate level we talked about earlier and to be able to maintain it steadily over time.  Patients with coronary heart disease must be aware of their heart rate and keep it stable and up to standard to be able to better manage their coronary heart disease problems.