Secondary prevention of coronary heart disease

  (1) Aspirin (Aspilin): start and long-term continuous aspirin 75-325 mg/d if not contraindicated, or clopidogrel 75 mg/d if contraindicated; (2) Angiotensin-converting enzyme inhibitor (ACEI): long-term treatment after all myocardial infarction, used early in high-risk patients.  Prior myocardial infarction, cardiac function Killip class II); B(1) β-blocker (β-blocker): all patients with post-myocardial infarction or acute ischemic syndrome requiring long-term medication, in addition to the usual contraindications, should be used for all others when angina, rhythm or blood pressure control is required; (2) Blood pressure control (Blood pressure control) Target 1000mg) should be controlled to 125/75mmHg; C(1) Cholesterol lowing (Cholesterol lowing): primary target LDL-C200-499mg/dl(2.3-5.7mmol/L), to be reduced LDL, consider beta or niacin drugs, encourage increased intake of ε-3 fatty acids; TG≥500 mg/dl(5.7mmol/L), consider LDL reduction after treatment with fibrates or niacin; (2) Cigarette quitting; D(1) Diabetes control: FPG 5.1-6.1mmol/L, 2hPG 7.0-7.8mmol/L, HbA1c 6.0%-7.0%; (2) Diet restriction (Diet): moderate alcohol consumption, sodium restriction, emphasis on fruits, vegetables and low-fat dairy foods; E(1) Exercise (Exercise): minimum goal: 3-4 times a week, 30 minutes each time; ideal goal: 30-60 minutes of exercise per day (walking, jogging, cycling and other aerobic exercises); (2) Health education ( Education).