☆ When initially judging whether it is coronary heart disease, what are the main aspects to look at? 1, from the patient’s symptom performance, coronary angina is often paroxysmal chest pain, chest tightness, panic, generally 3-5 minutes, can be relieved by itself or after the use of drugs, there will be no local pressure pain during the examination, and the scope of the boundary is blurred. The chest pain of myocardial infarction often exceeds 30 minutes, with sweating, frequent death, and a feeling of suffocation. In the case of intercostal neuralgia and chondromalacia pain, the pain tends to last for some time and there will be local pressure pain, not accompanied by panic and stuffiness. The electrocardiogram will also not show obvious abnormal changes than usual. The Department of Cardiology, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, Ma Jingyu 2. The electrocardiogram will show ischemic manifestations during the attack of angina pectoris, but the electrocardiogram often returns to normal after the attack. Myocardial infarction will usually have myocardial infarction graphic manifestation, which will not disappear when the attack stops. 3. In terms of age, patients tend to be over 40 years old, but the age of onset of coronary heart disease has advanced in recent years. For those who have the above clinical discomfort manifestations, they need to go to the hospital for screening in time to avoid delaying the disease. 4, patients with coronary heart disease often have a family history. For example, if the father has coronary heart disease, the chances of the children getting coronary heart disease are greatly increased. ☆ Who are the main high-risk groups? How many people over the age of 10 should be considered for coronary heart disease? The main groups of people at risk of coronary heart disease are as follows: 1, hypertension; 2, obesity, high blood fat, little exercise; 3, diabetes; 4, people who smoke a lot; 5, long-term excessive exertion, excessive late night; 6, people with a family history of coronary heart disease; 7, overeating, heavy drinkers. Usually male patients over 40 years old and female patients in menopause who have symptoms and have the above high-risk factors should focus on them and go to the hospital in time. ☆ If young people in their 20s or 30s develop typical symptoms of coronary heart disease, do they need to consider coronary heart disease? If the above-mentioned coronary heart disease manifestations appear at a young age, attention must be paid to investigate whether it is coronary heart disease. The first thing to consider is whether the patient has any of these high-risk factors, and if so, be on high alert for coronary artery disease. Recently, I managed two male patients, one 32 years old and one 33 years old, who were both admitted to the hospital for acute myocardial infarction. One of the patients had a family history of sudden death of his father due to coronary heart disease. Fortunately, after some treatment, the 2 patients were discharged from the hospital. So young people should also be alert to coronary heart disease ah!