(A) A: 1, Asprin: aspirin (bai aspirin) 0.1 Qd, clopidogrel (Polivy/Tega) 75mg Qd Note: non-ACS (stable angina) depending on the situation only one of them, ACS (unstable angina + acute ST or non-ST elevation type infarction) both with and bai aspirin first dose 300mg, Polivy first dose 300mg. ( If the patient’s blood pressure is significantly high at this time, remember to BP control well before giving such a large amount of anticoagulants Oh, to prevent cerebral hemorrhage) 2, Anti (anti-)-angnal anti-anginal (1) nitroglycerin 0.5mg sublingual, sublingual hypocardium 5mg for angina pectoris is effective, and not yet repeated or doubly Tylenol (must pay attention to contraindications), or add cardiac pain (lowering blood pressure is more obvious) or micro-pump Nitroglycerin, pay attention to blood pressure. Vancomycin (Trimetazidine) 20mg Tid, can improve myocardial metabolism, anti-angina, and even dilate coronary arteries, is very recommended for people with coronary artery disease (contraindicated for those with recent infarction). Note: angina pectoris is much useful with these; however, those with acute ST-segment elevation infarction with chest pain are often not obvious and can be given dulcolax inotropes for pain relief. (B) B: 1, Blood Presure: For ease of memory, antihypertensive drugs can be divided into ABCD.(A): ACEI: such as Lodrine (Benadryl) 5-10mg QdARB: such as Ambrovir (Irbesartan) 150mg Qd (B): β-blockers: mainly affect the DBP (diastolic blood pressure), so the treatment of hypertension is generally not used it alone. For example, Bisoprolol (Convoy, Bosu) from 1.25mg Qd (must bear in mind that each of the contraindications of beta block: slow heart rate, acute heart failure, heart failure exacerbation, more than second degree atrioventricular block, asthma, COPD, etc.) (C): CCB: mainly affects SBP, for example, Bison 30mg Qd (D) diuretics: for example, Antiseptic 20mg Qd (small effect on blood pressure but has antagonistic aldosterone effect, especially for heart failure). If you follow the textbook, if you use three kinds of antihypertensive drugs in combination, you must use diuretics. Note: The above antihypertensive drugs are contraindicated for those with low blood pressure. If the blood pressure is normal can use a discretion, for example, angina pectoris with Bisoprolol 1.25-2.5mg Qd, heart failure with Lortin 5mg Qd. If the blood pressure is high angina, preferred β-block and CCB, both have a certain negative inotropic force, to relieve the role of angina. 2, β-blocker β-blocker in antihypertensive also take out again alone, to emphasize its status in coronary heart disease. Short-acting commonly used betaxolol (metoprolol), long-acting commonly used bisoprolol (Concentra, Bosu). It has both angina relief and antihypertensive effects, as well as certain anti-arrhythmic effects, which is really good! However, there are many contraindications (described above), you must always remember each one! For such a patient with coronary artery disease (CAD patients commonly have these signs at the same time): she has frequent angina pectoris, rapid rhythm, and supraventricular arrhythmias (such as sinus tachycardia, supraventricular tachycardia), she also has hypertension, at this time to give him oral Betalac 25mg, long instructions and then prescribed on Bosulol (Bisoprolol) 2.5mgQd, feel very technical. (C) C: Cholesterol lipids statins not only have a lipid-lowering effect, but also stabilize the plaque effect. Regardless of high or low lipids, as long as the coronary heart disease and no contraindications are applied lipid-lowering drugs, and coronary heart disease patients with lipid reference value itself is lower than normal people. The common lipid-lowering drugs are: Lipitor (Atorvastatin), Shujiazhi (Simvastatin) for normal or low blood lipids can Lipitor 10mg (half grain) Qd. high blood lipids generally Lipitor 20mg Qd, or Shujiazhi 40mg QN. even available to 40/80mg/d. transaminases higher than normal high value 3 times, muscle pain is contraindicated. (D) D: (1) DM: Hypertension + diabetes + coronary artery disease is a match made in heaven. There are four categories of oral drugs and one category of injectable drugs (insulin) for glucose-lowering drugs. For ease of memory, the four categories of oral hypoglycemic drugs are divided into ABCD.(A) A (A) Carbose (Bactrim) 50-100mg Tid (① α glucomannase inhibitor class) applies to fasting normal postprandial significantly high. Adverse effects: abdominal distention and exhaustion (often very obvious). (B) Pi(B) Glitazone 15mg bid (② insulin sensitizer). The advantage is that it can also improve blood lipids, vascular endothelial function, improve fibrinolytic activity, etc., and protect the heart and kidneys, which is very good stuff. (C) Gliclazide (Damacell) 30-60mg Qd (③insulin secretagogue-sulfonylurea). Novaluron (Reglanox) 0.5mg qd onwards (③Pro-insulin secretagogue – non-sulfonylurea) (D) Metformin (Double) guanidine: 0.5 Tid (④Biguanide) First-line drug for T2DM without significant wasting with lipid abnormalities and hypertension. Note: After carefully checking the literature, only the above four types of hypoglycemic agents may cause hypoglycemia if they are proinsulin secretagogues, and the others alone will not cause hypoglycemia. If this conclusion is correct, it has considerable clinical significance. (2) Diet diet (omitted) (E) E: (1) Educatiion education (omitted) (2) Else other ① ACS must use low-molecular heparin, can be 5000U iH Q12h ② Acute infarction patients should consider using acid suppressants to prevent acute gastric mucosal lesions caused by stress, such as Nexium (esomeprazole) 20mgQd ③ Because coronary heart disease patients, especially those with ACS, often have to be bedridden for a long time rest, gastrointestinal stimulants should be given, such as morpholine 10mg Tid.