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A friend asked: I had coronary heart disease at the age of 50, and many people only have it at the age of 60 or 70. Is there any difference in the impact of coronary heart disease at different ages on future life? How much will it be?
First of all, it is not important to say at what age coronary heart disease occurs, because people with coronary heart disease can enjoy the expected life expectancy just like normal people. The key lies in how you treat coronary heart disease. Of course, coronary heart disease can be fatal, but it is not caused by coronary heart disease itself, but the result of coronary heart disease causing myocardial infarction. Simply put, the consequences of coronary heart disease depend on its treatment.
Coronary heart disease, as the name implies, is that the coronary arteries of the heart have atherosclerosis and plaque formation, resulting in coronary artery stenosis affecting normal blood flow, because myocardial cells are responsible for pumping blood to promote blood circulation and require a lot of energy. The supply, especially the demand for oxygen, is very large. Once the blood flow is reduced, it will cause pain due to hypoxia, which is often referred to as angina. Therefore, the most important thing for people with coronary heart disease is to prevent the occurrence and development of ischemic oxygen.
To achieve this goal, one is to reduce the oxygen consumption of the myocardium as much as possible, and the other is to prevent and delay the progression of coronary atherosclerosis and plaque. The most important measure is to remove the cause of atherosclerosis. Risk factors mainly include:
Factors that damage the vascular endothelium , such as high blood sugar, high blood pressure, high uric acid, smoking, drinking, etc. These factors can damage the vascular endothelium and cause "micro wounds", just like skin damage can cause Like infection and purulent, a large amount of fat in the blood will enter the vascular endothelium from the damaged place and cause inflammation. The deposited fat will form atherosclerosis due to "purulent", and atherosclerosis will occur. Plaque. Therefore, people with coronary heart disease must quit smoking and alcohol, strictly control blood sugar, blood pressure, and uric acid, etc., which usually requires long-term medication.
The most important factor that promotes fat deposition is the increase in the level of low-density lipoprotein in blood lipids, because it is a means of transporting fat in the blood into the vascular endothelium. The higher the level, the higher the level of fat deposited in the vascular endothelium. The more serious it is. Therefore, the disease with coronary heart disease requires strict control of low-density lipoprotein, and the control requirements are very high. It cannot be required by the standard of normal people (not higher than 3.37mmol/L). It should be controlled at least below 1.8mmol/L, or even To reach 1.4mmol/L or less.
In addition, it is necessary to prevent the formation of thrombus on this basis. Thrombus is different from plaque on blood vessels. Plaque is a lipid that grows on blood vessels. It becomes a part of blood vessels and is the main cause of blood vessel stenosis. It usually does not directly block blood vessels and only affects blood flow; and thrombus After the plaque ruptures, a large number of platelets are formed around the lipids exposed by the ruptured plaque. It is a mass independent of the blood vessel and can completely block the blood vessel and interrupt the blood flow in an instant, resulting in ischemia and deficiency of myocardial cells. Necrosis due to oxygen is known as myocardial infarction. Since it is impossible to predict when the plaque will rupture, people with coronary heart disease should take long-term drugs that inhibit platelet aggregation to prevent the formation of blood clots.
For people with coronary heart disease, after the above intervention and treatment measures are taken, coronary heart disease can be controlled stably. Angina may occur in certain special situations such as emotional agitation and overwork, but angina is not fatal; In addition, these measures can also stabilize the plaque without rupture and inhibit thrombosis. Therefore, after active and reasonable treatment, patients with coronary heart disease can live like normal people.
To sum up, regardless of age, active and reasonable treatment is particularly important for people with coronary heart disease, and this treatment is life-long, and the medication must be persisted for a long time without interruption.
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