Haidu All-Media Reporter Lin Baozhen
"Doctor, my son is dizzy and has a headache. He can't even measure electronic blood pressure monitor at home. Hurry up and help me take a look!" Recently, a mother and son came to the outpatient clinic of Lin Jianzhen, deputy chief physician of the Department of Cardiology at Fujian Provincial Hospital. The patient is Xiao Zhang (pseudonym), a young man less than 30 years old. He is 1.73 meters tall and weighs 200 kilograms. His blood pressure is so high that he "explosive". The doctor used mercury blood pressure to measure his blood pressure up to 260/140mmHg many times!
This condition is prone to hypertension acute , causing coronary heart disease , heart failure and cerebrovascular accidents! Dr. Lin quickly arranged for Xiao Zhang to be hospitalized for treatment. After intravenous pumping of antihypertensive drugs under monitoring, Xiao Zhang's blood pressure gradually dropped to a safe range and transitioned to oral drug treatment.
September 29 is the 23rd World Heart Day . The theme is "One One" and aims to improve the public's awareness of cardiovascular health and advocate the management of the entire life cycle of cardiovascular disease. reduces the occurrence of cardiovascular events including coronary heart disease and heart failure.
"Four Highs" young man with vascular calcification
Associate Chief Physician Lin Jianzhen asked about the medical history in detail, only to learn that Xiao Zhang's parents are from the north, they have always had heavy diets, and they like salty, oily, sweet and spicy. His father has a history of hypertension and diabetes for decades. Xiao Zhang also found that his blood pressure began to rise 5 years ago, with blood pressure around 150-160/90-100mmHg. The community doctor suggested that Xiao Zhang change his lifestyle and start taking oral antihypertensive drugs for treatment, but his parents could not accept it as taking antihypertensive drugs at such a young age. He himself had no intention of changing his lifestyle, so he kept "turning a blind eye". In addition, he was a "otaku", who went to work in the office and played games and watched TV series at home after get off work. In the past two years, his weight has increased to the 200 pound mark. After being admitted to the hospital, after detailed specialist examination, it was found that in addition to obesity, Xiao Zhang's blood lipids, , , blood sugar, and uric acid have all begun to increase, which is obviously abnormal metabolic and damage to kidney function. , heart color ultrasound, indicates that myocardial hypertrophy is shown. More importantly, through a CT scan of the heart, he saw that "stones" of different sizes grew on the wall of his heart's blood vessels - the blood vessels were calcified.
The young man's coronary artery has been calcified in many places. Under the heart CT, he looks like a white "stone"
Young people with coronary artery calcification are not uncommon
"Vascular calcification loses elasticity, and is prone to rupture or blockage of blood vessels, causing cardiovascular disease." Lin Jianzhen, deputy chief physician, introduced that 90% of patients with coronary heart disease Coronary has calcification, and the degree of calcification is related to the degree of coronary stenosis. "In the past, everyone thought that this situation often occurred in the elderly. Nowadays, many middle-aged and young people also suffer from hypertension, diabetes, dyslipidemia , abnormal uric acid, chronic kidney disease , etc. It is also uncommon for people with coronary calcification."
, and Xiao Zhang's coronary calcification is due to years of obesity and poor lifestyle, which causes dangerous diets such as blood pressure, blood lipids, blood sugar, uric acid, etc., and there is no timely intervention. Through communication and health education, Dr. Lin prescribed a set of cardiac rehabilitation prescriptions for Xiao Zhang: including drugs lowering blood pressure, regulating blood lipids, lowering uric acid and controlling blood sugar, limiting carbohydrate nutritional prescriptions, and safe and effective accurate exercise prescriptions for , etc. Xiao Liu's risk factors are controlled.
Prevention of cardiovascular disease Starting from a healthy life
September 29 is the 23rd World Heart Day. This year's theme is "One All" and aims to improve the public's awareness of cardiovascular health, prevent the occurrence of cardiovascular diseases from the source, and at the same time strengthen the secondary prevention of cardiovascular diseases, scientifically standardize the diagnosis and treatment of cardiovascular diseases, and delay the development of cardiovascular diseases in the process.
so, how can we prevent the emergence of coronary calcification through a healthy lifestyle in daily life and thus prevent cardiovascular disease? Dr. Lin Jianzhen put forward 5 suggestions.
1. Balanced dietary habits: According to , the Chinese Nutrition Society suggest: 250-400g of cereal and potato food for ordinary adults, 300-500g of vegetables, 200-350g of fruits, 200-350g of fish, poultry and eggs, and 300g of milk. Salt intake is less than 5 grams per day, cholesterol is less than 300g per day, avoid trans fatty acid , and control the energy supply of carbohydrates at 50-55%.
2. Adhere to physical activity : At least 150 minutes of moderate-intensity aerobic exercise per week, or 75 minutes of high-intensity aerobic exercise, including brisk walking, jogging, swimming, cycling, skipping rope , square dance, Tai Chi , etc.; combined with resistance training once every other day, including elastic band , fitness equipment, etc.
3. Reasonable weight control: Adult male daily calorie intake is controlled at 1200-1500 calories (female), 1500-1800 calories (male), obese people reduce their daily calories by about 500 calories, and control the body mass index (BMI) by 24 kg/m2, and waist circumference is less than 85 cm (female), 90 cm (male).
4. Smoking and alcohol restriction: Smoking and exposure to second-hand smoke both increase arteriosclerosis and cardiovascular disease. After quitting smoking for 5 years, the risk of cardiovascular disease can return to normal levels. Excessive drinking increases the risk of cardiovascular disease. According to the " Dietary Guidelines for Chinese Residents ", daily alcohol intake is recommended for men and women/15 grams. Alcohol amount = wine bottle labeled alcohol content × drinking amount (ml)/100×0.8.
5. Healthy sleep and psychology: Sleep disorders and psychological disorders including anxiety and depression are independent risk factors for cardiovascular disease. Maintain adequate sleep time and good sleep quality for 7-8 hours a day. Maintain an optimistic mood and relieve stress in time when psychological pressure occurs through confiding, exercising, seeking medical treatment, etc.
Finally, Dr. Lin reminded that if you have already developed cardiovascular risk factors such as hypertension, diabetes, dyslipidemia, and hyperuricemia, you must pay attention and seek medical treatment in a timely manner. Do not have the mentality of "turning a blind eye, waiting for a while" and avoid delaying the condition.
This article is an original article of Haixia Metropolis Daily and may not be reproduced or excerpted without authorization.
Editor: Xiao Xiao
Intern: Lai Shuwen
