The Optimal Treatment Approaches for Coronary Heart Disease
Managing coronary heart disease (CHD) effectively begins with significant lifestyle modifications. Patients are advised to avoid late-night activities and manage emotional stress to prevent unnecessary strain on the heart. Maintaining a balanced diet that is low in salt and fat is essential, along with avoiding overeating, which can place additional pressure on the cardiovascular system.
Monitoring and Controlling Key Health Indicators
One of the most important aspects of CHD management is controlling underlying health conditions. Blood pressure, blood sugar levels, cholesterol, and uric acid should all be closely monitored and maintained within healthy ranges. Particularly, low-density lipoprotein (LDL) cholesterol should be kept below 1.8 mmol/L to reduce arterial plaque buildup and lower the risk of heart-related complications.
Medication Therapy for Coronary Heart Disease
Commonly Prescribed Medications
Pharmacological treatment plays a critical role in managing coronary heart disease. Patients often receive a combination of medications such as aspirin and clopidogrel to prevent blood clots. Statins like atorvastatin help lower cholesterol levels, while isosorbide mononitrate helps improve blood flow by dilating blood vessels. Beta-blockers such as metoprolol (either tartrate or succinate form) assist in reducing heart rate and blood pressure. ACE inhibitors like enalapril or angiotensin receptor blockers such as telmisartan are used to manage hypertension and protect heart function. Additionally, herbal supplements like ginkgo biloba and danshen pills may be included to support circulation and overall heart health.
Managing Acute and Chronic Complications
When heart failure symptoms occur, treatment typically includes digoxin to strengthen heart contractions and diuretics to reduce fluid buildup. Preventing lung infections is also crucial in patients with compromised heart function. In cases of acute myocardial infarction, emergency intervention such as percutaneous coronary intervention (PCI) with stent placement can be life-saving by restoring blood flow to the heart muscle.