There are more and more patients with coronary heart disease, which is what we are paying off the "health debt" we owed in previous years. It is precisely because of the insurgencies of unhealthy lifestyles after the improvement of economic conditions that we now have so many coronary heart disease patients. And patients with coronary heart disease, whether the heart has a stent, or not put a stent is being treated with drugs, will be more concerned about a problem, that is, "coronary heart disease patients, blood pressure, blood lipids, blood sugar control in how much is more appropriate?" "Today Dr. Zhang will give you a detailed answer to this question, hoping to help the majority of fans and friends in front of the mobile phone."
First, how much is the blood pressure control of patients with coronary heart disease?
It's important for people with coronary heart disease to manage their blood pressure well, and many people with coronary heart disease do have high blood pressure. Generally speaking, patients with coronary heart disease can be under the guidance of a professional doctor for antihypertensive therapy if their blood pressure is higher than 140/90mmHg, and the antihypertensive treatment mentioned here includes both lifestyle improvement and professional antihypertensive drug therapy. Generally speaking, blood pressure should drop below 140/90mmHg, which is only the first step. For those without a hypotensive response, better blood pressure control in patients with conditional coronary heart disease, say to 130/80mmHg, or even lower may be better. This is also a medical fact that many medical studies have seen over the years.
Second, how much is the blood lipid control for patients with coronary heart disease?
With the enhancement of public health concepts, more and more patients with coronary heart disease have learned the importance of controlling blood lipids, especially the importance of controlling low-density lipoproteins. For almost all patients with coronary heart disease, LDL cholesterol should be controlled at least below 1.8 mmol/l, and for some of these patients with high risk stratification, such as those who have had two myocardial infarctions, LDL cholesterol may need to be controlled lower, such as less than 1.4 mmol/l. But in any case, controlling blood lipids, especially controlling LDL cholesterol, is very important for patients with coronary heart disease, and it is one of the most important things, and everyone must keep it in mind.
3. How much is the appropriate blood glucose control for patients with coronary heart disease?
The blood glucose of patients with coronary heart disease should be controlled as normally as possible, but for some elderly patients with diabetes comorbidities, blood glucose can be considered moderately relaxed. In addition to the monitoring of blood glucose in addition to fasting blood glucose and 2 hours after the meal blood glucose should be as normal as possible, glycosylated hemoglobin is also an indicator that needs special attention, glycosylated hemoglobin control to less than 7% is more appropriate, and for patients with advanced age, long history of diabetes, comorbidities, the goal can be moderately relaxed, it is best to control glycosylated hemoglobin to 7.5% or 8% or less. Because glycosylated hemoglobin can reflect the overall blood glucose level of the past 2-3 months, patients with coronary heart disease can check this indicator regularly.
All in all, patients with coronary heart disease really need to manage their blood pressure, blood lipids, and blood sugar well, so that they can have a better quality of life and a longer life. Are you right?