"Human beings are susceptible to atherosclerotic disease, and we must give full play to the idea of treating the disease before it is done, move the line of defense forward, and prevent coronary heart disease and myocardial infarction as soon as possible, so as to achieve no or less stents." Recently, at the 9th Lingnan Conference on the Prevention and Rehabilitation of Cardiovascular Diseases of Integrated Traditional Chinese and Western Medicine, Professor Wu Wei, Director of the Department of Internal Medicine of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, pointed out that after the stent is implanted, the stent is not a panacea and cannot be "once and for all". He emphasized the theory of TCM in the prevention and treatment of coronary heart disease, focusing on prevention.
It is reported that the conference has a total of eight sub-venues, covering basic, clinical, innovation and traditional Chinese medicine transformation, focusing on coronary heart disease, coronary microcirculation disorders, heart failure, hypertension, structural heart disease, dyslipidemia, arrhythmia and other common and frequent diseases in cardiovascular medicine.
Susceptibility to atherosclerotic disease
The incidence of coronary heart disease and acute myocardial infarction in mainland China has been rising, which is closely related to unhealthy lifestyle. Professor Wu Wei pointed out that human beings are susceptible to atherosclerotic disease, and we must give full play to the idea of treating diseases before they are treated, move the line of defense forward, and prevent coronary heart disease and myocardial infarction as soon as possible, so as to achieve no or less stents.
He believes that we need cardiovascular disease, and to develop a good lifestyle, we must keep our mouths shut (eat modestly) and open our legs (exercise consistently); Regular life and rest, do not stay up late; Quit smoking; Those who limit alcohol or should not drink alcohol should abstain from drinking; Regulate emotions and reduce psychological stress, etc. "Especially for people who already have risk factors, have a family genetic predisposition or medical history, such as hypertension, diabetes, dyslipidemia, obesity or overweight, smoking, alcoholism, etc., as well as a family history of early-onset cardiovascular disease, or already have damage to certain target organs, such as lacunar cerebral infarction, carotid plaque, angina, chronic renal failure, etc., pay attention to annual physical examination and regular reexamination."
Professor Wu Wei also pointed out that for one or more existing cardiovascular risk factors, there is generally a genetic predisposition to cardiovascular disease, and the drug should not be discontinued without authorization. "Some people always want to skip the pill and worry about the side effects of taking it. If you are sick and do not take medicine, the consequences are even more unpredictable. It is important to know that a cardiovascular and cerebrovascular event is not only a problem of stent implantation, but also disability and death. ”
The line of defense against cardiovascular disease has been moved forward, and prevention has been emphasized
Traditional Chinese medicine has emphasized "curing diseases before they occur" for thousands of years, and after implanting stents, stents are not a panacea and cannot be "once and for all". Professor Deng Tietao, a master of traditional Chinese medicine and a well-known expert in cardiovascular diseases of traditional Chinese medicine, once solemnly pointed out that stents only solve local vascular lesions, but cannot solve the problems of the entire blood vessel or even the whole body blood vessels. Atherosclerosis is a systemic, systemic, inflammatory disease, and stent surgery simply squeezes the lesion onto the wall of the blood vessel outside the stent, rather than removing the plaque from the body. After stent surgery, the patient's constitution and pathogenesis have not changed, and it is still necessary to use the idea of "holistic view" and "preventive treatment" of traditional Chinese medicine to guide prevention and treatment.
As the academic successor of Professor Deng Tietao, Professor Wu Wei continues to inherit, carry forward and innovate the theories and theories of TCM in the prevention and treatment of coronary heart disease, and develop treatment methods, especially the treatment of cardiovascular diseases with the "Maoqin Qingxin Formula", the core effect of which is to clear heat and activate blood. The data show that Professor Wu Wei intervened in myocardial infarction stent implantation after the stent implantation with the use of blood-activating, heat-clearing, yin-nourishing, phlegm-dissolving, and soothing the nerves, reflecting his combination of Lingnan regional characteristics, and the clinical intervention of myocardial infarction after stent implantation to promote blood circulation and eliminate stasis, accompanied by the academic ideas of clearing heat, dissolving phlegm, nourishing yin, and calming the nerves.
Pay attention to the health of patients
At the forum on comprehensive management of cardiovascular risk, Professor Li Rong, director of the Department of Cardiovascular Medicine of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, gave a special sharing on the topic of "Interpretation of the Chinese Expert Scientific Statement on Percutaneous Nephrogenic Nerve Removal for the Treatment of Hypertension" for the guests and medical elites.
Professor Li Rong pointed out that the incidence of hypertension has shown a trend of younger people. According to the relevant research of The Lancet, hypertension patients aged 35~59 in mainland China account for 49.9% of the total hypertension population.
"One of the significant features of hypertension in young and middle-aged people is sympathetic overactivation in young and middle-aged patients, especially those with obesity. An increased heart rate is a sign of sympathetic overactivation. This is because sympathetic nerve excitation acts on β cells, causing the heart rate to increase, myocardial contractility to increase, and cardiac output to increase. Therefore, Professor Li Rong reminded that doctors should pay special attention to patients with cardiovascular disease complicated by anxiety, and cardiovascular doctors should achieve "double heart" co-treatment.
In recent years, "dual-heart medicine" has become an academic hotspot at home and abroad, and its core concept is that the occurrence and development of cardiovascular diseases may lead to mental and psychological problems, and mental and psychological problems are also related to cardiovascular diseases. The two affect each other and cause and effect each other, so in clinical treatment, Professor Li Rong also reminded patients to pay attention to the simultaneous treatment of heart diseases and psychological diseases.
Text, Figures| Reporter Zhang Hua