Hello everyone, I am an internist who has been practicing for many years. Internal medicine, in fact, focuses on the management of chronic diseases. We humans are a machine, and as we age, the machine gradually ages. I believe that many people should have such an experience, when they are young, they are at most a cold all year round, and it will be fine in three or two days. However, entering the middle-aged and elderly stage, busy for most of his life, should have enjoyed the moment of happiness, do a physical examination out of high blood pressure, high blood sugar, high blood lipids, high uric acid, weight obesity ... After entering the age of 50, it has also entered the high incidence of cardiovascular and cerebrovascular diseases, which is the first to be "coronary heart disease", common symptoms such as panic, shortness of breath, chest tightness, chest pain, etc. as the title says, this high incidence should not be underestimated, but there is no need to be too anxious, today I will take this as the theme to explain science for everyone.
<h1 class="pgc-h-arrow-right" data-track="2" > is coronary heart disease serious? </h1>
● In the general public concept of any heart discomfort can be classified as "heart disease", in fact, like the middle-aged and elderly people at this stage of the most common is "coronary atherosclerotic heart disease", it is a kind of heart organic lesions, the main feature is to the heart of the insufficient blood supply as a feature, resulting in cardiac circulation disorders, myocardial ischemia and necrosis. Note that atherosclerosis actually causes an inflammatory response in the body, stimulates the growth and development of cardiomyocytes, and thus appears ventricular pre-contraction or tachycardia, resulting in ventricular arrhythmias. In Chinese medicine, the main reason for the disease is that the cause is qi and yin deficiency, qi and blood stasis, and then chest tightness, palpitations, dizziness and irritability.
● For arrhythmias, we can not underestimate, if the situation is serious, it will cause ventricular fibrillation and ventricular flutter, it is very easy to appear sudden death, why do some people fall asleep the next morning to find that people have died for a long time? Why are some people walking or basking in the sun in the yard and suddenly falling to the ground and can no longer be saved? The high probability is "sudden cardiac death". Therefore, its threat to our life safety is more serious, and it is very necessary to control the disease in a timely and effective manner in the clinic. Then for the treatment of the disease, drug control is a more common way of treatment, which is why I told you two drugs to keep in mind above, because this is the most commonly used drug in cardiology, I will come to a simple science popularization.
<h1 class="pgc-h-arrow-right" data-track="38" > heart-saving drug (1)-β receptor blocker</h1>
● I said β receptor blockers may be unfamiliar to everyone, if I say metoprolol succinate extended-release tablets, bitartrate metoprolol extended-release tablets, bisoprolol tablets should be more familiar to everyone, they can be classified as β receptor blockers. It is not only a hypertension drug, but more importantly, it is also a drug that protects the heart, and can play the three negative effects of negative heart rate, negative muscle strength and negative conduction in the treatment of heart disease. In terms of drug mechanism, due to its functional benefit of blocking the sympathetic nervous system, it can effectively inhibit the renin angiotensin system, improve myocardial contractility, and favor the patient's ventricular remodeling.
●According to relevant studies, the use of β receptor blockers in elderly patients with coronary heart disease arrhythmias can effectively reduce the sudden death rate and case fatality rate, and has a very important clinical value. After entering the human body, metoprolol can prolong the action potential and effective refractory period of each myocardial tissue, so that the drug can reduce the autonomy and conduction speed of the sinoatrial node by participating in the blood circulation around the body, effectively improve the clinical symptoms caused by coronary heart disease, and is the most commonly used anti-arrhythmic drug in our clinic. Therefore, to sum up, it can "improve the blood supply of the heart muscle and prevent arrhythmias and sudden death."
<h1 class="pgc-h-arrow-right" data-track="39" > heart-protecting drug (1)-stabilizing granules</h1>
● Below I will also introduce the mechanism of action of this commonly used drug, steady heart granules belong to a kind of traditional Chinese medicine preparation, the drug contains panax notoginseng, gansong, amber, yellow essence and ginseng. Like Sanchi can play a role in dredging the meridians, the pain relief effect is also good, and it can also activate the blood and dissolve the stasis; and gansong and amber are both calming and calming drugs, which can also activate the blood and play a positive role in the dredging of coronary blood vessels; the party ginseng and yellow essence play a role in promoting the metabolism of the myocardium, which can timely and effectively restore the blood supply of the myocardium, reduce the damage of the myocardium for a long time, hypoxia to the myocardium, reduce the perfusion resistance of the myocardium, control the aggregation of inflammatory factors in the body, and control the inflammatory factor indicators.
●In addition, as a traditional Chinese medicine drug, the use of steady heart granules is also relatively safe and will not cause secondary harm to patients. Therefore, I generally recommend combined use to learn from each other's strengths. Metoprolol treatment with stabilizing granules can not only improve cardiac output resistance and relieve coronary spasm, but also relax the smooth muscles of patients, improve vascular elasticity, and reduce myocardial oxygen consumption. At the same time, the stabilization of heart granules assisted metoprolol treatment can promote the blood circulation of the human cardiovascular system to a certain extent, and also has a certain oxygen supply capacity, which can meet the oxygen supply needs of various tissues and organs, greatly improve the patient's myocardial function, so that elderly patients with coronary heart disease arrhythmias can maintain normal physiological functions and be protected from adverse reactions, especially elderly patients with poor physical function, with high efficacy.
<h1 class="pgc-h-arrow-right" data-track="40" > comprehensive summary</h1>
We must understand that cardiovascular disease will not only cause changes in the cardiovascular structure of the patient's body, leading to coronary heart disease, myocardial infarction, hypertension, etc., but also lead to abnormal ejection function of patients. When the cardiovascular function structure changes, it will over-activate a variety of cytokines and neurohormones, which to a certain extent aggravates the degree of damage and forms a vicious circle. Therefore, for the treatment of cardiovascular disease, it is a "long-distance running" process, which requires persistent adherence to treatment/follow-up, and should not be underestimated.
Author's message: This article is a comprehensive summary of the author's comprehensive time of several hours, do not join the column for fees, free and free for everyone to read. It may be helpful to those who are misled by rumors, who have no medical knowledge and no concept of health care. Headlines is an open platform where everyone can learn from each other, discuss with each other, and if there are different views, they can talk about their views in the comment area. If you feel that it is helpful to learn, do not be stingy, give a love, like, forward to help more people, thank you for support. #Fall Health Doesn't Close ##健康心脏的坚守者 #