What are the best treatments for coronary heart disease

Coronary heart disease is a common disease in middle-aged and elderly people. The incidence rate of coronary heart disease is very high, which is closely related to people’s long-term unhealthy living habits. Therefore, it is very important to pay attention to maintaining healthy living habits. For people with coronary heart disease, active treatment is the best way. So, what are the best treatments for coronary heart disease?

1. Nitrates are routine medications for patients with stable angina pectoris. When angina pectoris occurs, you can take nitroglycerin sublingually or use nitroglycerin aerosol. For patients with acute myocardial infarction and unstable angina, the drug is first administered intravenously, and then switched to oral administration or skin patch after the condition stabilizes and symptoms improve. The drug can be stopped after the pain symptoms completely disappear. Continuous use of nitrate drugs may cause drug resistance and reduce their effectiveness. The drugs can be taken at intervals of 8 to 12 hours to reduce drug resistance.

2. Antithrombotic drugs can inhibit platelet aggregation and prevent thrombosis from forming and blocking blood vessels. The side effect is irritation to the gastrointestinal tract, and patients with gastrointestinal ulcers should use it with caution. After coronary intervention, the drug should be taken orally daily, usually for half a year to one year. Anticoagulants are commonly used in the acute phase of unstable angina and myocardial infarction, as well as during interventional procedures.

3. Fibrinolytic drugs Thrombolytic drugs mainly include streptokinase, urokinase, tissue plasminogen activator, etc., which can dissolve the blood clots formed at the occlusion of the coronary artery, open the blood vessels, restore blood flow, and are used in the event of acute myocardial infarction.

4. Lipid-lowering therapy Lipid-lowering therapy is suitable for all patients with coronary heart disease. For coronary heart disease, statins are given on the basis of changing lifestyle habits. Statins mainly lower low-density lipoprotein cholesterol, and the treatment goal is to reduce it to 80 mg/dl. Recent studies have shown that statins can reduce mortality and morbidity.