How to treat coronary artery atherosclerosis

When a person gets older, he must be very careful about the problem of high blood pressure, because a common consequence of high blood pressure is arteriovascular atherosclerosis. Severe arteriovascular atherosclerosis can lead to cerebral hemorrhage. Among them, coronary atherosclerosis is actually what we often call coronary heart disease. This disease is a more serious heart disease. How should patients with coronary atherosclerosis be treated?

What is atherosclerosis?

Atherosclerosis is a disease in which a layer of lipids like millet porridge is deposited on the arterial wall, which reduces the elasticity of the arteries and narrows the lumen. It is the pathological basis of common cardiovascular diseases such as coronary heart disease and stroke.

Hypertension, hyperlipidemia, smoking, diabetes and obesity are the main factors leading to atherosclerosis.

The symptoms of atherosclerosis are mainly determined by the degree of vascular lesions and ischemia of the affected organs.

1. Aortic atherosclerosis is often asymptomatic.

2. For patients with coronary atherosclerosis, if the diameter of the coronary artery is narrowed by more than 75%, angina pectoris, myocardial infarction, arrhythmia, and even sudden death may occur.

3. Cerebral arteriosclerosis can cause cerebral ischemia, cerebral atrophy, or cause cerebral blood vessel rupture and bleeding.

4. Renal artery atherosclerosis often causes nocturia, persistent hypertension, and in severe cases, renal insufficiency.

5. Mesenteric artery atherosclerosis can manifest as abdominal pain and bloody stools after a full meal.

6. Patients with severe stenosis of the blood vessels caused by atherosclerosis in the lower limbs may experience intermittent claudication and disappearance of dorsalis pedis artery pulsation. In severe cases, gangrene may even occur.

7. Carotid artery sclerosis can lead to cerebral ischemia or stroke. The main symptoms of cerebral ischemia include dizziness, memory loss, disorientation, impaired consciousness, amaurosis, numbness and/or weakness on one side of the face and/or limbs, tongue deviation, speech difficulties, inability to understand what others say, etc.

8. Retinal arteriosclerosis: There may be lesions such as retinal hemorrhage and exudation. Retinal arteriosclerosis is a typical "signal" of systemic arteriosclerosis and requires further examination to determine the extent of arteriosclerosis in other parts of the body.

Who should be alert to atherosclerosis?

1. If dizziness or unsteady gait occurs suddenly without signs of increased intracranial pressure, cerebral blood supply insufficiency caused by basilar artery atherosclerosis should be suspected;

2. If there is a brief dull pain or pressure behind the sternum and in front of the heart after activity, coronary artery insufficiency should be suspected;

3. Nocturia is often one of the early symptoms of renal artery atherosclerosis.