Young man, how close are you to cerebrovascular disease

Wang Fang, deputy director of Cardiology Department of Beijing hospital, deputy director of clinical drug test center and director of echocardiography room, reminds us that more and more young people’s sudden death is closely related to blood vessel problems. The life span of blood vessels is as long as that of human beings. “As one of the main organs for transporting materials, blood vessels, like the heart, are indispensable for maintaining human life. Blood mainly circulates in the blood vessels and the heart. If any blood vessel fails, it will cause harm to the human body. Many vascular disease changes are the main cause of disability and death. < p > < p > < p > < p > China cardiovascular health and disease report 2019 points out that the mortality rate of cardiovascular disease among urban and rural residents in China is still the first, with 2 out of every 5 deaths. Wang Fang said that many people did not die from disease, but from ignorance. Only by understanding some common sense can we have a definite target in the treatment and prevention. Atherosclerotic plaque is the formation of plaque on the artery wall, and the plaque center is similar to porridge like substance. The raised plaque causes artery stenosis and poor blood flow, which is the same as the reason that the water pipe in the home is blocked by long-term scale deposition. Once the plaque in the intima rupture, forming thrombus blocking blood vessels, may occur acute myocardial infarction, sudden death. Wang Fang said that this is a common cause of sudden death in young people. Stroke, coronary heart disease, angina pectoris and so on are closely related to atherosclerosis. < p > < p > atherosclerotic plaques in different parts can lead to different diseases, just like a time bomb, when it is detonated, how to prevent and slow down the occurrence and development process? < p > < p > Wang Fang suggested that people with coronary heart disease, angina pectoris and other diseases should take medicine for a long time; those who do not get sick or are not in a serious situation should not be too excited when encountering emergency events; if there is any discomfort in particularly tired work, it is better to put down the work in hand and go to the hospital for examination; exercise scientifically, live regularly, quit smoking, control blood fat, blood pressure, blood sugar, etc.; high blood pressure, blood sugar, etc Age, family history should pay attention to the hospital examination. Wang Fang emphasized that the most important risk factor for myocardial infarction in young and middle-aged people is smoking, followed by obesity. < / P > < p > “early prevention is particularly important.” Wang Fang will be more vigilant when meeting young patients in clinical practice, but it is a pity that the probability of young people coming to the hospital is particularly low. Some of them are very unfortunately left and miss the opportunity to be treated. “We should not only have common sense, but also have a good lifestyle. We should also check regularly to find out the” fire “and put it out as soon as possible. < p > < p > Wang Fang shared several “escape secrets” of myocardial infarction. She said that for patients with myocardial infarction, every minute of delay means more myocardial cell necrosis, rapid treatment is the key. “120 ambulance has professional first-aid equipment and experienced first-aid personnel, which is the life guarantee on the way to the hospital; myocardial infarction can not afford to wait, so you must take the emergency green channel; after arriving at the hospital, do not rush to find acquaintances to see a doctor and delay valuable treatment time; once a family member is diagnosed with” acute myocardial infarction “, you should not hesitate to agree to the doctor’s advice, please Trust the doctor and sign the operation decisively. “. Dyslipidemia is an important cause of atherosclerosis. Eating too much fat diet, obesity, heredity, secondary to some diseases are the causes of dyslipidemia. However, simple increase of blood lipid will not cause discomfort and is difficult to detect. Blood lipid test can detect abnormalities as soon as possible, so as to prevent the occurrence of cardiovascular and cerebrovascular diseases as soon as possible. According to Wang Fang, the blood lipid test sheet generally includes four indicators: total cholesterol, triglycerides, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol. Among them, low-density lipoprotein cholesterol (LDL-C) transports lipids to blood vessels and accumulates on the wall of blood vessels, leading to atherosclerosis. It is “bad cholesterol”, and the lower the better; as a “scavenger of blood vessels”, high-density lipoprotein cholesterol (HDL-C) is “good cholesterol”, and the higher it is, the better it is. However, normal laboratory test is not equal to health. Wang Fang pointed out that some patients have a high probability of cardiovascular disease, and blood lipids in the normal range also need lipid-lowering treatment. For example, coronary heart disease, acute myocardial infarction, unstable angina pectoris, stroke or transient ischemic attack, these high-risk diseases require more strict blood lipid indicators, which should be judged by doctors according to the specific situation. < p > < p > for friends who need to reduce blood lipid, Wang Fang said that simple diet and exercise can reduce blood cholesterol by 7% – 15%, the extent of which is related to the original lifestyle. Wang Fang put forward the “357 principles” of diet and exercise: high fiber, high freshness, high vegetable protein, low fat, low cholesterol, low salt, low sugar and alcohol, and eating 7% full each meal; walking 3 km a day, at least 5 times a week, and exercise heart rate less than beats per minute. According to Wang Fang, foods rich in saturated fatty acids, such as meat, fat, animal viscera, egg yolk, fried food, etc., and foods rich in trans fatty acids, such as vegetable butter, repeatedly used vegetable oil, bread, cake and French fries, can increase blood lipid. Foods rich in unsaturated fatty acids, such as sea fish, yogurt, bean products, vegetable oil, nuts, vegetables, etc., and foods rich in dietary fiber, such as whole grain food, beans, fruits and vegetables, are conducive to reducing blood lipid. < p > < p > therefore, Wang Fang suggested that people with dyslipidemia should eat 3-6 liang of Cereals, bread, rice and noodles, 2-3 fruits per day, 6-8 taels of vegetables per day, 3-7 taels of lean meat, poultry, fish, beans and eggs, 1-2 cups of yogurt and cheese dairy products per day, and less fat, oil and sugar intake. As a risk factor of cardiovascular disease, hypertension is also attacking young people. Overweight / obesity, abnormal glucose and lipid metabolism, family history of hypertension, birth weight less than 2.6 kg and lack of sleep were risk factors for hypertension in children. According to Wang Fang, the common symptoms of hypertension include headache / dizziness, fatigue, insomnia, palpitation, etc., but the onset of hypertension is slow, and there are no symptoms in the early stage, and most people only find it during physical examination. Moreover, the severity of hypertension symptoms is not consistent with the level of blood pressure. In the face of this silent health killer, Wang Fang said that unhealthy lifestyle and unreasonable diet are the main factors causing hypertension. She reminded everyone to limit the intake of sodium salt, hypertension patients daily intake of 2-5 grams of salt is appropriate; to supplement potassium and calcium, potassium content of food is asparagus, pea seedlings, lettuce, celery, Luffa, eggplant, etc., calcium rich food is soybean and its products, walnut, milk, peanut, fish and shrimp, red dates, leek, persimmon, celery, garlic seedlings, etc.; vitamin C should be supplemented And protein, beef, lean pork, milk, soy are rich in high-quality protein food, hypertension patients eat 2-3 times a week fish protein, can improve vascular elasticity and permeability, reduce blood pressure. If hypertension complicated with renal insufficiency, protein intake should be limited. In addition, Wang Fang said that patients with hypertension should strictly quit smoking and had better not drink alcohol.

“healthy diet is very important. Nowadays, young people eat too much fast food. So the incidence rate of hypertension is higher and higher, and the young people with hypertension are getting younger and younger. When we encounter young patients, we always think it is secondary hypertension. After examination, we find that the patient is primary hypertension, which is probably the reason of diet Wang Fang concluded that after looking at the disease for 34 years, she has found the importance of prevention more and more. “Some diseases have cumulative effects as time goes on. If you start prevention at the early stage of the disease or at the early stage, you can be healthier.”