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冠心病放支架能活多久","channels":null},"预防":{"description":"为您提供:怎样预防冠心病的发生_冠心病怎样预防措施等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"怎样预防冠心病的发生_冠心病怎样预防措施","title":"怎样预防冠心病的发生_冠心病怎样预防措施","channels":null}}},"data":{"list":[{"id":"26992","isDel":0,"createAt":1569166271798,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1569166298127,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"心肌梗死与心肌康复百度网盘","content":"

心肌梗死与心肌康复百度网盘下载链接想必病友们苦苦寻找了很久，因为只在淘宝售卖，而且《心肌梗死与心肌康复》这个音像出版物太实用了，三个小时的多媒体视频看完就能进行系统的二级预防和康复治疗。所以实用性和指导性特别强。


心肌梗死与心肌康复百度网盘：https://pan.baidu.com/s/19I7yuQGEFKZw1ZOIOSDLXA

 \"心肌梗死与心肌康复百度网盘\"

心肌梗死与心肌康复视频内容简介：

心肌梗死是最凶险的心血管疾病之一，也是影响我国居民健康寿命的主要疾病。很多人错误的认为心肌梗死无法预测，无法防控。事实上，90%的心肌梗死可防可控！很遗憾，很多人错过了心肌梗死发生前的早期提示和更早期的预防。本音像郑重承诺，所讲内容根据中国和欧美国家心肌梗死诊断和治疗的指南编撰，内容科学、准确、简单易懂，目的是希望提供给读者朋友心肌梗死防控的方法，发生心肌梗死后的正确救治方法，心肌梗死后心肌康复的方法，以及恢复正常工作生活的方法。希望本音像对大家有所帮助！

上述就是心肌梗死与心肌康复百度网盘的相关内容，希望对您能有所帮助


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心肌梗死与心肌康复下载链接想必病友们苦苦寻找了很久，因为他们只在淘宝上有卖的，而且《心肌梗死与心肌康复》这个音像出版物太实用了，三个小时的多媒体视频看完就能进行系统的二级预防和康复治疗。所以实用性和指导性特别强。


心肌梗死与心肌康复下载链接：https://pan.baidu.com/s/19I7yuQGEFKZw1ZOIOSDLXA

 \"心肌梗死与心肌康复下载\"

心肌梗死与心肌康复视频内容简介：

心肌梗死是最凶险的心血管疾病之一，也是影响我国居民健康寿命的主要疾病。很多人错误的认为心肌梗死无法预测，无法防控。事实上，90%的心肌梗死可防可控！很遗憾，很多人错过了心肌梗死发生前的早期提示和更早期的预防。本音像郑重承诺，所讲内容根据中国和欧美国家心肌梗死诊断和治疗的指南编撰，内容科学、准确、简单易懂，目的是希望提供给读者朋友心肌梗死防控的方法，发生心肌梗死后的正确救治方法，心肌梗死后心肌康复的方法，以及恢复正常工作生活的方法。希望本音像对大家有所帮助！


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      心脏支架和搭桥有什么区别一样吗？今天小编从头至尾给大家捋一捋，详细讲一讲心脏支架和搭桥的区别

        心脏由冠状动脉提供血液供应，右冠状动脉既为左心供血又为右心供血，而左冠状动脉仅为左心提供血液来源。当脂肪和其它杂质进入并沉积于冠状动脉后，会让冠状动脉变得狭窄或阻塞。心脏的血供受到严重影响时，医生就建议做心脏支架手术。

什么是支架手术：

简单来说，支架，就像一把小雨伞，通过从大腿的股动脉或者手腕的桡动脉处插入一根导管，在X光的指引下，移动到狭窄部位，把小伞撑开，以使狭窄部分得到张，让血流顺利通过。一枚小小的支架，直径2—4毫米，重量不足万分之一克，国产的就需1—2万元，进口的价格更要翻倍。

以下是心脏支架手术的全过程。‍

　　当施行好全麻后，导管在X光的引导下，由患者大腿根部动脉（股动脉，一条由心主动脉直达腿部的血管）进入，直达心脏相关部位，导管到达冠状动脉入口后，将会注入显影剂，使血管在X光拍照下清晰显示出来。

\"心脏支架和搭桥有什么区别一样吗?\"

　　当导管进入阻塞部位后，将用充气球囊把血管撑开数次，以使其复通。充气球囊每充一次气都会比上一次稍多一些，以防过快的充气使血管破裂。阻塞部位复通后，会在复通部位放置金属支架，以防血管塌陷导致再次的阻塞。

　　当复通手术完毕后，医生还会再次进行显影拍照，以对比手术前后的变化，确保冠状动脉没有阻塞。如果经过心脏支架手术后，阻塞情况没能得到很好的改善，则要考虑进行冠状动脉搭桥手术了。

\"心脏支架和搭桥有什么区别一样吗?\"

  心脏支架术后要立即将一个10斤左右的沙包压于大腿导管入口处，以帮助伤口愈合，压迫时间大概需要6小时。

以上是心脏支架手术的全过程。

选择支架手术，真的如医生所言，就万事大吉了吗？为什么支架手术在中国如此地普及，为什么医生会卖力地推荐支架手术呢？有专家分析，不可否认的一点，是一些医院把它当作了经济增长点、摇钱树，医生也非常重视支架带来的利益。

2010年3月10日《生命时报》利用很大的篇幅介绍了《心脏支架手术是最大的过度医疗》其中说到，★乱放是最大的过度医疗 ，★放了也不是一劳永逸。支架安放后要吃一年的氯吡格雷、还得终身服用阿司匹林对抗血栓，这两种药物会刺激胃肠道，还会带来出血风险。有些患者由于术后未按时服药，出现血栓，导致更严重的心肌梗死。

有位老先生，70岁时出现心绞痛，他没去做冠造、放支架，而是在保持健康生活方式的基础上，配合其他调理，现在已经87岁高龄，仍可以轻松爬上二楼。

身体血管内部的毒垢犹如下水道内的堵塞物，这支架仅仅能支起30毫米左右的心血管而不是所有，不考虑整体解决血管堵塞问题，那只是暂时表面成功现象！这就好比在心脏里安装了一个不定时的炸弹，因为手术后的生命期和生活质量以及长期服用药物都证明命不由己！

 其实，对于心脏病、冠心病而言，绝大部分只要通过改变生活方式，调整饮食、活血清瘀，持之以恒，就可以调理好。很多病人及其家属，都希望采用快速缓解心绞痛的方法来处理问题，而很多医生和医院，为了利益的需求，诱导病人做支架手术，即使出了问题，医院也不会负任何的责任，这是一件很可悲的事。

心脏搭桥术

\"心脏支架和搭桥有什么区别一样吗?\"

      心脏搭桥术就是在心脏动脉狭窄的近端和远端之间建立一条通道，让血液饶过狭窄的部分，到达缺血的部位，改善心肌血液供应，达到缓解心绞痛症状，改善心脏功能。

      心脏搭桥术是一项心脏开放性手术。手术将会分两部分同时进行，一为心脏本身的手术，二为腿部旁路血管的取材手术。


","barId":"1914","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1302,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1567309805248,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1575172218408,"top":1,"topEffectTime":1575172225177,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1567309805248,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"26991","isDel":0,"createAt":1569166008812,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"心肌梗塞与心肌康复ppt","content":"

心肌梗塞与心肌康复ppt是北大人民医院丁荣晶教授《心肌梗死与心肌康复》重要部分，想必病友们苦苦寻找了很久，因为他们只在淘宝上有卖的，而且《心肌梗死与心肌康复》这个音像出版物太实用了，三个小时的多媒体视频看完就能进行系统的二级预防和康复治疗。所以实用性和指导性特别强。


心肌梗死与心肌康复下载链接：https://pan.baidu.com/s/19I7yuQGEFKZw1ZOIOSDLXA

 \"心肌梗塞与心肌康复ppt\"

心肌梗死与心肌康复视频内容简介：

心肌梗死是最凶险的心血管疾病之一，也是影响我国居民健康寿命的主要疾病。很多人错误的认为心肌梗死无法预测，无法防控。事实上，90%的心肌梗死可防可控！很遗憾，很多人错过了心肌梗死发生前的早期提示和更早期的预防。本音像郑重承诺，所讲内容根据中国和欧美国家心肌梗死诊断和治疗的指南编撰，内容科学、准确、简单易懂，目的是希望提供给读者朋友心肌梗死防控的方法，发生心肌梗死后的正确救治方法，心肌梗死后心肌康复的方法，以及恢复正常工作生活的方法。希望本音像对大家有所帮助！


","barId":"1914","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1030,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1569166008816,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":1,"topEffectTime":1577028502017,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1569166008816,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"26549","isDel":0,"createAt":1567154151591,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"糖尿病会引起冠心病吗?","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者作者交流群里，患者经常问：糖尿病会引起冠心病吗?下面小编带领大家了解一下糖尿病到底与冠心病有没关系？

\"糖尿病会引起冠心病吗?\"

冠心病从临床角度来看，是因为动脉粥样硬化脂质斑块所引起的心肌缺血缺氧心脏病，这也被称作为动脉硬化。据Interheart研究显示引起冠心病的因素包含以下九方面：高血脂、高血压、糖尿病、大量饮酒、少蔬菜水果、缺乏运动、肥胖、吸烟、精神因素。

糖尿病作为作为九大高危因素之一，对血管影响很大，且病变多呈现弥漫性病变。随着病变的进一步发展，会引起心肌缺血，表现为心绞痛或是心肌梗死，这就是糖尿病人更容易得冠心病的主要原因。

在动脉粥样硬化及斑块的形成中，高血糖的直接作用是对血管内皮的损伤，从而为脂肪的沉积提供了更多的机会，因此在糖尿病的治疗中仅仅将血糖控制好是远远不够的，一定要注意对血脂的控制。

事实上，绝大多数糖尿病人都会伴有血脂异常，这是因为胰岛素不仅起着调节血糖的作用，还参与脂肪的代谢，比如将血液中过多的脂肪转化贮存起来，而糖尿病人由于胰岛素缺乏，在血糖得不到控制的同时，脂肪也不能进行有效贮存，造成血脂的升高，为动脉粥样硬化的发生创造了条件。这也是为什么糖尿病人在控制血糖的同时，还要密切关注血脂的高低，尤其是血脂中的低密度脂蛋白一定要控制在1.8mmol/L以下，才能有效预防动脉粥样硬化及斑块的形成。反之，当血脂得到有效控制时，胰岛素的利用率也会得到提升，血糖也更容易得到有效控制

综上所述，糖尿病会引起冠心病，在糖尿病引起的各种并发症中，70%为心血管疾病，尤以冠心病最多见，所以，糖尿病患者一定控制好血糖，注意饮食，科学健康的运动，只有糖尿病得到有效治疗，并且将糖化血红蛋白控制到6以内，才能阻止与延缓动脉粥样硬化的发生发展，也是防治冠心病的最有效措施。

\"糖尿病会引起冠心病吗?\"


下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"糖尿病会引起冠心病吗?\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说！




","barId":"1914","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1253,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1567154151592,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":1,"topEffectTime":1567159200000,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1567154151592,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25664","isDel":0,"createAt":1559397811805,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"冠心病心绞痛心梗的区别","content":"

冠心病心绞痛心梗的区别在一般人开来好像是一码事，实际上是完全不同的概念。

 

冠心病是冠状动脉粥样硬化性心脏病的简称。由于负责向心脏供应血液的冠状动脉粥样斑块形成，导致心肌缺血、缺氧甚至坏死。心绞痛与心肌梗死是冠心病的不同表现形式。心肌组织缺血缺氧就会发生心绞痛，若心肌缺血缺氧短时间内不能得到缓解，导致心肌持续缺氧，就会发生坏死，这就是心肌梗死。换言之，心绞痛与心肌梗死都属于冠心病，只是表现形式与严重程度不同而已。

 

我们的心脏是最为勤奋的器官，一直在不停的工作。如果心脏不再工作，生命也就走到了尽头。心脏持续的工作需要能量，氧是心脏产生能量的主要原料。没有氧，心脏就不会产生维持自己功能与生存所需的能量。

 \"冠心病心绞痛心梗的区别\"

心脏又是最廉洁的器官。虽然它的职责是推动血液流向全身，虽然心腔内始终存有大量血液，但它从不私自利用这些血液，而是只享用她的专用血管——冠状动脉传送的血液。正如一位恪尽职守的会计，每天接触很多很多钱，但他只领取属于他自己的那份工资，从不贪污单位的一分钱。正常情况下，冠状动脉供应心脏的血液完全能够满足心脏的需求。然而，如果冠状动脉里面形成了粥样斑块，就会出现管腔狭窄，向心脏供应的血液就会减少。如果冠状动脉供应心脏的血液不能满足心脏的需要，心脏就会缺血，就会发生心绞痛。

 

如果心肌缺血能够在数分钟内得以缓解，心绞痛症状就会消失。如果心肌缺血持续存在，超过半小时甚至更长时间，心肌就可能发生缺血、损伤、甚至坏死，心肌梗死就是这样发生的。

所以说，发生心绞痛后应该立即休息（减少心肌组织对氧的需求），并含服硝酸甘油（扩张血管、增加冠状动脉血液供应、减少心脏对氧的需求），必要时应用吗啡等作用更强的药物。一旦心绞痛持续不能缓解（症状超过15分钟甚至更长时间），应该尽快去医院就诊，努力避免发生心肌梗死。一旦发生心肌梗死，应该服从医生安排，尽快开通阻塞的冠状动脉血管，恢复心肌供血，尽可能减少梗死的面积。

 

这就是冠心病、心绞痛、心肌梗死。


\"冠心病心绞痛心梗的区别\" 


下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"冠心病心绞痛心梗的区别\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说！




","barId":"1914","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1118,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559397811806,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567346618881,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559397811806,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25571","isDel":0,"createAt":1558193310099,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"肥胖对心脏有什么影响","content":"

肥胖对心脏有什么影响吗？当然有影响了！

 \"肥胖对心脏有什么影响\"

首先，肥胖可以直接对心脏产生不良影响，可以增加发生冠心病、心衰的风险。肥胖还会增加心脏负担，是心脏更加吃力的工作，当然也会增加发生心脏病的可能。

 

另外，与体重正常的人相比，肥胖的人更容易发生高血压、糖尿病、高血脂等，这些疾病又是导致心脑血管病的重要因素，所以有句话叫做“一胖招百病”，意思是说肥胖可以导致多种疾病，当然也包括心脏病。

 

正因如此，肥胖的人一定要努力减重，尽量把体重降下来。原来有高血压、糖尿病、高血脂的人，只要程度不重，减轻体重后都可以恢复正常。减重最为安全的方法是控制饮食并增加运动，把体内储存的多余的能量（即脂肪）消耗掉。这需要毅力，但只要坚持下去，体重肯定能够得到控制。因为多数减肥药都有这样或那样的不良反应，所以不建议常规应用。少数人确实需要使用的，要在医生指导下选用经过国家批准的正规的减肥药物。

\"肥胖对心脏有什么影响\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"肥胖对心脏有什么影响\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说





","barId":"1914","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1100,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558193310102,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566142122410,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558193310102,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25543","isDel":0,"createAt":1558021062493,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"冠心病需要吃多久的药物","content":"

冠心病需要吃多久的药物，这个问题因人而异、因病而异。

 \"冠心病需要吃多久的药物\"

对于多数冠心病人而言，有两类药物是必须终身服用的，一个是阿司匹林（预防冠状动脉血栓、减少发生急性心肌梗死的风险），一个是他汀（防止冠状动脉内斑块增长、降低急性心梗风险）。如果已经发生过心肌梗死，还要长期服用b-受体阻滞剂（例如美托洛尔、阿替洛尔、比索洛尔、阿罗洛尔等）。如果冠心病合并糖尿病，还需要用普利类或者沙坦类药物。

 

其他药物需要结合病情而定：例如安装心脏支架后除了阿司匹林和他汀，还要服用1年左右的氯吡格雷或替格瑞洛，如果病情稳定，吃药1年后就可以停掉。如果有心绞痛发作，可能需要硝酸酯类药物（硝酸异山梨酯等）和地平类（氨氯地平、硝苯地平控释片、非洛地平缓释片等），如果心绞痛不再发作，并且血压稳定，这些药也可以尝试停掉。

 

冠心病用药有很多讲究，专业性很强，患者本人不要随意调整，加药、减药、停药都要在医生指导下进行。

 

\"冠心病需要吃多久的药物\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"冠心病需要吃多久的药物\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说


","barId":"1914","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1228,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558021062494,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565969938589,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558021062494,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25539","isDel":0,"createAt":1558020184673,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"冠心病人血压多少最好","content":"

不同人的血压控制目标是不尽相同的，冠心病人血压多少最好，应该遵循什么原则呢？

 

合并冠心病的高血压患者，说明其冠状动脉甚至全身其他部位的动脉血管内皮已经受到严重损害，因此需要更为积极的控制血压，以防动脉粥样斑块进一步发展、加重。

 \"冠心病人血压多少最好\"

冠心病患者首先应该把血压降到140/90 mmHg以下，如果没有什么不适感，还可以进一步降低，降至130/80 mmHg以下。但降压治疗过程中需要注意，尽量避免舒张压（就是平时说的“低压”）不要太低，一般不要低于60 mmHg。如果平时收缩压较高、舒张压较低，在使用降压药物过程中更加注意加强监测，血压不要降的过快，舒张压不要降得太低。

 

伴冠心病的高血压患者选择降压药物的原则与其他高血压患者有所不同。

 

有心绞痛的高血压患者应该首先选择b受体阻滞剂（例如美托洛尔、比索洛尔、阿罗洛尔、阿替洛尔等）或钙通道阻滞剂（例如硝苯地平控释片、氨氯地平、非洛地平缓释片等）。

 

曾发生心肌梗死的高血压患者，可首先选用b受体阻滞剂或者普利类或沙坦类，有些患者也可联合使用螺内酯。

 

如果血压不能得到满意控制，可以在此基础上加用普利类（依那普利、培哚普利、苯那普利、福辛普利等）或沙坦类（氯沙坦、缬沙坦、厄贝沙坦、替米沙坦等）。

\"冠心病人血压多少最好\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"冠心病人血压多少最好\"

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","barId":"1914","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1261,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558020184677,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565969022519,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558020184677,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25537","isDel":0,"createAt":1558019832924,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"利伐沙班片作用与主治是什么","content":"

在本文将会为您介绍利伐沙班片作用与主治是什么：

 

美国FDA批准了利伐沙班（拜瑞妥）用于冠心病或外周动脉疾病患者心血管事件预防的新适应证。2013年，欧洲已批准该药用于高危成年人急性冠脉综合征后动脉血栓事件的预防。美国批准该药的新适应证，主要基于去年公布的大型临床试验COMPASS研究研究结果。

 \"利伐沙班片作用与主治是什么\"

该研究共入选27000余例稳定性冠心病和（或）外周动脉疾病患者，随机接受利伐沙班2.5mg，bid，联合阿司匹林100mg治疗，或利伐沙班5mg，bid单药治疗，或阿司匹林100mg单药治疗。主要终点为非致死性心梗、非致死性卒中或心血管死亡所组成的复合终点。由于小剂量利伐沙班治疗组获益显著，该研究提前结束。

 

近年来，关于新型口服抗凝剂（达比加群、阿哌沙班、依度沙班、利伐沙班）的临床研究结果相继公布。概括地讲，这些研究证实新型口服抗凝剂在非瓣膜性房颤卒中预防以及深静脉血栓的治疗方面具有显著优势，其临床应用也日趋广泛。但在冠心病抗栓治疗方面所得结论却不一致。在急性冠脉综合征（ACS）抗栓治疗方面，应用达比加群进行的REDEEM研究与应用阿哌沙班进行的APPRISE研究均未取得理想结果。而应用利伐沙班进行的ACS ATLAS系列研究则证实该药可以降低ACS患者不良终点事件风险。正因如此，欧洲药监局已于2013年批准利伐沙班用于ACS患者二级预防。

 

在稳定性冠心病抗栓治疗方面，阿司匹林与氯吡格雷等抗血小板药物一直占据主导地位，新型口服抗凝剂在此方面尚缺乏证据。COMPASS研究的提前结束，为利伐沙班在稳定性冠心病或外周动脉疾病患者治疗中的应用提供了重要证据。

阿司匹林在冠心病二级预防中的作用已被大量研究所证实，但即便患者接受了规范化的抗血小板治疗，仍存在较高的剩余风险。如何进一步降低这一风险是大家所广泛关心的问题。COMPASS研究得出阳性结论，为冠心病抗栓治疗提供了新思路与新选择。

 

可以推测，COMPASS研究结论将会在一定程度上影响到冠心病治疗指南的修订，但该药昂贵的价格，或将成为影响到其广泛的临床推广应用重要因素。

 

迄今为止，利伐沙班获批的作用与主治是：1. 降低非瓣膜性房颤患者血栓形成与卒中风险；2. 治疗深静脉血栓与肺栓塞并降低其复发风险；3. 预防膝关节或髋关节置换术后栓栓事件风险；4. 预防冠心病或外周动脉疾病患者严重不良心血管事件风险。

\"利伐沙班片作用与主治是什么\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"利伐沙班片作用与主治是什么\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



 


","barId":"1914","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1518,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558019832929,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565968649610,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558019832929,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25401","isDel":0,"createAt":1556459932453,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"舌下含服的紧急降压药","content":"

舌下含服的紧急降压药有哪些？这个问题并非空穴来风，临床上经常有人这样用药，特别是含服硝苯地平或卡托普利用于快速降压。

 

为什么要舌下含服药物？当然是为了快速降压。有些患者血压很高，患者本人或者医生希望尽快把血压降下来，于是就舌下含服药物。那么，对于严重高血压，应不应该舌下含药？我们首先看看指南是怎么说的：

 

所谓严重高血压，可以根据血压升高水平和靶器官损害情况分为高血压急症和高血压亚急症。由于不伴靶器官损害，高血压亚急症患者一般无需过于激进的降压治疗，血压下降速度过快或幅度过大对患者可能弊大于利。一般情况下，高血压亚急症患者血压可在24～48ｈ内缓慢降至160／100mmHg。多数患者可通过口服降压药控制，一般不需要静脉应用降压药物。对于血压较高，但无并发症的患者，不宜予以过度治疗。静脉或大剂量口服负荷量降压药可产生严重低血压或其他不良反应，对患者产生不利影响，故应避免。与高血压亚急症不同，高血压急症患者病情更为危重，应更为积极谨慎的处理。理想的药物应能预期降压的强度和速度，便于根据患者血压控制情况及时调整降压强度，因而应首选静脉途径的短效降压药物。由于已经存在靶器官损害，过快或过度降压容易导致组织灌注压降低，诱发缺血事件，故应逐级、分步将血压降到相对安全的水平。这就是说，无论高血压急症或者亚急症都不应该舌下含药。

 \"舌下含服的紧急降压药\"

下面说说舌下含药的问题：

舌下含服硝苯地平普通片剂是很多医生甚至患者经常采用的一种用药方法：该药起效迅速，舌下含服后可在数分钟后发挥降压作用。基于前文所述的高血压急症和亚急症的处理原则，可以看出舌下含服硝苯地平不适用于紧急降压治疗。这种用药方法可能对患者产生不利影响甚至导致严重后果，其机制包括：（1）重度高血压患者在短时间内血压迅速而显着地降低，可导致重要生命器官的血液灌注压明显下降、血流量明显减少；（2）含服硝苯地平后可导致全身血流重新分布，外周血管血流量增加而心脏与脑血管血流量相对减少。近30余年来，国内外已有很多报道提示舌下含服硝苯地平可以导致急性卒中、急性心肌梗死甚至猝死，因此1985年美国食品药品监督管理局认为高血压患者不应舌下含服硝苯地平。美国高血压预防、检测、评估与治疗全国联合委员会第6次报告也明确指出舌下含服硝苯地平是“不可接受的”。《中国高血压防治指南（2009年基层版）》也指出，高血压急症患者慎用或不用舌下含服硝苯地平。

 

近年来，有的医生提出了舌下含服硝苯地平控释片用于紧急降压。对于这个问题，我的看法是：控释剂型采用特殊技术生产。其核心技术有两点，一是吸水膨胀的推动层（推拉渗透泵），二是激光释放小孔。该药口服后，在消化道内吸收水分，使得推动层吸水膨胀，推动药片内活性药物通过激光小孔缓慢恒速释放出来，呈现零级释放速率。因此一种合格的控释剂型是不适于舌下途径给药的。以硝苯地平控释片为例：一片药物内含有30mg硝苯地平，按照零级释放速率计算，舌下含服1分钟所释放出的硝苯地平约为0.02mg，这一剂量显然不能发挥有效的降压作用。有人建议舌下含服硝苯地平控释片时嚼碎药片，这是一种非常危险的做法，相当于一次含服30 mg普通剂型的硝苯地平，有可能导致血压在短时间内迅速而显著地降低，会导致严重的血液动力学后果，绝对不应提倡。

 

综上所述，无论是硝苯地平普通剂型还是控释剂，均不宜舌下含服，这样做或者导致血压急剧降低而诱发不良后果，或者不能发挥有效的降压作用。

 

既然不能舌下含服硝苯地平，可含服卡托普利吗？这也是很多医生或患者经常采用的快速降压方法。如前所述，目前国内外高血压指南均未推荐舌下含服降压药物。但一些重度高血压患者，不方便去医院输液，舌下含服卡托普利似乎可以作为一种紧急降压的手段。但用药后需意卧床或静坐休息，并密切监测血压，若出现血压过度降低或发生头晕、视物障碍、甚至晕厥等不良反应，应及时就医。

 

Kazerani等曾以101例高血压亚急症患者（血压≥180/110 mmHg但无明显靶器官损害）为对象，研究了舌下含服卡托普利25 mg的疗效与安全性，结果显示这种方法对于多数患者是有效的，未见严重不良反应（Singapore Med J 2009,50:400）。Kaya等以212例患者为对象，比较了口服或舌下含服卡托普利的降压效果。结果表明，用药30分钟后舌下含服卡托普利的血压降低幅度大于口服卡托普利组，但1小时后两组间血压下降幅度不再有显著性差异（Eur Rev Med Pharmacol Sci. 2012，16:1642）。

舌下含服硝苯地平可导致血压迅速降低并反射性兴奋交感神经与肾素血管紧张素系统活性，对心血管系统产生不利影响。由于卡托普利通过抑制肾素血管紧张素系统活性发挥降压作用，故舌下用药时其安全性较硝苯地平更好。但无论应用哪种药物，血压在短时间内迅速大幅降低，均可能导致重要生命器官的血液灌注压明显下降、血流量明显减少，因此都不作为首选的降压治疗措施。

综上，关于这个问题最简单的答案是：如果血压严重升高但不方便去医院，不应该舌下含服硝苯地平，可以尝试舌下含服卡托普利，但用药过程中需要密切观察患者的血压变化以及有无不适症状，必要时立即就医。

 

\"舌下含服的紧急降压药\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"舌下含服的紧急降压药\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



","barId":"1914","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1772,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556459932454,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1564322356350,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556459932454,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25400","isDel":0,"createAt":1556459433539,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胸闷气短心慌出长气是怎么回事","content":"

经常见到一些患者，因为胸闷、气短、心慌、出长气等不适症状四处求医、反复就诊。做了多种检查都没发现异常，但自己仍然不放心，甚至寝食不安。胸闷气短心慌出长气是怎么回事，如果有应该怎么办呢？

 \"胸闷气短心慌出长气是怎么回事\"

遇到这种情况，应该及时找心理医生就诊，看看是不是患了焦虑、抑郁等“心病”。这样的病人常常有明显诱因，例如持续精神紧张、因工作或生活原因导致精神压力过大、近期有亲朋好友因心脏病过世、近期工作或生活不顺利、睡眠障碍或睡眠不足等等。有些人并没有明显原因，多见于中青年女士。

 

需要强调的是，如果出现胸闷、胸痛、心慌、气短等不适症状应该及时到医院诊治。但是经过医生了解病情并进行了必要的检查后认为不是心脏疾患时，则应该考虑一下自己是不是患了“心病”。

 

以下三个问题有助于自己进行初步判断：1. 是不是睡眠不好或者需要使用安眠药才能入睡？2. 是不是整天心烦不安、郁郁寡欢、对什么事情都没有兴趣？3. 是不是因为各种不适症状到医院反复检查都没有找到病因？如果这三种情形你具有两项或全部，则应该主动找心理医生咨询，必要时服用治疗焦虑或抑郁的药物治疗。

 

一些人总觉得心理疾病是一种难以启齿的事情，这是错误认识。无论焦虑或者抑郁，只是心灵患了“小感冒”，只要在医生指导下正确治疗，很快就可以恢复以往的健康快乐。“心病还须心药医”，说的就是这个道理。

\"胸闷气短心慌出长气是怎么回事\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"胸闷气短心慌出长气是怎么回事\"

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","barId":"1914","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1384,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556459433543,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1564321850725,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556459433543,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25399","isDel":0,"createAt":1556459216792,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"冠心病能根治吗?吃什么药有疗效?","content":"

发生冠心病最常见的机制是供应心脏血液的“冠状动脉”形成了动脉粥样斑块，导致血管狭窄，向心脏供应的新鲜血液减少，心脏就会发生缺血缺氧。那么冠心病能根治吗?吃什么药有疗效呢?

 \"冠心病能根治吗?吃什么药有疗效?\"

冠心病分多种类型，轻者没有任何临床症状，日常生活也不受影响，很多人根本不知道自己已经发生了冠心病；重者可以表现为心绞痛，甚至发生心肌梗死或更严重的后果。无论哪种类型的冠心病，一旦发生之后是难以彻底根治的。但是通过长期坚持合理治疗，冠心病病人完全可以长寿的。

 

治疗冠心病最常用的药物包括他汀和阿司匹林（有时候需要服用氯吡格雷、替格瑞洛等抗血小板药）。有心绞痛发作时还需要服用b-受体阻滞剂（如美托洛尔、比索洛尔、阿替洛尔等）、钙拮抗剂（即地平类，如硝苯地平、氨氯地平、非洛地平等）和硝酸酯类（如硝酸甘油、硝酸异山梨酯等）。具体需要长期服用哪些药物，需要根据病情、因人而异，其中多数冠心病人需要长期服用他汀与阿司匹林。

 

一些冠心病人经过治疗后没有了心绞痛等症状，就以为病治好了，擅自停药，这是很危险的事情。不经医生允许是不能随意停药的，否则容易发生严重后果。有些人试图使用“偏方”、“祖传秘方”、传销的“专利药物”或“纯中药”来治愈冠心病，千万不能听信那些虚假宣传，这不仅不能治愈冠心病，甚至会导致更为严重的后果。

 

还有人认为安装心脏支架后就治愈了冠心病，这是又一个错误观念。安装心脏支架后更需要长期坚持服用他汀和阿司匹林（第一年内还需要服用氯吡格雷或替格瑞洛）。安装支架后擅自停药会具有更大的风险。

 

除了治疗冠心病的药物，此类患者还需要长期控制血压、血糖、戒烟、适量运动、减轻体重等，这样有助于延缓病情进展，减少疾病复发或加重，降低心肌梗死与心衰的可能性。

\"冠心病能根治吗?吃什么药有疗效?\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"冠心病能根治吗?吃什么药有疗效?\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说





","barId":"1914","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1215,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556459216808,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1564321630094,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556459216808,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25273","isDel":0,"createAt":1555423674164,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"抗凝药有必要做基因检测吗","content":"

“给你做个基因检测，看看你对华法林是不是敏感，看看你对阿司匹林或氯吡格雷是不是抵抗……”。抗凝药有必要做基因检测吗？是精准医学吗？不是！因为这种做法很不精准，对临床用药的指导意义有限，反而会增加不必要的诊疗费用。


先说说华法林。目前的确已经发现一些基因（如CYP2C9、VKORC1、CYP4F2等）与华法林的用药剂量有关，但基因多态性只能解释50%左右的华法林的剂量差异。除基因多态性外，患者年龄、性别、种族、体重、体表面积、肝肾功能、合并用药以及饮食结构等多种因素均可显著影响华法林的抗凝作用。仅仅靠一两个基因的检测就确定用药剂量是很不可靠的。并且现有研究并未证实在基因检测指导下应用华法林治疗比标准的剂量调整方法能够更为有效的减少血栓栓塞事件以及出血并发症的发生。正因如此，目前国内外指南均不推荐将基因检测常规用于华法林剂量的确定与调整，只有在少数特殊病例（如在华法林剂量很低时发生出血或者华法林剂量很大时仍不能使INR达标）方可考虑进行基因研究，并且这些检测结果也只供参考。

 \"抗凝药有必要做基因检测吗\"

抗血小板药物阿司匹林和氯吡格雷同样如此。目前一些医院开展了关于阿司匹林或氯吡格雷等抗血小板药的基因检测，并且很多一些医生建议患者根据基因检测结果选择抗血小板药物。这种做法貌似很合情合理：既然检测结果显示一位患者对某种抗血小板药物不敏感或者抵抗，就不宜再用此药了。实际情况是这样吗？请注意一个问题：目前国内外权威学术机构所颁布的主流指南均不推荐将血小板功能检测（包括基因检测）用于指导抗血小板药物的选择。倘若血小板功能检测真的具有像一些宣传所说的那么重要的临床价值，为什么这些权威指南均不推荐呢？其中主要原因之一是这些检测方法并不靠谱。

 

2017年ESC年会期间报告了一项研究，结果显示应用4种检测技术评估血小板功能，得出了4种完全不同的结果（包括血小板高反应性与低反应性等参数）。值得一提的是，有17%的患者用一种方法检测结果为高反应性、但另一种检测方法却为低反应性。这足以说明至少在现阶段，这种做法很不可靠，无法指导临床实践。实际上，近年来先后结束的数项大型随机化临床研究均表明，应用血小板功能检测指导抗血小板药物应用不能改善患者临床预后。

 

血小板聚集力以及抗血小板药物对血小板聚集的抑制作用受到多重因素的复杂影响，目前尚难以通过几项化验参数或几个基因对药物疗效进行准确预测。基因检测与血小板功能检测不仅不能为治疗方案的确定提供肯定性的信息，还会增加患者的经济负担，因此不宜常规用于临床实践。当然，这并不是彻底否认这一思路，随着检测技术的不断改进，未来也许会在临床上有更大应用价值。

 

临床上很多听上去很有道理的东西，却经不起实践检验。有些东西我们一时难辨真伪，没关系，看指南。只要遵循指南做事，就不会有原则性错误。

 

\"抗凝药有必要做基因检测吗\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"抗凝药有必要做基因检测吗\"

近期北大人民医院丁荣晶教授在472250339这个Q群内免费为大家解答问题，有需要帮助的可以进群咨询！



","barId":"1914","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1596,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555423674165,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1563286334849,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555423674165,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25257","isDel":0,"createAt":1555338744334,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"什么原因导致冠心病的发生","content":"

什么原因导致冠心病的发生？其实虽然引起冠心病的原因很多，最重要的危险因素主要包括以下十个方面：1. 男性性别（男性比绝经期以前的女性更容易发生冠心病）；2. 增龄（年龄越大越容易发生冠心病）；3. 家族史（父母在较年轻的时候发生冠心病，其子女发生冠心病的风险更大）；4. 高血压；5. 糖尿病；6. 吸烟；7. 肥胖；8. 缺乏运动；9. 持续精神紧张或思想压力大；10. 最重要的一个因素是高胆固醇血症。

 \"什么原因导致冠心病的发生\"

发生冠心病的主要机制是向心脏供应血液的血管（即冠状动脉）因为粥样斑块形成、导致血管狭窄或闭塞，心肌组织发生缺血甚至坏死。粥样斑块的形成主要是因为血液中的胆固醇进入了血管壁内，经过逐渐积累和一系列的炎症反应等机制形成粥样斑块。如果不予以有效干预，斑块会逐渐增大并导致冠状动脉血流不畅，最终引起心肌缺血或坏死，这就是冠心病。所以说控制血液中的胆固醇水平是预防冠心病的重要举措。

 

除了胆固醇增高外，前述其他危险因素也可显著增加冠心病的发病风险，这是因为这些因素可以通过不同机制损伤冠状动脉内膜，为血液中胆固醇进入血管壁内提供帮助。

 

由此可见，积极预防并控制这些危险因素是预防冠心病的可靠且重要的措施。

 

\"什么原因导致冠心病的发生\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"什么原因导致冠心病的发生\"

近期北大人民医院丁荣晶教授在472250339这个Q群内免费为大家解答问题，有需要帮助的可以进群咨询！



","barId":"1914","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1217,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555338744335,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1563201172830,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555338744335,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25227","isDel":0,"createAt":1555140919250,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"心血管不好能喝酒吗","content":"

多数人都知道吃了头孢类抗菌素不能喝酒，那么心血管不好能喝酒吗？

 

1. 心脑血管病人：日本的一项大型前瞻性队列研究表明，男性大量饮酒者卒中死亡率明显增加，女性大量饮酒者冠心病死亡率增加4倍，卒中死亡率增加2倍。所以冠心病、脑梗死患者最好不要喝酒、特别不要大量饮酒。

 \"心血管不好能喝酒吗\"

2. 高甘油三酯血症：有一种病，叫做急性胰腺炎。这是一种非常严重的疾病，死亡率非常高！引起急性胰腺炎的原因有多种，其中高甘油三脂血症和酗酒是最常见的两大原因。大量喝酒会导致胰液分泌旺盛。胰液是干什么的？主要作用是消化食物。大量喝酒后胰液会大量分泌，如果不能及时排出去，就可能自己消化自己，对胰腺造成严重损害，这就是急性胰腺炎。甘油三酯增高是导致急性胰腺炎的另外一种原因。甘油三酯就是脂肪，也就是肥油，如果甘油三酯太高，有可能形成脂肪栓，堵塞胰腺内部血管并引起局部充血肿胀，使得胰液排除困难。甘油三酯高的人如果喝酒，就会出现胰液分泌旺盛却又不能及时排出去，就会使得胰液对胰腺自身造成严重损伤，导致急性胰腺炎。所以说，甘油三酯增高的人不要喝酒了，以免发生急性胰腺炎，对生命造成巨大威胁！

 

3. 高血压：很多人认为喝酒会降低血压，这是不准确的。长期大量喝酒肯定会增加高血压的发生率。喝酒对于血压的短期影响取决于饮酒量与喝酒者对酒精的耐受程度。一般来讲，少量饮酒可扩张外周血管，因而具有轻微的降压作用。但大量饮酒会增加交感神经系统兴奋性、增加心率与心脏排血量，所以具有升高血压的作用。多数人喝酒后，血压会呈现出先降、后升的变化规律。血压控制不良的高血压患者，大量喝酒后可以使血压进一步升高，增加突发心脑血管意外的危险。同时，喝酒还可以对多种降压药与心脏药物的效果产生影响，进一步增加心脑血管事件的可能性。对于血压控制不佳的高血压患者而言，大量喝酒存在很大的安全隐患。临床上，因大量饮酒诱发脑血管或心血管意外的病例并不少见。所以，高血压病人最好不要大量喝酒，血压很高并且没有好好治疗的患者更不要大量喝酒，否则发生脑出血的风险会很大。

 

4. 喝酒与阿司匹林：很多人有喝酒的习惯，喝完酒还能吃阿司匹林吗？回答是否定的：为了自己的安全，喝完酒请不要吃阿司匹林！首先，阿司匹林有一个常见的不良反应是损伤胃黏膜，而酒精同样可以伤胃，喝完酒后再吃阿司匹林会显著增加胃黏膜损害的风险，甚至可能诱发消化道出血。其次，阿司匹林和酒精都会对肝脏产生不利影响，喝酒后再吃阿司匹林会增加肝脏损害的风险。第三，喝酒后酒精被吸收入体内，酒精的分解代谢需要一种酶——乙醇脱氢酶。阿司匹林可以抑制这种酶的活性，减慢酒精代谢，使得身体内酒精蓄积，因而同时喝酒并吃阿司匹林会加重醉酒症状，更容易发生酒精中毒。由于以上3方面原因，服用阿司匹林的朋友要记着“喝酒不吃药、吃药不喝酒”。然鹅，阿司匹林是保命药，不吃可不行。对于很多人来讲，不喝酒也不甘心。咋办？如果是这样，唯一的办法就是错开时间吃药喝酒。临床上，很多医生会建议患者在晚上服用阿司匹林。如果你晚上经常参加应酬、夜夜有酒场，那么就在早晨服阿司匹林。小剂量阿司匹林的半衰期是数小时，这样的话到晚上喝酒时血液中的药物浓度就很低了，可以明显降低酒精与阿司匹林相互影响的可能性。

 

5. 喝酒与他汀：喝酒后最好不要吃他汀。因为他汀和酒精都会对肝脏产生不良影响，喝酒后吃他汀会增加肝损害的风险。他汀是降胆固醇药物，主要作用机制是抑制肝脏合成胆固醇。由于肝脏在夜间合成胆固醇的作用最强，所以医生常建议患者在晚上服用他汀。但是如果一个人应酬很多，晚上经常喝酒，最好不要晚上吃他汀了，改在早晨吃更好。这样可以在一定程度上减少肝损害的可能。他汀可以分为水溶性他汀（如普伐他汀和瑞舒伐他汀）和脂溶性他汀（如辛伐他汀和洛伐他汀），有学者认为水溶性他汀对肝脏影响小，饮酒后服用这些他汀对肝脏影响小，但这只是相对的。各种他汀对肝脏都具有潜在的不良影响，所以喝酒后还是不吃他汀为好。吃他汀是因为血脂高，经常大量喝酒对血脂具有不好的影响，所以既然存在高血脂，最好还是不喝酒或者少喝酒。

 

6. 喝酒与运动：对于多数人而言，少量喝酒(一般指白酒不超过1两、啤酒不超过300毫升)对运动锻炼影响不大。少数人对于酒精耐受性很差，少量饮酒就会引起不适症状，这些人最好不喝酒，喝酒后也不应该剧烈运动。即使是酒量很大的人，如果喝酒量较大，也不建议进行较为剧烈的运动。喝酒后很多人会心率增快，运动也可以引起心率快，因此喝酒后运动锻炼会进一步增快心率，加重心脏负担，有心脏病的人可能会诱发心脏病发作。另一方面，运动过程中血压会升高、且血液循环速度会加快，这可显著增加脑血流量进而增加酒精进入脑组织的数量，加重酒精对大脑的不利影响。此外，大量饮酒后会导致神经系统反应速度减慢、身体协调能力下降、对危险的判断能力消弱，在户外运动时容易发生意外受伤。基于上述种种原因，不建议饮酒后进行较大量的运动锻炼。在临床上，喝酒后大量运动引起意外的病例并不少见。喝酒后应该安静休息，多喝水，食量进食一些水果或米粥之类的食物，有助于保护胃肠道并尽快将酒精代谢掉。

 

\"心血管不好能喝酒吗\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"心血管不好能喝酒吗\"

欢迎扫描二维码加入QQ群，里面有专业医务人员帮病友们解答问题



","barId":"1914","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1132,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555140919254,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1563003665665,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555140919254,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24707","isDel":0,"createAt":1548600164069,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1548600309663,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"阿托伐他汀能逆转斑块吗","content":"

我一五年查出冠状动脉轻度狭窄（C丁造影），口服降压药，阿司匹林，阿托伐他汀和波立维。自己加服三七粉五克。一八年六月份住院检查，做了冠脉造影，居然说治愈了，可以停药！我想问下阿托伐他汀能逆转斑块吗，是不是真的可以逆转斑块

\"阿托伐他汀能逆转斑块吗\"


","barId":"1914","topicTypeId":"2","topicThemeId":"1033","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1564,"score":0,"partCount":0,"replayCount":2,"publishStatus":1,"publishTime":1548600164074,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1556376172925,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1554738053031,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24945","isDel":0,"createAt":1551671093184,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"冠心病与焦虑抑郁的关系","content":"

15~30%的冠心病患者伴有焦虑焦虑抑郁，比普通人群高2~3倍。女性约为男性2倍，尤其是年轻女士急性心肌梗死患者。

 

近日，欧洲心脏病学会（ESC）发布关于焦虑抑郁和冠心病立场文件，指出冠心病和焦虑抑郁存在恶性循环，冠心病患者中焦虑抑郁较常见，而有焦虑抑郁的冠心病人更危险。

 

识别和纠正焦虑抑郁可以提高冠心病患者的生存质量，建议临床医生对冠心病患者筛查焦虑抑郁。文件指出，贝克焦虑抑郁自评量表较为实用，有助于可靠筛查焦虑抑郁状况。

  

对于严重焦虑抑郁的冠心病患者，治疗焦虑抑郁有助于促进患者健康和提高生活质量。药物治疗、各种形式心理治疗、运动和压力管理等均可选择。

附贝克焦虑抑郁量表（Beck Depression Inventory），您可根据下表自我评估，共21题。

 

总分10分：很健康、无焦虑抑郁；

总分10分~15分：有轻度情绪不良，要注意调节；

总分大于15分者：已有焦虑抑郁，需要去看心理医生；

总分大于25分：焦虑抑郁严重，必须看心理医生。

\"冠心病与焦虑抑郁的关系\"

\"冠心病与焦虑抑郁的关系交流群\"

欢迎扫描二维码加入QQ群，里面有专业医务人员帮病友们解答问题



","barId":"1914","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1381,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1551671093187,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1559619906624,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1551671093187,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24812","isDel":0,"createAt":1550045470800,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"慢性病卡如何办理 申请慢性病卡的步骤","content":"

慢性疾病是很多人都会得的疾病，比如高血压、糖尿病等都是老年人很常见的疾病。在我们国家，对于这些慢性疾病有优惠的政策，慢性疾病经过申请门诊可以有一些补助，对于长期患病的人来说，当然是一件很好的事情。但是很多人不知道慢性病卡要如何申请?今天小编就给大家介绍慢性病卡的申请步骤。


1、申请时间

每一年的3月1日到15日，是申报慢性病卡的时间。一般申请交到医保中心后，15个工作日会有结果。一次申请一般都还是一年的时间，不是说申请好了以后就永远享受补助，每一年都要重新申请。补过每个地方的申请时间也有所不同，可以咨询医保中心。

2、申报条件

在我国有25种疾病被列入了慢性疾病的范畴，只要是有这些慢性疾病都可以进行申请。具体有哪些疾病可以参考最新的慢性疾病目录。

3、准备材料

申请慢性病卡需要准备好社保卡、身份证复印件、住院病历，、出院小结、诊断证明、相关的检查资料。特别是权威医院的诊断证明，没有这样的证明是不能申请到慢性病卡的，再准备近期的照片两张。

4、填写申请表

接下来就是填写申请表了，如果是职工可以向单位医保负责人要申请表，如果是居民医保可以向居委会要，如果是新农合可以到定点医疗机构要表，按照表格的需要填写。

5、报送

报送一般都是单位或者居委会去递交材料，15个工作日就会有结果，符合条件的就可以发放慢性病卡。

慢性病卡的申请步骤就是这么简单，在申请的过程中可能也会遇到一些事情，可以咨询医保中心，具体的步骤还要按照医保中心规定的来做。受到慢性病卡以后就可以享受到我们对慢性病人的优惠政策，对于本身经济就不富足的人来说很有帮助。

 


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我最进感觉憋气总想深呼吸，然后最近居然发现我左胸偶尔轻微疼痛，可是我体检之前都没有任何感觉，除了心悸，也不是痛。就是不大舒服吧，有时候左胸侧面，有时候右胸，有时候胳膊


","barId":"1914","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1177,"score":0,"partCount":0,"replayCount":1,"publishStatus":1,"publishTime":1548330913455,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1556106924125,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1548330938560,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24655","isDel":0,"createAt":1548330702925,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"为什么总想深呼吸","content":"

我就频繁心悸一年多了，两个月前还有过一次早晨空腹运动后总想深呼吸，然后上个月体检心电图stt异常高耸，后来复查心脏彩超心室壁厚度达到临界值

回来以后我就天天想，想了几天我为什么总想深呼吸，然后最近居然发现我左胸偶尔轻微疼痛。我这种情况要不要去做冠脉ct

 


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今天去医院，诊断冠心病，动脉硬化斑块已经堵塞80%，医生叫支架，当时没同意，想问下动脉硬化斑块怎么清除，动脉硬化斑块可以逆转吗？

 


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心绞痛啥症状, 我感觉气管疼，和后背靠上面疼，没有心慌心脏不难受，是不是心绞痛,


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心脏支架能活多久，主要取决于有没有心肌坏死，以及心肌坏死的严重程度，是否伴有恶性心律失常，心功能不全，支架植入的数量，有没有进行系统心脏康复，是否按时服药，是否戒烟等因素。如果上述因素都非常好，那么基本和正常人寿命没有显著区别，甚至因为改掉不良生活习惯，反而比正常人寿命更长点。


心脏支架的朋友一定要戒烟，戒烟对于预防支架内再狭窄起着非常重要作用，如果烟瘾大，可以使用洞医六步轻松戒烟法轻松不遭罪戒烟。除此之外，建议认真学习下国内知名专家丁荣晶教授出版的《心肌梗死与心肌康复》视频图书，她用三个小时视频，手把手教你怎么预防支架内再狭窄，怎么系统进行心脏康复，怎么让心脏更加强大，怎么才能让心脏恢复的比发病前状态还要好，是个可以改变命运的视频图书，这个视频图书淘宝就有


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回答粉丝朋友个问题：冠脉硬化什么意思。冠脉硬化是心脏的冠状动脉出现了粥样硬化病变，这种病变会引起血管的狭窄，当狭窄超过50%的时候，就可以考虑确诊为冠心病，在短短时间内大量吸烟、熬夜、过度疲劳等因素刺激下，就有可能造成血管内皮破裂出血，这种心脏血管的破裂出血就是心梗。


吸烟包括二手烟，是冠脉硬化发生发展过程中的一个重要因素，吸烟的朋友一定把烟戒掉，很多老烟民都是用洞医六步轻松戒烟法轻松不遭罪戒烟的。


冠心病和心梗完全可防可控，可以看看国内知名专家丁荣晶教授出版的《冠心病心肌梗死与心肌康复》视频图书，她用三小时的视频，手把手教你怎么逆转冠脉硬化，怎么让心脏变得更加强大，怎么让心脏恢复的比发病前状态还要好，是个可以改变命运的视频图书，淘宝就有


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