Classification of coronary heart disease

The treatment methods and prognosis of different types of coronary heart disease are as follows: Occult type: mainly through lifestyle change treatment, the prognosis is good. Angina pectoris: drug, intervention or bypass surgery treatment, the prognosis is related to the condition. Myocardial infarction: thrombolysis, intervention or bypass surgery treatment, the prognosis is related to the infarct size. Ischemic cardiomyopathy: improve myocardial blood supply treatment, the prognosis is poor. Sudden death: Implantation of ICD and other devices to prevent sudden death is at high risk. According to different types of coronary heart disease, its treatment methods and prognosis are also different. The following is a detailed introduction to different types of coronary heart disease: 1. Occult coronary heart disease is asymptomatic, but ST-T changes are found in ECG after rest or stress test. Myocardial perfusion or regional wall motion abnormalities can be found by radionuclide myocardial perfusion scan or echocardiography. Treatment methods mainly include lifestyle changes, such as smoking cessation, healthy diet, moderate exercise, etc., and active treatment of risk factors such as hypertension and diabetes. The prognosis is generally good, but regular reexamination should be carried out in order to find early changes in the disease. 2. Angina chest discomfort is the main manifestation, such as chest pain, chest tightness, etc., which is mostly induced by physical labor or emotional excitement. It can be relieved after rest or nitroglycerin. Treatment options include drug therapy, such as nitrates, beta blockers, calcium channel blockers, and interventional therapy or bypass surgery. Prognosis depends on the severity of angina, whether treatment is timely, and the patient's underlying disease. 3. Myocardial infarction symptoms are more severe, manifested by persistent and severe chest pain, which may be accompanied by nausea, vomiting, sweating, etc., which cannot be relieved by rest or nitroglycerin. Treatment methods include thrombolysis, interventional therapy or bypass surgery, and treatment for complications. The prognosis of myocardial infarction is related to infarction size, treatment time window, complications and other factors, serious cases may lead to heart failure, arrhythmia and other complications. 4. Ischemic cardiomyopathy Long-term myocardial ischemia leads to myocardial fibrosis, cardiac enlargement, heart failure and other symptoms. Treatment methods include improving myocardial blood supply, controlling arrhythmia, treating heart failure and so on. Poor prognosis, long-term treatment and management are needed to delay the progression of the disease. 5. Sudden death due to arrhythmia and other reasons. Sudden death risk is high, and ICD and other devices need to be implanted for prevention. In short, the treatment of coronary heart disease needs to be individualized according to the specific type and condition. At the same time, patients should actively cooperate with the treatment, improve lifestyle, control risk factors, so as to improve the quality of life and survival rate. In addition, for high-risk groups, such as patients with family history of coronary heart disease, hypertension, diabetes, etc., regular physical examination and screening should be carried out in order to detect and treat coronary heart disease early. It should be noted that the above information is for reference only, and the specific treatment plan should be carried out under the guidance of a doctor. If you or someone close to you has symptoms related to coronary heart disease, please seek medical attention in time for the best treatment effect.