Patients with hypertension are prone to coronary heart disease

 According to statistics, 60% - 70% of patients with coronary heart disease have hypertension, and the incidence of coronary heart disease in patients with hypertension is about 4 times of that in ordinary people. Among many pathogenic factors of coronary heart disease, hypertension is one of the main risk factors of coronary heart disease. Studies in China have shown that for every 10 mmHg increase in systolic blood pressure, the risk of myocardial infarction or sudden death of coronary heart disease increases by 28% after 9 years, while for every 5 mmHg increase in diastolic blood pressure, the risk increases by 24%.

Why is hypertension prone to coronary heart disease? This is because when the blood pressure rises, the vascular wall (mainly vascular intima, endothelial cells) is easy to be damaged, so that blood lipids (such as low-density lipoprotein, cholesterol, triglyceride, etc.) are easy to invade the arterial wall; at the same time, the function and metabolism of the vascular wall are also changed. High blood pressure can also cause vasodilation, stimulate the proliferation of smooth muscle cells, collagen and elastic fibers, and then promote the formation of atherosclerotic plaque. Extensive atherosclerotic lesions can easily lead to senile hypertension. Therefore, atherosclerosis and hypertension are closely related. In view of this, in the active prevention and treatment of coronary heart disease at the same time, we must prevent and treat hypertension. Focus on the following points:

1. Maintain normal blood pressure: normal blood pressure means that the systolic blood pressure is lower than 140 mmHg and the diastolic blood pressure is lower than 90 mmHg. Once suffering from hypertension, we must adhere to drug treatment.

2. Keep the weight normal: mainly through controlling diet and increasing the amount of exercise to carry out self-regulation. To this end, we should pay attention to the following points: diet, avoid too much sugar; fat intake should not exceed 30% of the total calories, including unsaturated fatty acids should be less than 10%; eat more vegetables, fruits, quit smoking, less alcohol; adhere to sports, such as walking, doing exercises, playing ball, etc.

3. Keep the blood lipid normal: if the blood lipid rises, it should be treated under the guidance of the doctor.

4. Proper medication: taking small dose aspirin can prevent platelet accumulation, reduce blood viscosity and improve microcirculation. This medicine can be taken under the guidance of a doctor.