Plastics Scholars | Together with coronary heart disease, there are differences between men and women?

[Plastics Scholarship opens column] Care for life with heart, extend the service with love, the column of the Plastics Academy will regularly push the knowledge of the heart and the science of health care related to the heart and the critical care of the heart.

Human hearts have the same structure and function, but if they are distinguished by gender, the hearts between men and women are a bit different. Women's heart is usually smaller than men and myocardium is thinner. Therefore The amount of blood volume is less than men, but the speed of pump blood is faster than men.

Coronary heart disease is because the excess fat in the blood circulates in the heart of the heart, forming plaques, and gradually narrowing the arteries, and finally causes the heart muscle ischemia and hypoxia. This pathological process is the same among men and women. Factors that cause this pathological process, such as hypertension, diabetes, hyperlipidemia, smoking and other diseases, men and women have the opportunity to suffer. However, compared with men, women have more special risk factors for coronary heart disease, such as endometriosis, polycystic ovary syndrome, and hypertension during pregnancy. Studies have shown that these diseases will increase women's crown crowns Risk of heart disease.

In addition, estrogen provides women with some protection of coronary heart disease, but after menopausal, estrogen levels have decreased, this protection ability decreases, and women are more likely to develop coronary heart disease during this period. Moreover, women are more diverse compared to men when they have a coronary heart disease. Chest pain is the most common symptom of male coronary heart disease. In addition to the manifestation of chest pain, women may also take fatigue, shortness of breath, sweating, muscle or joint pain.

In addition to the hidden symptoms, the diagnostic methods commonly used in coronary heart disease are sometimes difficult to find women's coronary heart disease. For example, as an important test of the diagnosis of coronary heart disease, the positive rate of female tablet motion test is low and the false positive rate is high. As a "gold standard" diagnosis of coronary heart disease, coronary photography, sometimes it is difficult to find female coronary heart disease. This is because women's coronary artery is usually small. Women, even if there are chest pain symptoms, at the same time have evidence of myocardial ischemia, but after coronary angiography, it is still impossible to be diagnosed with coronary heart disease. On the other hand, women's coronary microcirculation disorders and vascular endothelial dysfunction can also cause symptoms of myocardial ischemia. The above factors are also difficult to find through coronary photography.

There are more risk factors and the risk of failure to be accurately identified. After the occurrence of coronary heart disease, women often have a longer hospitalization time, and the risk of death before discharge is higher. The prognosis is often inferior to men.

Therefore, in addition to maintaining a healthy living habits and reducing the risk of coronary heart disease, women should also maintain a good mentality, adjust their lifestyle, adhere to exercise, appropriately decompress, and adjust the secretion level of hormones in daily life. After entering the menopause, pay more attention to regular medical examinations, and find clues of coronary heart disease early.

Expert guidance:

Zhang Minzhou

Chief physician, professor, doctoral supervisor, enjoy special allowance experts from the State Council, the heir of the academic experience of Professor Deng Tiesao of the Chinese Medical Medicine, the head of the academic experience inheritance studio of Academic Experience in Hospital of the Chinese Medicine Master, the Medical Director of the Famous Chinese Medicine of the Guangdong Hospital of Traditional Chinese Medicine, the Chief of the chest pain center, and the university in Guangdong Province Person in charge of acute myocardial infarction traditional Chinese medicine prevention and treatment team, director of the key laboratory of Chinese myocardial infarction in China, and the leader of clinical key specialty of the National Health and Health Commission. The head of the State Administration of Traditional Chinese Medicine's key specialist specialist specialist cooperation group, the vice president of the Chinese and Western Medicine Association of the Chinese Medical Association and chairman of the Vice President of the Traditional Chinese and Western Medicine Branch, and the honorary chairman of the Critical Medicine Professional Committee of the Chinese and Western Medicine Society of Traditional Chinese and Western Medicine.

In the National Traditional Chinese Medicine Hospital, take the lead in conducting coronary heart disease intervention treatment. The combination of traditional Chinese and western medicine was successfully cured for patients with 104 -year -old ultra -old -age myocardial infarction. Essence He presided over the formulation and release of my country's first Chinese and English version of "Guidelines for the Integrated Chinese and Western Medicine of Acute Myocardial Elyphors", and established and promoted the new model of "three in one" of "acute myocardial infarction saving, cure, and nourishing the heart."

Good at: Coronary heart disease (acute myocardial infarction), arteriosclerosis, hypertension, arrhythmia, heart failure and other cardiovascular diseases such as Chinese and Western medicine, heart rehabilitation and traditional Chinese medicine nourishment. Coronary heart disease intervention therapy and artificial cardiac pacemaker implantation.

Diagnosis time

Location of the diagnosis

Tuesday morning

Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Fifth floor of the West District needs outpatient clinics

Thursday morning

Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Heart Clinic on the third floor of the West District

Zhaojie

The Department of Illness Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, a member of the chest pain center of Guangdong Provincial Hospital of Traditional Chinese Medicine, a attending physician, an international quasi -member member (IA) of the American Cardiology Society, a director of the Young Physician Branch of the Chinese Traditional Chinese Medicine Information Society, the rehabilitation Member of the Professional Committee, Youth Committee of the Management Professional Committee of the Severe Supervision Center of the Guangdong Provincial Hospital Association Hospital.

Good at: coronary heart disease, hypertension, heart failure, arrhythmia, cardiac valve disease diagnosis and treatment.

Democratic time: Friday afternoon, the heart clinic on the 3rd floor of the West District.

Supply: Discipline of Critical Medicine, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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