In recent years, with the change of people’s lifestyle and the aging of the population, the prevalence of cardiovascular disease in China continues to rise. According to the “China cardiovascular health and disease report 2019”, there are as many as 330 million patients with cardiovascular disease in China. The mortality rate of this disease is far higher than that of tumor and other diseases, and it is the number one “killer” of people’s life in China.
Easily neglected chronic diseases
The impact of early chronic diseases on human body is relatively small. Many chronic patients with hypertension, hyperlipidemia and other chronic diseases are easy to take it lightly. When they think that their blood pressure and blood lipid are controlled, they stop taking drugs on their own and continue to maintain bad diet and exercise habits, causing long-term damage to the heart, brain, kidney and other important organs.
An uncle who loves to eat, drink and smoke, with hypertension, hyperlipidemia and hyperuricemia for more than ten years, had a sudden “acute anterior myocardial infarction” at the age of 61. After he was rescued in time and discharged from hospital, he had a fluke mentality. He didn’t listen to the doctor’s advice to quit smoking, lose weight and take medicine on time. In a short period of three years, he had repeated “myocardial infarction”, resulting in continuous myocardial necrosis and three main coronary arteries After implantation of five stents, it will inevitably develop into “end-stage heart failure” and reach the stage of “tertiary prevention”.
How serious is tertiary prevention?
The so-called “three-level prevention” is “under the treatment of the disease”. At this time, the patient’s important organs have lost their normal function, and irreversible damage occurs. After stroke, the impairment of physical activity ability, loss of language function, and mental and emotional changes are also the scope of three-level prevention. Once the disease develops to the stage of three-level prevention, irreparable injuries have occurred, and the medical intervention measures are very limited, which can only reduce the harm of the disease as far as possible, reduce the risk of life and mortality, and prolong the precarious life of patients.
If we want to avoid falling into the field of tertiary prevention, we must pay attention to the primary prevention or secondary prevention of cardiovascular disease, such as healthy diet, aerobic exercise, smoking cessation and alcohol restriction, weight management, psychological balance and so on.
How to do well in disease prevention?
The primary prevention is the stage of “cure before disease” and “prevent before disease”, which is closely related to the change of daily unhealthy living habits. First of all, we need to maintain a healthy lifestyle, achieve a healthy diet, reduce sodium intake; adhere to more than five times a week, about 40 minutes of aerobic exercise each time; quit smoking and alcohol, manage the body weight, so that the body mass index (BMI) is maintained at 21 ~ 24; finally, we need to achieve regular physical examination, to prevent the occurrence of cardiovascular and cerebrovascular diseases and other chronic diseases from the source.
Secondary prevention is the stage of “curing desire disease with traditional Chinese medicine”, which aims at chronic patients with hypertension, hyperlipidemia, diabetes and hyperuricemia. Blocking unhealthy lifestyle is the effort of the above chronic disease patients, so as to curb the source of disease. Under the guidance of doctors, it is also very important to regularly review and take medicine on time, so as to avoid repeated illness caused by self withdrawal. Only with the joint efforts of doctors and patients, can we avoid the occurrence of three-level prevention events such as heart failure and cerebral infarction sequelae.
Saving health is the same as managing money. Only by accumulating slowly can we get the fruitful results of long-term compound interest.
In this paper, Wang Jianqi, deputy chief physician of Cardiology Department of Beijing Tongren Hospital, conducted a scientific check.