close
CARDIOLOGY

Afraid of new crown pneumonia?

no thumb

From the beginning of 2020, the suddenness, unpredictability and severity of new coronary pneumonia have added a gray shadow to China and the world.As early as January 23, the National Health and Health Commission released 17 death data. Among them, the minimum age of the deceased is 48 years old, 78.9% of the elderly are over 60 years old, and most of the deaths are elderly people.
In addition, most of the 17 deaths were patients with chronic diseases before being infected with the new coronavirus pneumonia, such as chronic diseases such as hypertension, coronary heart disease, diabetes, and cerebral infarction.Jiao Yahui, deputy director of the State Administration of Health and Medical Administration, told a news conference that the main causes of death of patients are old age and chronic diseases, and more than 75% of deaths have one or more chronic diseases, such as cardiovascular and cerebrovascular diseases., Diabetes, tumors and other basic diseases.Elderly people with underlying diseases have a high case fatality rate as long as they are infected with pneumonia (not pneumonia due to the new coronavirus infection).According to the statistics of “China Cardiovascular Diseases Report 2018”, the current number of cardiovascular disease patients is 290 million, and the mortality rate of cardiovascular disease is still the highest, higher than that of tumors and other diseases. Two out of every five deaths die from the heart.Vascular disease [1].With the increase of age, the structure and function of the heart (enlarged heart, thickened ventricular septum, and diastolic function) will have certain changes. Previous studies have found that cardiovascular risk factors such as hypertension and diabetes in the heart structure and function of elderly patientsChanges also play an important role [2].As a stressor, neocoronary pneumonia may over-activate the sympathetic system. The catecholamine-related effects of hypersympathosis will increase the patient’s heart rate, increase myocardial oxygen consumption, instability of vascular plaques, and further increase myocardial damage, making heart functionFurther decline, its harm is self-evident.Therefore, elderly patients with cardiovascular disease are one of the groups that are easily attacked by the new coronavirus or other pathogens, and effective prevention measures should be done in time to avoid the risk of infection.01 Reasonable medication, choose better treatment medications. Clear medication indications. When giving medications to the elderly, medication indications must be clarified to reduce the number of medications and drugs with strong nephrotoxicity. Formulate a reasonable medication regimen. The medication regimen should be as simple as possible.To avoid drug abuse, it is advisable to use no more than 4 types of combined drugs [3].For example, in the treatment of hypertension with coronary heart disease, calcium antagonist (CCB) dilates blood vessels to counteract the vasoconstrictive effect of beta blockers; while beta blockers slow the heart rate effect to counteract CCB reflex sympathetic excitement.Increased heart rate.β-blocker combined with CCB treatment not only has a significant antihypertensive effect, but also reduces the corresponding adverse reactions. Therefore, the combined application of the two is an optimal solution for patients with hypertension and coronary heart disease.[4].▎ Pay attention to individual differences in the treatment of elderly people with individualized medicines. Their general health status, concurrent diseases, disease severity, disease course, and disease development process are different. Therefore, the principle of individualization should be followed when formulating treatment plans for patients.Blind treatment cannot be performed in accordance with standard treatment methods.In particular, the choice of drug dose should be accurately calculated according to the patient’s weight, age, and physical fitness—usually increasing from small doses, and the elderly dosage—usually 0.5-0.75 times that of adults, and based on the patient’s renal functionIndividual adjustment, if possible, blood concentration monitoring can be performed [5].▎Guaranteeing medication compliance In addition, elderly patients with cardiovascular disease are unable to take medications on time, for a full course of treatment, and in sufficient quantities due to the variety of medications, large amounts, frequent medications, memory loss, and insufficient knowledge of medications, which leads to patient compliancePoor, can not guarantee the clinical results achieved by drug treatment programs.Therefore, after formulating a reasonable drug treatment plan according to the actual situation of the patient, the clinician should also provide health education to the patient and his family, so that the patient and their family can clearly and accurately recognize the necessity and importance of medication according to the doctor’s order, and reduce the patient’s own claimsReduce the probability of missed doses, missed doses, or discontinuation of medications, establish medication files for patients, follow up patients regularly, and urge patients to use medications reasonably [6].02 Learn to self-manage and do a good job of disease monitoring. Regularly monitor blood pressure, heart rate, blood sugar, and weight every day to understand the control of the disease.Work and rest.Appropriate exercise helps to ensure the stability of the elderly patients with cardiovascular disease, but not excessive exercise.In the case of “do not go out”, exercise is generally based on walking and bedside cycling, not too fast, too early and too late.Helps maintain or improve cardiopulmonary function, enhances physical fitness, and improves immunity.Quit smoking.Smoking can increase the risk of various cardiovascular diseases; the risk of disease after smoking cessation is reduced.Smoking can cause vasomotor dysfunction, vascular endothelial dysfunction, and cause atherosclerotic plaque instability, which can easily cause the formation of thrombus.Therefore, patients with cardiovascular disease must first quit smoking before drug treatment [7].Reasonable meal.Controlling total calories, a balanced diet, and limiting the intake of salt and food added sugar can reduce cardiovascular disease risk factors or reduce the incidence of cardiovascular disease has become a consensus, and has been clarified by dietary guidelines and cardiovascular disease prevention guidelines for residents in China and foreign countriesRecommended [8]..
Control emotion.The frequent recurrence of negative emotions causes long-term or excessive nervous tension, which can cause body diseases, such as neurological dysfunction, endocrine disorders, increased blood pressure, etc., and thus transform into diseases of certain organs and systems, affecting the treatment of elderly patients with cardiovascular disease.Effect [9].In short, in this epidemic, elderly patients with cardiovascular disease should pay attention to avoiding viral infections and not panic too much. While doing a variety of preventive measures, learn to self-administer, self-monitor, and follow the doctor’s advice to use medicines on time and standard.I believe the epidemic will pass soon!39health.net (www.39.net) original content, can not be reproduced without authorization, offenders must be investigated.For content cooperation, please contact: 0000 or 0000

ouyangshaoxia

The author ouyangshaoxia