冠心病的abcd（ABCD of coronary heart disease）.doc

冠心病的abcd（ABCD of coronary heart disease） ABCDE program for the treatment of coronary heart disease (personal, detailed edition). (1) A: 1, Asprin: Aspirin (aspirin, clopidogrel (Plavix) 0.1 Qd / talcom) 75mg Qd Note: non ACS (stable angina) see only one of them, ACS (unstable angina pectoris and acute ST or non ST elevation myocardial infarction) and two with Bayaspirin 300mg for the first, the first Plaix agent 300mg. (if the patient has high blood pressure at this time, remember that the BP is well controlled before giving such a large amount of anticoagulant, oh, to prevent brain hemorrhage) 2, Anti (anti), -angnal, angina pectoris (1) 0.5mg nitroglycerin sublingual isosorbide dinitrate sublingual 5mg on angina pectoris with good effect, and is not reused or Betaloc (must pay attention to, or taboo) nifepine (blood pressure obviously) or nitroglycerin micro pump, should pay attention to blood pressure. 20mg (Tid) improves myocardial metabolism, fights angina, and even expands the coronary arteries. It is recommended for people with coronary heart disease (who are contraindicated in recent mi). Note: angina with these useful; but in acute ST elevation myocardial infarction chest pain is often not obvious to pethidine intramuscular analgesia. (two) B: 1, Blood, Presure: to facilitate memory, can be divided into antihypertensive drugs ABCD. (A): ACEI: such as Los Angeles new (Benner Pury) 5-10mg Qd ARB: for example, irbesartan (irbesartan), 150mg, Qd (B): Beta blockers: mainly affecting DBP (diastolic blood pressure), so the treatment of hypertension is not generally used alone. For example, bisoprolol (Kang Xin, Bossou) 1.25mg Qd (each contraindications: must keep in mind of beta blockers in heart rate slow, acute heart failure, heart failure and heart weight, above two degree atrioventricular block, asthma, COPD etc.) (C): CCB: the main image of SBP, such as new 30mg Qd (D) For example: diuretic spironolactone 20mg Qd (little effect on blood pressure but had antag