I had a sore throat after exercise and was told that I needed a heart stent! 50% of Taiwanese people have untreated hyperlipidemia: the consequences may not only be stroke and disability
If you have a sore throat after exercise, see the otolaryngologist. His hyperlipidemia has not been treated and he needs to get a stent urgently.
Taiwanese people have a high blood-fat ratio. According to statistics, more than 5 million adults over the age of 18 have “hyperlipidemia” problems. Hyperlipidemia has no obvious symptoms, but it is an important cause of “myocardial infarction” or acute coronary heart disease. In serious cases, it can even cause sudden death. It is an invisible killer that is most easily ignored by young adults. Mr. Chen, a patient with hyperlipidemia, said in an interview that although there was a “red letter” on cholesterol in health checks, he didn’t take it seriously and consciously had an exercise habit. Until my throat became “tight” during strenuous exercise, I didn’t expect that it was a serious blood vessel blockage and required a cardiac stent.
“I thought high cholesterol was just a civilized disease that many people would have, so I didn’t actively treat it. Besides, I exercised regularly, so (high blood lipids) shouldn’t affect my body. Later, I would feel a sore throat when I exercised strenuously. I went to the ear, nose and throat department several times. I was referred to the cardiology department and found out that my blood vessels were blocked and the oxygen supply was insufficient during strenuous exercise, causing me to be hypoxic!”
Dr. Huang Weichun, chairman of the “Taiwan Myocardial Infarction Society” and director of the Department of Critical Care Medicine at Kaohsiung Veterans General Hospital, pointed out that the diagnosis rate of hyperlipidemia in Taiwan is only about 50%, and about half of the people have not properly controlled it. If coupled with failure to take medication regularly and poor living habits, it is easy to increase the risk of blood clots. Weather and emotions may also trigger blood vessels, leading to stroke or myocardial infarction. Especially before the Chinese New Year, the temperature drops sharply, and the risk of acute myocardial infarction among Taiwanese people rises sharply. Regardless of whether young adults or mature people experience myocardial infarction symptoms such as chest tightness, breathlessness, and cold sweats, they should seek medical attention immediately.
Too much bad cholesterol equals risk of disability and death
“The main cause of hyperlipidemia is too little “good cholesterol (HDL-C)” and too much “bad cholesterol (LDL-C)”, which leads to the deposition of too much low-density lipoprotein cholesterol on the blood vessel walls to form plaques! " Dr. Huang Qunyao, executive director of the Taiwan Myocardial Infarction Society and director of the Medical Department of Taipei Medical University Affiliated Hospital, pointed out that the prevalence rate of hyperlipidemia in Taiwanese people is as high as 26%, and the future risk of cardiovascular disease is three times higher than that of people without hyperlipidemia. However, ignoring hyperlipidemia Even not knowing that you have hyperlipidemia is equivalent to exposing yourself to a huge risk of “cardiovascular and cerebrovascular disease → disability → death”.
Dr. Wu Chengxue, secretary-general of the Taiwan Myocardial Infarction Society and director of the Department of Intensive Care Medicine at Taipei Veterans General Hospital, explained that Taiwanese people can understand their own blood lipid test values. From the perspective of primary prevention standards, total cholesterol (TC) should be less than 200 mg/dL; the “good cholesterol” HDL-C should be higher than 40 mg/dL for men and 50 mg/dL for women; the normal value for “bad cholesterol” LDL-C should be less than 130 mg/dL; triglycerides (TG ) should be less than 150 mg/dL.
Dr. Wu Chengxue further pointed out that bad cholesterol (LDL-C) is a key value for blood lipid control. The general population should be controlled below 130 mg/dL; those with diabetes or kidney disease should be controlled below 100 mg/dL; acute coronary heart disease, coronary Arterial disease, peripheral arterial disease, ischemic stroke, and transient cerebral ischemia should be controlled below 70 mg/dL; in the event of repeated major cardiovascular events, severe or multiple blockages, or combined with diabetes, it should be strictly controlled below 55 mg/dL. dL or less.
Diet and exercise can only control 25%! Oral and injectable multi-therapeutic drugs
“The goals of cholesterol treatment are to reduce bad cholesterol and triglycerides, and to increase high-density lipoprotein cholesterol. But in fact, only 25% of cholesterol can be controlled through diet and exercise. 75% is related to physical fitness and must be matched Different types of multiple treatments can help high-risk groups achieve treatment goals!”
Dr. Wu Chengxue said that cholesterol treatment is mainly divided into oral drugs and injection drugs. The main oral drugs are statins, as well as cholesterol absorption inhibitors, niacin, fibric acid derivatives, Omega3 fatty acids, bile acid-binding resins, etc. Injectable drugs include PCSK9 inhibitors, which can help reduce LDL cholesterol by an additional 50%. Currently, there are multiple medical treatments that can help patients create customized blood lipid treatment courses. Patients must actively discuss and consult with their doctors, and do not stop on their own. medicine.
Exercise can’t solve everything! Doctor: Drug control should account for 75%
“For patients with hyperlipidemia, moderate exercise can consume cholesterol, but don’t think that exercise can solve all problems. You must use different methods to achieve good control!”
Dr. Wu Chengxue pointed out that many Taiwanese people believe that high blood fat can be improved by exercising or taking health food. In fact, research has found that the therapeutic effect of blood lipid drugs on bad cholesterol can reach 37.9%, while the red yeast rice commonly used by Taiwanese people is only 6.6%, the third fish oil is only 3.4%, and turmeric is only 1.3%. Therefore, for the treatment of hyperlipidemia, the correct concept of controlling 75% with medication and 25% with diet and exercise should be adopted.
As the Lunar New Year approaches, the “Taiwan Myocardial Infarction Society” and the Taiwan Ministry of Health and Welfare, Health Promotion Administration jointly call on people with chronic diseases, including those with hyperlipidemia, to receive regular treatment in a stable manner, and it is recommended to receive medicine in advance before the New Year. In daily life, you should pay attention to six keys to control hyperlipidemia: regular medication, regular check-ups, smoking cessation, moderate exercise, and weight control. Only in this way can we successfully “lower blood lipids and resist myocardial infarction” and effectively reduce the risk of cardiovascular accidents.
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