What are heart disease preventive drugs?

First of all, it must be made clear that there is no universal heart disease preventive drug that can prevent all heart diseases and is suitable for everyone. The relevant preventive drugs currently used in clinical practice are all tailor-made according to the individual's basic disease conditions and risk of heart disease. What others take works well, but you may cause problems if you take it randomly.

A while ago, I accompanied my father, who has been suffering from hypertension for 10 years and whose coronary arteries were found to have 30% stenosis, to the cardiology department for a follow-up visit. The doctor prescribed atorvastatin and low-dose aspirin to him, which are preventive medications for people like him with clear atherosclerosis problems to reduce the risk of myocardial infarction and cerebral infarction. However, when it comes to aspirin, there is a lot of controversy in the industry about its primary prevention (that is, it is used by people who have not had a cardiovascular event to prevent the first cardiovascular event). The new guidelines in Europe and the United States in recent years have narrowed the applicable population. If you only have slightly high blood lipids in the physical examination, have no history of high blood pressure and diabetes, and no family history of premature heart disease, most doctors do not recommend taking it casually. After all, it has side effects of irritating the gastric mucosa and increasing the risk of bleeding. Blindly eating it will not be worth the gain. Last year, I met a 52-year-old colleague at work. He read on the Internet that aspirin protects the heart, so he took it for half a year without asking a doctor. In the end, he had stomach bleeding and was hospitalized for a week. It was really not worthwhile.

Many people may also ask, do coenzyme Q10 and deep-sea fish oil, which are commonly sold online, count? When I was doing volunteer clinics in the community in the past two months, at least twenty aunts and uncles asked this question. First of all, it must be clear that these are dietary supplements, not drugs approved by the state. There is currently insufficient evidence-based evidence to prove that they can directly prevent heart disease. At most, they are used as nutritional supplements for some people - such as patients who have muscle soreness after taking statins, or people who are recovering from myocarditis. Doctors may recommend appropriate supplementation of Coenzyme Q10, but it absolutely cannot replace conventional risk control methods such as lowering blood pressure and lipids.

To put it bluntly, preventive medication for heart disease is actually like "accurately filling in areas of weakness." If your blood pressure exceeds the standard for a long time, antihypertensive drugs that can control your blood pressure stably are the best heart-protecting drugs for you.； If your LDL is always higher than the normal value, statin lipid-lowering drugs are your preventive medication. ； If you have had a myocardial infarction or missed a stent, the clopidogrel and beta-blockers prescribed by the doctor are secondary prevention drugs used to prevent secondary attacks. They are all based on your personal situation. There is no universal standard answer. If you really want to say that "heart-protecting preventive medicine" is effective for everyone, it does not come in a pill bottle. Stay up less late, eat less takeaways that are heavy in oil and salt, take time to go for a walk every week, and control your weight within a reasonable range. It is much more reliable than the heart-protecting health care products you spend a lot of money to buy from Internet celebrities.