How is coronary heart disease caused?

Patient's question:

A frail and slightly overweight constitution, dizziness, sometimes feeling even more dizzy when standing up, often sweating cold sweat, even when the weather is cold, a stuffy feeling in the chest. A few days ago, my friend had a health check-up at work and noticed on the health check form that they had coronary heart disease. The doctor even recommended that my friend have surgery. How does coronary heart disease occur?

Doctor's answer:

Coronary atherosclerotic heart disease is believed to be related to factors such as hypertension, hyperlipidemia, hyperviscosity, diabetes, endocrine dysfunction, and aging. Generally, medication is the foundation of treating coronary atherosclerotic heart disease. If the symptoms are not significant and the vessel stenosis is not severe, medication can be used first. However, if the vessel stenosis is relatively severe, i.e., stenosis > 75%, medication alone is not sufficient. Because medication can only slow down the gradual process of vessel stenosis, but the stenosis of the artery cannot disappear on its own through medication. Interventional treatment or bypass surgery should be considered to completely restore blood supply to the brain edema myocardium, thereby not only alleviating angina symptoms but also stabilizing heart function and improving the patient's quality of life.

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