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z'hangZi
Dian
CORONARIES
-THE
GREATEST
ENEMY
OF
MANKIND
ln
fully developed countries, the
huge number of coronaries (e.9.,
in
USA,
1
.3 million
/
year)
is
already com-
ing down steadily but in
developing
countries,
it
is rising rapidly, due to the
aging population
and
the
recent
change
in lifestyle. Coronaries are due to the
narrowing
of
the
lumen ol the coronary
arteries
supplying
the heart and
are
often
fatal.
Factors that are associated
with higher incidence
rates
are:
age
>
40, male sex before the age of 55, lack
of physical exercises, high blood cho-
lesterol and triglyceride
levels,
hypertension, over-weight, diabetes,
smoking, familial tendencies and tense,
emotionally labile personality. The clini-
cal presentation
of
coronaries
is
very
protean
-
it
can even be silent or
occur
in
"angina"
form that can be reversed
by,
e.9., glyceryl
trinitrate;
"myocardial
infarcf
is much more severe and have
typical electro- cardiogram
(ECG) and
serum
cardiac
enzyme
changes.
Angiograms outline
the nanowing
and
dilatation
by ballooning;
surgical
by-
pass, transplant or even
a
trial
of laser
channeling
are
available. However, pre-
vention
is
definitely
better
-
take
more
vegetables, avoid constipation,
smok-
ing
or
emotional
conflicts,
excessive
eating and alcohol intake and
keep
warm.
You
would live longer!
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35
