经病理组织检查证明:冠状动脉硬化,自幼儿期,有时自胎儿期就已开始,随着年龄增长而在发展,其发展程度和方式则受先天/后天环境的影响,长期潜伏之后,最终成为缺血性心脏病(心绞痛/心肌梗塞)。冠状动脉硬化究竟可逆到什么程度?如果从治疗方面来看,可分一次预防(即预防缺血性心脏病或推迟其发展)和二次预防(即直接消退已发生的冠状动脉硬化以外,更加抑制其发展)来考虑。缺血性心脏病的一次/二次预防不论一次或二次预防主要是除掉危险因子。年龄大,男性,遗传因素等外,可能预防/治疗的危险因子计有高血压,高脂血症,糖尿病,高尿酸血症,痛风、肥胖,吸烟,饮食,运动不足等。另有以黄体酮为主的口服避孕药,精神紧张,性情暴躁等亦属危险 Pathological examination showed that: coronary atherosclerosis, since childhood, and sometimes since the fetus has begun, with age and development, the extent and manner of its development by the innate / acquired environment, long-term latent, eventually become Ischemic heart disease (angina / myocardial infarction). To what extent can coronary atherosclerotic disease be reversible? If, from a therapeutic point of view, treatment can be divided into prevention (ie prevention of ischemic heart disease or delay of its development) and secondary prevention (ie, direct regression of already developed coronary atherosclerosis, more Inhibit its development) to consider. Primary / Secondary Prevention of Ischemic Heart Disease Regardless of primary or secondary prevention, it is mainly the removal of risk factors. Age, male, genetic factors, etc., the possible prevention / treatment of risk factors include hypertension, hyperlipidemia, diabetes, hyperuricemia, gout, obesity, smoking, diet, lack of exercise and so on. Another progesterone-based oral contraceptives, mental stress, temper, etc. are also dangerous