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Chen Ya

Geriatrics

About me

Hunan University of Chinese Medicine Hospital, Department of Geriatrics, attending physician.

Proficient in diseases

Specializes in the prevention and treatment of cardiovascular and cerebrovascular diseases.

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Written by Chen Ya
Geriatrics
46sec home-news-image

How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.

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Written by Chen Ya
Geriatrics
54sec home-news-image

Can people with coronary heart disease eat mutton?

In the case of coronary heart disease and consuming mutton, it is generally acceptable to eat it, but we should decide based on our own health condition. For instance, if someone with coronary heart disease exhibits symptoms of qi deficiency or yang deficiency, such as fear of cold, or having cold hands and feet, they are more suited to eat mutton. Sometimes, doctors even recommend eating some mutton in winter. However, those with yin deficiency and internal heat, who are irritable and prone to anger, are advised to eat less. It's not that they absolutely cannot eat it, but it is best to avoid or minimize consumption. Generally speaking, a light diet is recommended for those with coronary heart disease.

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Written by Chen Ya
Geriatrics
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Causes and Treatment of Bradycardia

Bradycardia can be seen in healthy individuals, especially athletes, and also during sleep. If caused by a pathological condition, there may be organic heart disease, particularly in patients with acute myocardial infarction. If such a condition causes a significant decrease in cardiac output, affecting the blood supply to vital organs such as the heart, brain, and kidneys, then drugs like atropine or even intravenous drip of isoproterenol are used to increase the heart rate. Oral theophylline may be considered under general conditions. For severe sinus bradycardia leading to syncope where drug treatment is ineffective, it is recommended to install a permanent artificial cardiac pacemaker to prevent sudden sinus arrest.

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Written by Chen Ya
Geriatrics
45sec home-news-image

Can people with coronary heart disease drink tea?

Patients with coronary heart disease can drink tea, but it is advised to consume light tea in daily life rather than strong tea. Specifically for coronary heart disease, green tea is more suitable as it helps prevent the condition. However, for those with coronary heart disease who also suffer from anemia and poor spleen and stomach function, it is recommended to limit green tea consumption. Additionally, drinking strong tea may cause some individuals to experience arrhythmias, increased heart rate, and sometimes disturb sleep, further aggravating these cardiac symptoms.

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Written by Chen Ya
Geriatrics
1min 30sec home-news-image

What fruits to eat for coronary heart disease

For patients with coronary heart disease, it is generally recommended to consume seasonal fruits such as hawthorn, apples, kiwis, pineapples, and bananas. Hawthorn contains triterpenoid and flavonoid compounds that can significantly dilate blood vessels and lower blood pressure. Additionally, hawthorn aids digestion and regulates blood lipids and cholesterol levels, benefiting those with coronary heart disease. Research indicates that apples can help prevent the rise of cholesterol and are beneficial against atherosclerosis associated with coronary heart disease. Kiwis are particularly high in vitamins and reportedly help lower cholesterol and triglyceride levels, which is advantageous for preventing atherosclerosis. Pineapples are said to reduce blood lipid release and decrease the incidence of coronary heart disease; however, they can cause "internal heat," so it is advisable for individuals with a phlegm-heat constitution to consume them sparingly. Bananas, rich in carbohydrates and various vitamins, are suitable for people with coronary heart disease, especially those suffering from constipation, as bananas can moisturize the intestines and thus help reduce factors that trigger coronary heart disease.

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Written by Chen Ya
Geriatrics
2min 10sec home-news-image

Nursing Measures for Patients with Cerebral Infarction

The nursing measures for stroke patients vary according to different conditions. During the acute phase, the primary concern is life-threatening infections, while during the recovery and residual stages, the focus is on preventing various complications and risks. The care measures are categorized as follows: The first is dietary care. Relatives of stroke patients should be reminded that the diet should be light, low in fat, and high in fiber, following the principle of eating small meals frequently. The second is maintaining clear airways, preventing colds, especially tuberculosis, and ensuring that someone watches over the patient at all times. The third is the prevention of bedsores, assisting and maintaining regular patient turning and moderate activity. The fourth involves preventing burns, bruises, falls, and other injuries by creating a safe and comfortable environment for the patient, ensuring their safety and that there are no hazardous objects in the room. The fifth is preventing constipation which can be aided by abdominal massage and eating foods high in fiber. The sixth is preventing urinary tract infections, timely changing diapers for those patients who can urinate independently, or ensuring sterile techniques for those with catheters. The seventh is preventing falls from the bed, especially for those who are restless; installation of bed rails and other safety measures should be considered. The eighth concerns psychological care since many patients tend to become pessimistic and disappointed post-illness. Family members should be caring and provide comfort and encouragement to the patients. The ninth general care measure involves daily oral care with saline solution or brushing teeth every morning and evening, bathing the patient once or twice a week, and daily cleansing of the genital area.

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Written by Chen Ya
Geriatrics
1min 14sec home-news-image

What medicine is used for arrhythmia?

There is still no consensus on the drugs commonly used for arrhythmia. The main classes used clinically are as follows: The first class is sodium channel blockers, which include three subclasses: moderate, mild, and significant sodium channel blockers, respectively comprising quinidine, lidocaine, and propafenone. The second class mainly consists of adrenergic receptor blockers, with propranolol being a representative drug. The third class of drugs selectively prolongs the repolarization process, among which amiodarone is commonly used clinically. The fourth class is calcium channel blockers, which mainly block calcium channels and inhibit the inflow of calcium, with verapamil being the main representative drug. Long-term use of anti-arrhythmia drugs can cause varying degrees of side effects, with severe cases possibly leading to ventricular arrhythmia or fatal cardiac conduction block. Therefore, when using these drugs clinically, it is essential to strictly control the indications, monitor adverse reactions, and strictly follow the doctor's prescription for rational medication.

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Written by Chen Ya
Geriatrics
50sec home-news-image

Can someone who has had a cerebral infarction drink alcohol?

It is advised that individuals who have suffered a stroke should not consume alcohol. This is because strokes typically have specific causes, the most common of which include high blood pressure, diabetes, and high cholesterol. Strokes can also occur during times of emotional distress, and are often a result of unhealthy lifestyle habits and dietary patterns. Therefore, quitting smoking and alcohol is considered very important. Additionally, since many stroke patients also have high blood pressure, drinking alcohol can lead to excitement, which may cause an increase in blood pressure and potentially lead to another stroke.

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Written by Chen Ya
Geriatrics
1min 7sec home-news-image

Can people with arrhythmia take Jiuxin Pills?

Arrhythmias are an important group of cardiovascular diseases. They can occur alone or in conjunction with other cardiovascular diseases. Mild arrhythmias that do not affect hemodynamics often show no clinical symptoms. Arrhythmias can cause a reduction in coronary artery blood flow. Although various arrhythmias can decrease coronary blood flow, they rarely cause myocardial ischemia. However, in patients with coronary heart disease, various arrhythmias can induce or exacerbate myocardial ischemia, primarily manifested as angina and shortness of breath. The function of Jiu Xin Wan is mainly to promote Qi circulation and blood flow, remove blood stasis, relieve pain, increase coronary blood flow, and alleviate angina. Therefore, it is acceptable to take Jiu Xin Wan for arrhythmias combined with myocardial ischemia, but it is not recommended for those without clinical symptoms.

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Written by Chen Ya
Geriatrics
1min 49sec home-news-image

Can people with arrhythmia eat ginseng?

Arrhythmia falls under the categories of palpitations and throbbing in traditional Chinese medicine. The common differential diagnoses are as follows: For Blood Stasis Obstruction type, the treatment focuses on activating blood circulation and resolving stasis, and regulating qi to unblock the collaterals. For Blood Deficiency type, the treatment is to nourish qi and calm the spirit, and to nourish the heart and supplement blood. For Yang Deficiency type, the treatment aims to warm and supplement heart yang, and calm the spirit and stabilize the will. For Heart Deficiency and Timid Gallbladder type, the treatment is to nourish the heart and calm the spirit, and to stabilize fright and fix the will. For Yin Deficiency and Exuberant Fire type, the treatment focuses on nourishing the heart and calming the spirit, and nourishing yin to clear the fire. For Water Dampness Overwhelming the Heart type, the treatment aims to invigorate heart yang and transform qi to promote water movement. For Qi and Blood Deficiency type, the treatment is to supplement both qi and blood simultaneously. Ginseng's main therapeutic effect is to greatly supplement the primal qi, secure and stop prolapse, generate fluids, and calm the spirit. Therefore, ginseng can be used when arrhythmia differentiation indicates qi deficiency, but it is recommended to use it under the guidance of a traditional Chinese medicine practitioner.