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Chen Tian Hua
Cardiology
About me
Cardiologist, Associate Chief Physician, has been engaged in cardiovascular clinical work for 20 years, accumulating rich clinical experience.
Proficient in diseases
Diagnosis and treatment of various difficult and critically ill cardiovascular diseases.
Voices
Can mitral and tricuspid regurgitation heal by themselves?
Mitral and tricuspid valve regurgitation generally cannot heal on their own. Of course, different cases of mitral and tricuspid regurgitation require different clinical treatments. Generally speaking, if it is only mild mitral and tricuspid regurgitation, no special treatment is needed. If it is caused by organic lesions in the mitral and tricuspid valves themselves, causing severe regurgitation, then surgical treatment is necessary to correct the organic abnormalities of the valves. If the regurgitation of the tricuspid and mitral valves is caused by diseases that lead to an enlarged heart and dilation of the valve annulus, it is necessary to actively treat these diseases to effectively control the condition and prevent it from worsening.
What should I do if I have mild mitral valve regurgitation?
Mild mitral valve regurgitation is observed and further investigation is needed to understand the causes of this condition. If mild mitral valve regurgitation occurs in a healthy individual, it is primarily due to physiological degeneration of the mitral valve, generally does not lead to adverse consequences, and does not require special treatment. If it is caused by diseases that lead to an enlarged heart, resulting in relative mild mitral valve regurgitation, this situation necessitates active treatment of the underlying diseases to effectively control the condition, prevent further enlargement of the heart, exacerbate the degree of mitral valve regurgitation, and thus adversely affect health.
What is mild regurgitation of the mitral and tricuspid valves?
If a cardiac echocardiogram simply finds mild regurgitation of the mitral and tricuspid valves, and the heart isn't noticeably enlarged, and the valves have no organic lesions, this mild regurgitation of the mitral and tricuspid valves isn't considered a pathological state. It should be considered as physiological degeneration of the valves and doesn't require treatment, generally causing no harm to overall health. However, some occurrences of mild regurgitation of the mitral and tricuspid valves are due to enlargement of the left and right ventricles. In these cases, it's necessary to further identify the causes leading to the enlargement of the ventricles and actively address them to control the condition effectively. This avoids further enlargement of the ventricles, which could worsen the valve regurgitation and negatively impact health.
How is acute pericarditis classified?
Acute pericarditis is classified according to the course of the disease, including acute fibrinous pericarditis and acute exudative pericarditis. If classified according to the cause, it can be divided into infectious pericarditis and non-infectious pericarditis. Infectious pericarditis can be caused by viruses, bacteria, tuberculosis, fungi, etc., while non-infectious pericarditis can be seen in tumors, uremia, acute myocardial infarction, aortic dissection, connective tissue disease, trauma, and cardiac surgery, etc. Acute pericarditis is an acute inflammatory disease of the pericardium's parietal layer, and its occurrence requires timely diagnosis. It is also important to further clarify the specific cause of acute pericarditis and actively treat it.
Ventricular septal defect is what?
Ventricular septal defect is a common congenital heart disease, mainly due to the abnormal defect in the ventricular septum during the fetal development, resulting in an abnormal channel between the left and right ventricles. Ventricular septal defect can cause blood to shunt from the left ventricle to the right ventricle, gradually increasing the blood flow in the pulmonary circulation, leading to an increase in the volume load of the left and right ventricles, while causing a decrease in the systemic circulation volume. In the later stages, due to the significant increase in right ventricular pressure, it leads to right-to-left shunting, thereby causing Eisenmenger's syndrome. For ventricular septal defects with a large degree of defect, timely interventional treatment or surgical ventricular septal defect repair is required.
What to do with mild mitral and tricuspid regurgitation?
The appearance of mild regurgitation in the mitral and tricuspid valves requires further clarification of the specific causes leading to the regurgitation, and treatment should be based on these causes. In healthy individuals, mild regurgitation of the mitral and tricuspid valves may be considered physiological degeneration, which is not considered a disease and does not require special treatment. However, mild regurgitation of these valves can also occur due to related organic diseases causing ventricular enlargement and annular dilation, leading to relative mild regurgitation of the mitral and tricuspid valves. In such cases, effective treatment of the underlying disease is necessary to keep it stable in the long term, preventing further enlargement of the ventricle that could worsen valve regurgitation and adversely affect the patient.
What are the dangers of ventricular premature beats?
The hazards of ventricular premature beats can be mainly divided into the following aspects: First, if a healthy person experiences ventricular premature beats, it can cause symptoms such as chest tightness, palpitations, fatigue, and dizziness. If these symptoms are quite noticeable, they often affect the patient's work and life, and at night, they can also impact sleep, leading to sleep deprivation; Second, if the patient has severe structural heart disease, frequent ventricular premature beats can induce angina attacks in patients with coronary artery disease, and can lead to worsening of heart failure in patients suffering from heart failure; Third, some malignant ventricular premature beats can also induce severe rapid malignant arrhythmias, such as sustained ventricular tachycardia and ventricular fibrillation, leading to sudden cardiac arrest and sudden cardiac death.
Is high diastolic pressure considered high blood pressure?
If the diastolic blood pressure exceeds 90 mmHg, hypertension should also be considered. Patients with a high diastolic blood pressure who do not actively undergo hypotensive treatment can suffer long-term damage to target organs such as the heart, brain, and kidneys, as well as severe hypertensive complications. For patients with high diastolic blood pressure, it is also necessary to adopt effective lifestyle adjustments and choose clinically frontline antihypertensive drugs for long-term treatment. Only by effectively controlling elevated diastolic pressure in the long term can severe target organ damage and hypertensive complications be avoided, thus improving the clinical prognosis for patients with hypertension.
Is a ventricular trigeminy serious?
Whether the severity of ventricular premature contractions in trigeminy is serious or not depends on the specific condition of the patient. If it occurs in a healthy individual due to certain triggers such as excessive smoking and drinking, extreme fatigue, and repeated staying up late, and is not caused by an organic disease, the condition is generally not serious. With prompt elimination of these triggers, it can be quickly alleviated. If it occurs on the basis of severe organic heart disease, the condition is more serious at this time. Sometimes the malignant degree of this trigeminy of ventricular premature contractions can be significant, and it may induce malignant ventricular arrhythmias, leading to sudden cardiac death. Therefore, it is necessary to provide relevant treatment as soon as possible to avoid adverse consequences.
What are the symptoms of atrial fibrillation?
The most common symptoms of atrial fibrillation episodes are chest tightness, palpitations, shortness of breath, and fatigue. When atrial fibrillation causes a significant decrease in cardiac output, it can also lead to insufficient cerebral blood supply, causing symptoms such as dizziness and blackouts. Occasionally, it may also cause fainting in patients. When coronary artery blood supply is insufficient, it can also trigger angina attacks. Moreover, if atrial fibrillation leads to heart failure, it can cause significant respiratory difficulty. Atrial fibrillation is a common arrhythmia clinically. The treatment of atrial fibrillation should be based on the specific situation, choosing either cardioversion or controlling the ventricular rate. Cardioversion can be achieved through medication or radiofrequency ablation surgery, while controlling the ventricular rate can be managed with β-blockers, amiodarone, digoxin, and other drugs. In treating atrial fibrillation with ventricular rate control, patients need to take anticoagulants long-term to prevent the occurrence of peripheral arterial embolism. (Please follow medical advice regarding medications.)