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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
What should I do about tachycardia?
When tachycardia occurs, it is important to actively identify the cause of the tachycardia and actively treat the underlying disease causing the tachycardia. If it is caused by heart failure, it is essential to actively provide anti-heart failure treatment to control the heart failure. Once the heart failure is stabilized, long-term administration of beta-blockers should be given to effectively control the heart rate. In cases of rapid arrhythmias, anti-arrhythmic drugs should be administered timely. If arrhythmias recur frequently and there are indications, radiofrequency ablation surgery can be performed. Patients with hyperthyroidism should be treated to reduce the synthesis and secretion of thyroid hormones, bringing them back to normal levels. If the tachycardia arises from mental stress, emotional fluctuations, or exercise, no special treatment is necessary. It only requires stabilization of the tense emotions, relaxation, and proper rest; the heart rate will quickly return to normal.
Frequent ventricular premature beats refer to what?
Frequent ventricular premature beats refer to the occurrence of more than five ventricular premature beats per minute. Ventricular premature beats, also known as ventricular premature contractions, can occur in patients without structural heart disease, as well as in those with structural heart disease. For frequent ventricular premature beats occurring on the basis of structural heart disease, it is necessary to actively treat the underlying heart disease. Some ventricular premature beats can also be treated with radiofrequency ablation surgery to reduce their occurrence. In daily life, it is important to maintain a healthy lifestyle, reasonably plan work and life activities, reduce mental stress, avoid extreme emotional fluctuations, avoid overwork and staying up late, and ensure sufficient sleep.
Mild regurgitation of the mitral and tricuspid valves, what's the cause?
Mild regurgitation of the mitral and tricuspid valves, if seen in healthy individuals without related organic diseases, mainly occurs due to the physiological aging of the mitral and tricuspid valves as age increases. This results in slight insufficiency during ventricular contraction, leading to mild regurgitation. This condition is not pathological and does not require treatment, nor does it lead to adverse consequences. However, if the mild regurgitation of the mitral and tricuspid valves is accompanied by an organic disease that causes ventricular enlargement, the cardiac enlargement and annular dilation result in relative regurgitation due to the organic disease. It is necessary to actively control the underlying disease to prevent further enlargement of the heart, which could worsen the insufficiency and cause more blood regurgitation.
What foods are suitable for coronary heart disease?
Patients with coronary heart disease should eat light, easily digestible foods, opt for low-salt and low-fat options, and consume plenty of fresh vegetables and fruits. Foods rich in dietary fiber, such as wheat, oats, and buckwheat, can also be eaten in moderation. Avoid foods high in animal fats and cholesterol, as well as salt-rich preserved items. In addition to dietary adjustments, patients with coronary heart disease should engage in reasonable exercise, effectively control their weight, maintain a good psychological state, and avoid overwork and staying up late, ensuring ample sleep at night. It is important to actively control risk factors such as high blood pressure, diabetes, and high blood cholesterol, provide long-term standardized medication treatment for coronary heart disease, and maintain stability of the condition.
What can you eat to lower high blood pressure?
Patients with hypertension may experience some reduction in blood pressure by consuming certain vegetables and fruits, such as celery, winter melon, spinach, kiwifruit, hawthorn, and bananas. Additionally, drinking some types of tea, like kuding tea, Eucommia tea, Apocynum tea, and kudzu root tea, can also help lower blood pressure. However, these effects are not very strong and these items should not be relied upon for blood pressure treatment. Patients with hypertension need to adopt standardized treatment methods for long-term blood pressure control, actively improve their lifestyle, and choose appropriate first-line antihypertensive medications for long-term treatment. It is essential to maintain blood pressure control to prevent adverse outcomes caused by hypertension and improve prognosis.
Can a ventricular septal defect heal by itself?
Some ventricular septal defects can heal on their own. For ventricular septal defects smaller than five millimeters, some patients can heal on their own; the defects that generally heal are those in the membranous and muscular parts of the septum, and the younger the age, the greater the likelihood of healing. If the ventricular septal defect still exists after the age of five, it generally cannot heal on its own. For ventricular septal defects that do not heal spontaneously, if they significantly affect hemodynamics, interventional treatment or surgical surgery is needed for repair. If the impact of the ventricular septal defect on hemodynamics is not significant, regular follow-up examinations can be conducted to understand the condition of the disease.
Symptoms and warning signs of myocardial infarction
Patients with myocardial infarction often have some precursor symptoms before the onset of a heart attack, including chest tightness, palpitations, irritability, fatigue, and episodes of angina, among which the angina episodes are most characteristic. This angina can manifest as the first occurrence of angina, or as a worsening of previously experienced angina symptoms. It is characterized by more intense chest pain, longer duration, and often occurs without clear triggers. Nitroglycerin taken sublingually does not fully relieve it. These symptoms should be taken seriously, and it is important to promptly visit the cardiology department of a hospital. Through inpatient treatment, the condition can be stabilized, and many patients can avoid an acute myocardial infarction.
Mild to moderate mitral valve regurgitation treatment
"Mild to moderate mitral valve regurgitation has been detected, and treatment should be given based on the specific circumstances. If it is simply mild to moderate mitral valve regurgitation without related structural heart disease, it can be temporarily observed without special intervention, and regular follow-up echocardiograms should be scheduled. If mild to moderate mitral valve regurgitation is accompanied by structural heart disease, active treatment of the related heart disease should be pursued to effectively control it. If heart failure occurs, active treatment for heart failure should be initiated to prevent the worsening of mitral valve regurgitation due to aggravated heart failure. Therefore, if mild to moderate mitral valve regurgitation is present, the cause should be further investigated and treated accordingly based on the different causes."
What are the complications of ventricular septal defect?
The complications of ventricular septal defect mainly include the following: 1. Causes infective endocarditis, with the highest incidence occurring between the ages of 15 and 29; 2. Leads to aortic valve insufficiency; 3. Causes conductive blockages; 4. Leads to heart failure, and can even lead to Eisenmenger syndrome. Therefore, patients with ventricular septal defects should actively complete examinations such as echocardiography. If there are indications for surgery, they should promptly visit a cardiac surgeon for active surgical treatment to correct the anatomical abnormalities of the ventricular septal defect and prevent the condition from worsening and leading to serious consequences.
Mild tricuspid and mitral valve regurgitation, what's the matter?
Mild mitral and tricuspid regurgitation can be seen in normal individuals. As people age, factors such as valve degeneration can lead to mild regurgitation of the mitral and tricuspid valves. This condition does not require special treatment, and generally does not lead to adverse outcomes. Of course, certain diseases that cause heart enlargement can lead to widening of the valve rings, thus causing mild regurgitation of the mitral and tricuspid valves. For disease-induced mild regurgitation of these valves, it is crucial to actively treat the underlying disease causing heart enlargement, to prevent further enlargement of the heart and worsening of the regurgitation, thereby aggravating the condition of the heart disease.