

Chen Tian Hua

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 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.

Can heart disease be inherited?
Whether heart disease is hereditary depends on the specific type of heart disease. Some heart conditions are hereditary diseases, such as hypertrophic cardiomyopathy, which is an autosomal dominant inherited disease and can be inherited. Some heart diseases are related to genetics, such as coronary heart disease and dilated cardiomyopathy. These genetically related diseases significantly increase the risk of their offspring developing these conditions, but it does not necessarily mean that they will develop the disease, as environmental factors also play a crucial role. Of course, some heart diseases are not genetic, such as most congenital heart diseases, heart valve diseases, infective endocarditis, and myocarditis, which are not related to genetics.

Symptoms of pulmonary hypertension include:
The clinical symptoms of pulmonary hypertension primarily include: 1. Shortness of breath, which is the most common symptom of pulmonary hypertension. Many patients experience shortness of breath as their initial symptom, which is often related to physical activity. As the condition progresses, the shortness of breath tends to worsen. 2. Some patients may also experience chest pain, dizziness, or fainting. 3. Some patients may cough up blood, usually only a small amount, but occasionally there can be a significant amount. 4. Patients with pulmonary hypertension caused by chronic obstructive pulmonary disease may experience repeated symptoms of coughing and coughing up phlegm. 5. Patients with pulmonary hypertension often experience fatigue and weakness.

Causes and Hazards of Bradycardia
The main causes of bradycardia include the following: 1. Physiological bradycardia, which occurs in normal individuals such as athletes and some elderly people, mainly due to increased vagal tone; 2. Cardiac diseases, such as sick sinus syndrome, severe atrioventricular block, myocarditis, and acute inferior myocardial infarction; 3. Other diseases, such as hypothyroidism and hyperkalemia. Physiological bradycardia generally poses no harm and does not require intervention. Pathological bradycardia, when the heart rate significantly slows down, can lead to a decrease in cardiac output, causing insufficient blood supply to the brain, resulting in symptoms such as dizziness, visual obscurity, and fainting. It can also cause coronary artery supply insufficiency leading to angina, as well as symptoms of fatigue and reduced exercise tolerance, requiring timely treatment.