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Xiao Chang Jiang
Cardiology
About me
Director of Cardiovascular Department, Affiliated Hospital of Hunan Provincial Institute of Traditional Chinese Medicine. First cardiovascular internal medicine postdoctoral fellow in Hunan Province (Xiangya Hospital, Central South University).
National Health Literacy Tour Lecture Expert for Residents, National Administration of Traditional Chinese Medicine Popular Science Tour Lecture Expert; Member of the Dual Heart Study Group of the Chinese Medical Association Psychosomatic Medicine Specialty Committee, Executive Member of the Cardiovascular Disease Specialty Committee of the China Rehabilitation Medicine Association, Member of the Interventional Cardiology Specialty Committee of the Chinese Association of Traditional Chinese Medicine, Director of the Health Education Professional Committee of Hunan Health Management Association. Awarded the 1st "Good Physician of Three Xiang" Dedication Award in 2015.
Completed 1 National Natural Science Foundation project, undertook 8 national, provincial, and departmental projects, published over 30 papers, co-authored more than 10 books. Specializes in interventional treatment of cardiovascular diseases, as well as integrated traditional Chinese and Western medicine treatment of complex cardiovascular diseases.
Proficient in diseases
Combination therapy of interventional treatment of cardiovascular diseases and difficult cardiovascular cases in traditional Chinese and Western medicine
Voices
Early symptoms of heart disease
How is heart disease diagnosed? What are its early symptoms? Actually, the concept of heart disease is very broad as it includes many diseases related to the heart. Generally, it refers to problems with the structure or function of the heart, or its inability to perform its pumping function. Its early symptoms can include chest tightness, chest pain, or a crushing feeling after activity, and some may even radiate to the back or the inside of the arms, even involving the shoulders, presenting symptoms like increased heart rate, palpitations, tinnitus, and breathing difficulties. All these are related to heart disease. But how can we determine what kind of heart disease it is? We believe that the first step is to visit a hospital for tests such as electrocardiograms (ECG), ambulatory ECGs, exercise stress tests, and other imaging tests including coronary CT and even coronary angiography. Of course, some biochemical tests are also necessary, such as myocardial enzymes, troponins, myoglobins, brain natriuretic peptides, immunological and biological tests, which all help to determine the nature of the heart disease. In summary, we must pay special attention to heart disease, and once these symptoms appear, we should seek medical attention promptly and early.
What to eat for myocarditis?
For patients who already have myocarditis, what should we feed them? This is a question that confuses many people. In fact, patients with myocarditis should eat high-protein foods, high-vitamin foods, and those that are low in calories or easy to digest, such as a low-salt diet. It is recommended to eat small meals frequently and avoid foods that are spicy, heavily flavored, or irritating. For high-vitamin foods, the main choices include fruits, some vegetables, bean sprouts, kelp, seaweed, and black fungus, all of which are very good options. Low-calorie foods such as cucumbers, tomatoes, celery, job's tears, and papaya are also good choices. High-protein foods include soybeans, peanuts, seaweed, mushrooms, nuts, milk, lean meats, eggs, fish, shrimp, and more. We also recommend easily digestible foods, like millet porridge and noodles, as well as a low-salt diet, recommending a daily salt intake of no more than 3 grams for patients with myocarditis.
Early manifestations of myocarditis
What are the early symptoms of myocarditis? In fact, most patients with myocarditis typically exhibit acute onset of symptoms, which generally occur 1 to 3 weeks after cardiac involvement, or they may simultaneously exhibit various degrees of viral infection symptoms such as fever, sore throat, cough, general malaise, muscle pain, skin rash, or nausea and vomiting, abdominal pain, and diarrhea. These are its prodromal symptoms. Additionally, some patients exhibit systemic viral infection symptoms when the disease occurs, such as rubella, measles, epidemic mumps, viral hepatitis, and other diseases. Since the recovery rate of myocarditis in the acute and recovery phases is significantly higher than in the lingering or chronic phases, it is evident that treatment for myocarditis should be initiated as early as possible to increase the recovery rate.
Is myocarditis serious?
Is myocarditis serious? In fact, myocarditis is an inflammatory disease of the myocardium. Patients with myocarditis may experience symptoms such as fatigue, palpitations, shortness of breath, discomfort or pain in the precordial area, nausea, vomiting, abdominal pain, diarrhea, etc. During examinations, we often see slight enlargement of the heart, arrhythmias, gallop rhythm, and other manifestations of heart dysfunction. In severe cases, myocarditis can lead to fulminant myocarditis, such as severe heart failure or cardiogenic shock, often accompanied by arrhythmias. Even with timely and standard treatment, death may occur due to the severity of the condition. Even if patients with myocarditis recover, they may still have some sequelae on the electrocardiogram, such as atrioventricular block, bundle branch block, premature beats, or junctional rhythm.
symptoms of low blood pressure
Next, let us introduce some symptoms of low blood pressure. Actually, low blood pressure is divided into physiological and pathological low blood pressure. Generally speaking, physiological low blood pressure is asymptomatic, while pathological low blood pressure might have six major types of symptoms: The first type is fatigue and weakness, especially in the morning. Patients may feel listless and weak in their limbs which can improve after a nap or rest, but the fatigue may return in the afternoon or evening; The second type of symptoms includes headaches and dizziness. Among patients with low blood pressure, headaches are a common complaint, often occurring after intense mental activity or physical exertion. The nature and severity of headaches can vary, often manifesting as dull pain in the temporal or occipital region, but can also be intense pulsating pain or numb pain. Dizziness can vary in severity; mild cases involve blackout vision and vertigo, while severe cases can lead to fainting spells and even collapse, often occurring during sudden changes in body position, or when moving from a squatting to a standing position; The third type of symptoms involves chest pain or discomfort in the cardiac area, where patients with low blood pressure often experience such discomfort; The fourth type involves neurological dysfunctions, which can manifest as lethargy, reduced memory, sleep disturbances or insomnia, and severe cases may show signs of autonomic dysfunction. Symptoms might include pale skin, mild cyanosis, fluctuations between feeling cold and hot, sensations of ants crawling, or numbness in hands and feet; The fifth type of symptoms is reduced endocrine function, primarily shown as insufficient levels of substances like adrenaline and noradrenaline. Some patients may exhibit reduced blood sugar levels or decreased sexual function; The sixth type of symptoms includes poor appetite, abdominal discomfort, indigestion, or increased red blood cell count, decreased white blood cell count, reduced immunity, making infections more likely, etc.
How is myocarditis treated?
Let's talk about how myocarditis is treated. Myocarditis is actually considered a self-limiting disease with no specific cure. However, treatment generally revolves around symptomatic treatment, combining conventional care and symptom management. For general treatment, bed rest is highly recommended for patients suffering from acute viral myocarditis to reduce the strain on the heart. Patients suffering from severe arrhythmias or heart failure are advised to rest in bed for at least one month and are not allowed to participate in strenuous physical labor for six months. For those without cardiac morphological or functional changes, rest for half a month is recommended, followed by avoiding heavy physical activity for three months. Additional antiviral treatments, such as interferon-alpha and Astragalus membranaceus, may be used; protective cardiac therapies or immunotherapies may also be administered. Symptomatic treatment mainly targets patients with severe heart failure or severe arrhythmias, following conventional treatment protocols for these conditions. For patients with complete atrioventricular block, temporary pacemakers may be used, and permanent pacemakers can be installed depending on the situation if the block cannot be resolved. Depending on the type of arrhythmia, antiarrhythmic medications like beta-blockers, amiodarone, and others may also be used. As each patient's cause of illness, severity, and physical constitution vary, it is essential to undergo personalized treatment under the guidance of a doctor.
Is myocarditis contagious?
Many people often ask if my myocarditis is contagious. Actually, myocarditis is a focal inflammatory lesion of the myocardium or a diffuse inflammatory disease of the entire myocardium. It is an inflammatory disease of the myocardium. Based on the cause, we classify it into infectious and non-infectious types. The infectious type is mostly caused by viruses, such as Coxsackievirus B, or by bacteria, while non-infectious type is caused by allergies. Generally, they are not contagious.