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Di Zhi Yong
Cardiology
About me
Graduated from Harbin Medical University, now working at a hospital in Heilongjiang Province.
Proficient in diseases
Hypertension, coronary heart disease, ischemic cardiomyopathy.
Voices
Pericardial effusion usually requires attention to the following aspects:
If the patient has pericardial effusion, it is still necessary to maintain a light diet, eat small meals frequently, and especially avoid spicy and irritating foods. Meanwhile, patients should pay attention to regular re-examinations of cardiac echocardiography and electrocardiograms, as the most effective and direct method for diagnosing pericardial effusion is puncture and fluid extraction for examination. For minor amounts of pericardial effusion, it is recommended that patients first observe and use medication, which can also help alleviate symptoms. During this period, it is important to monitor changes in the patient's blood pressure and heart rate. If blood pressure rises or heart rate increases rapidly, it can exacerbate pericardial effusion. However, it is still crucial to actively use medication for early intervention, which can also help alleviate symptoms, and actively prevent upper respiratory infections.
Why does pericardial effusion cause difficulty in breathing?
Pericardial effusion primarily manifests as palpitations, chest tightness, and difficulty breathing. Sometimes, pericardial effusion can exacerbate heart failure. Once heart failure is alleviated, these symptoms can also subside. Currently, it appears that pericardial effusion mainly presents as palpitations, chest tightness, and difficulty breathing, which are related to diet and fatigue, especially after exercise. This increase in myocardial oxygen consumption can lead to heart failure, resulting in difficulty breathing, particularly exertional dyspnea. At this point, it is necessary to provide low-flow oxygen inhalation and improve the patient's cardiopulmonary function, which is also helpful. It is still necessary to actively treat pericardial effusion. The treatment mainly involves diagnostic aspiration of the fluid. If the pericardial effusion is caused by inflammation, it can be treated with antibiotics.
Why is the hemoptysis in mitral stenosis dark red?
Since mitral stenosis is a type of congenital heart disease, it could also be rheumatic heart disease. When mitral stenosis occurs, the patient mainly coughs up pink, frothy sputum because the blood at this time is dark red. Before gas exchange occurs, a person's arterial blood exhibits ischemia and hypoxia, so the blood coughed up in this state is definitely dark red. If these symptoms persist, I personally suggest going to the hospital for infusion therapy. If necessary, some hemostatic drugs should also be used to control the symptoms.
Will patent ductus arteriosus increase with age?
Patent ductus arteriosus is a type of congenital heart disease, primarily treated through surgery. Early surgical intervention can completely cure this disease. However, as age increases, the symptoms of this disease can become more severe. Based on the patient's condition, it is recommended to undergo early surgical treatment at a hospital to alleviate the patient's suffering. As age increases, various organic diseases may emerge, which can sometimes affect a child's growth and development. During this period, it is advised that the patient regularly revisits the hospital for echocardiography checks and to also be cautious in preventing upper respiratory infections.
Is it serious if young people have tachycardia?
Because patients often experience this kind of tachycardia and do not need special treatment, if the patient experiences palpitations and chest tightness, sometimes active treatment is still necessary. It is recommended that patients go to the hospital for an electrocardiogram. Early coronary heart disease or myocardial ischemia can also cause tachycardia, but for asymptomatic tachycardia, it is only necessary to observe regularly. In terms of diet, it is still necessary to have a low-salt, low-fat diet, and regularly monitor changes in the patient's heart rate, blood pressure, and pulse. If the patient's blood pressure rises, sometimes it is necessary to actively manage it by using some antihypertensive drugs.
What will happen in the later stage if a ventricular septal defect is not operated on?
Because a ventricular septal defect is a type of congenital heart disease, if surgery is not performed, it can sometimes lead to ischemic and hypoxic conditions in patients. During this period, active surgical treatment is still necessary, as this disease primarily relies on surgical intervention. Medical treatment, especially drug therapy, is not very effective, so it is recommended to prioritize immediate treatment with surgical assistance. After surgery, it is still necessary to regularly check the heart with an echocardiogram, as this disease can produce murmurs in the precordial area. Patients may also experience recurring respiratory infections, especially cases of bronchitis and bronchopneumonia.