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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
Does rheumatic heart disease cause joint pain?
Rheumatic heart disease can present with joint pain, especially if the patient has a history of rheumatic arthritis or rheumatoid arthritis, which can be associated with rheumatic heart disease. There is a correlation between the two, but the possibility of rheumatic heart disease cannot be ruled out even if the patient does not have a history of rheumatic diseases. Currently, the treatment is mainly symptomatic. Rheumatic heart disease can include conditions such as mitral stenosis or mitral regurgitation. Murmurs can be heard between the heart chambers, and treatment may involve using medications that strengthen the heart and improve cardiac function.
Will pericardial effusion cause an increase in troponin levels?
In general, if a patient is diagnosed with pericardial effusion, troponin levels might also increase under stress conditions. This is because troponin is primarily used as a marker to assess myocardial infarction. An increase in troponin levels suggests the possibility of a myocardial infarction. However, under stress conditions, especially with pericardial effusion, troponin levels can rise. During this period, it is also advisable to perform an electrocardiogram or a cardiac echocardiography on the patient for a more definitive diagnosis. A mere increase in troponin levels does not conclusively indicate a problem; it is necessary to consider the patient’s current symptoms and results from other diagnostic tests.
What should I do if a ventricular septal defect causes feeding difficulties?
If the patient has a ventricular septal defect, it is still recommended that the patient seek hospital treatment. A murmur can be heard in the precordial area, and it is also advisable for the patient to undergo an echocardiogram to check if the defect is too large. If there is difficulty feeding during breastfeeding, it is personally advised not to breastfeed. Formula can be used instead, because if heart failure is not handled in a timely manner, it may sometimes worsen the symptoms. Since this is a congenital heart disease, the current treatment is primarily surgical. Medical treatment in internal medicine is not very effective and is prone to recurrence. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. If there is an accelerated heart rate or increased blood pressure, these need to be addressed.
Can people with atrial septal defect run?
Atrial septal defect is a type of congenital heart disease. It is advised that patients avoid long-distance travel or running as these activities can increase the burden on the heart and also increase myocardial oxygen consumption. Surgical treatment is recommended for this condition. Patients with atrial septal defect may also experience symptoms such as palpitations and chest tightness, and a murmur can be heard in the precordial area. If the symptoms are severe, it is recommended that the patient primarily rests and avoids participating in sports activities, especially running. Running can require a lot of oxygen, or cause a rapid heart rate. A rapid heart rate can lead to increased myocardial oxygen consumption and may result in compensatory symptoms like palpitations, chest tightness, and shortness of breath. This situation is very dangerous and needs to be dealt with promptly; it is best to go to the hospital.
Why does mitral regurgitation decrease during inspiration?
If the patient has a history of mitral valve regurgitation, this condition can lead to changes in heart function, particularly symptoms like palpitations and difficulty breathing. If the symptoms decrease during inhalation, this might be caused by abnormally low pressure in the left ventricle or left atrium. Since this is a pathological change, it is currently recommended that the patient actively use medication and control changes in heart function. If the condition worsens, sometimes surgical treatment is advised as it can also serve a therapeutic purpose.
Can mild mitral and tricuspid regurgitation be cured by taking medication?
If a patient frequently exhibits mild regurgitation of the mitral or tricuspid valve, it is advisable to go to the hospital for a cardiac echocardiogram, as this would help to further clarify the diagnosis. If the condition is related to heart valve disease, early stage treatment can involve using medications to improve ventricular rate, or to manage heart failure, thereby reducing the load on the heart. During this period, it is still necessary to actively monitor the patient's heart rate, blood pressure, and pulse changes. If the patient's heart rate is too fast or blood pressure is elevated, these symptoms need to be actively managed using medications. Because this disease can recur, medical treatment can only improve symptoms but is not curative; regular follow-ups are still required.
What to do about systemic edema in rheumatic heart disease?
If the patient has rheumatic heart disease, the current treatment mainly focuses on symptomatic treatment. If the patient experiences generalized edema, it may be due to sodium and water retention causing the swelling. In this case, some diuretics can be used to reduce the workload on the heart and improve symptoms. It is recommended that the patient be hospitalized. During this period, some cardiac diuretics can be used to alleviate symptoms. If heart failure is corrected in time, such edema can be reduced. Active symptomatic treatment is still necessary to mitigate the patient's current condition, but during this period, it is also important to monitor changes in the patient's heart rate and blood pressure.
How to alleviate arm pain from coronary heart disease
If the patient has a history of coronary heart disease, it is still necessary to actively manage it. Initially, it is advisable to suggest that the patient visit a hospital for an electrocardiogram (ECG), and timely intervention is necessary. Medications that activate blood circulation and relieve pain can be used for symptomatic treatment. Additionally, a diet low in salt, fat, and sugar should be maintained, and it is important to actively monitor changes in the patient's heart rate, blood pressure, and pulse. If the heart rate is too fast or the blood pressure is high, these conditions require prompt action. For patients with coronary heart disease who experience arm pain, traditional Chinese medicine, acupuncture, and massage can be employed to alleviate discomfort. Regular follow-ups with ECG checks at the hospital should also be scheduled.
Why does pericardial effusion cause jugular vein distension?
Pericardial effusion can cause jugular venous distension because the main complication of pericardial effusion is the occurrence of heart failure. Once heart failure occurs, especially right heart failure, it can lead to jugular venous distension, which is also a manifestation of heart failure. If heart failure is corrected and treated in time, this jugular venous distension can also be alleviated. However, the treatment of pericardial effusion depends on the severity of the symptoms. If there is a small amount of pericardial effusion, temporary observation and medical treatment are mainly used. For large amounts of pericardial effusion, sometimes puncture drainage for examination or pathological examination may be needed.
Does a ventricular septal defect easily cause choking on milk?
Ventricular septal defect can lead to choking on milk, as it can cause pathological murmurs in children, especially prominent in the chest area, which is a type of congenital heart disease. Currently, early surgical treatment is recommended for these children. The choking on milk might be due to reasons related to the digestive system, but it is still somewhat related to the ventricular septal defect. It is also advised to eat smaller, more frequent meals to avoid choking or aspiration, which can lead to bronchitis or recurrent respiratory infections.