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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
Rheumatic heart disease can be relieved by massaging which areas?
Since rheumatic heart disease is a type of valvular disease, especially mitral regurgitation or mitral stenosis, these can lead to rheumatic heart disease. Pathological murmurs can also be heard in the precordial area. The treatment of rheumatic heart disease is primarily pharmacological. If the condition is severe, surgical treatment can be used, but massage is not recommended. Because sometimes massage can exacerbate symptoms and does not alleviate the patient's condition, I personally suggest that it is better not to massage. In treating rheumatic heart disease, if the condition is severe, or the defect area is relatively large, sometimes it is advisable to consider surgical treatment for the patient, but pharmacological treatment can also relieve symptoms.
Mild to moderate mitral stenosis, how long?
If the patient has mitral stenosis which is mild and progressing to moderate, it will take a year or even longer. Because if mild cases are aggressively managed with medication, it can slow the further progression of the disease. Mitral stenosis is a type of rheumatic heart disease or heart valve disease, mainly causing symptoms such as palpitations, chest tightness, and shortness of breath, with severe cases also presenting with swelling of the lower limbs. For mild mitral stenosis, it is necessary to have regular hospital check-ups, particularly to actively prevent upper respiratory tract infections, as sometimes these conditions can occur after catching cold, and actively controlling respiratory inflammation can improve symptoms.
Will mild mitral valve regurgitation worsen?
Because mitral valve insufficiency is a type of heart valve disease and also a form of rheumatic heart disease, mild mitral valve insufficiency can be actively managed with internal medicine, thereby alleviating the patient's symptoms. However, this disease can potentially worsen, especially in cases of mild insufficiency. When cardiac function becomes impaired, it can lead to severe insufficiency. In such cases, surgical treatment is sometimes recommended for the patient. If the patient's cardiac function is actively managed, infections controlled, and regular hospital check-ups are maintained, improvement can be achieved.
Is it serious if the fluid drained from pericardial effusion is red?
If the fluid drawn from pericardial effusion is red, it indicates that there is definitely bloody fluid seeping out. This situation is very serious, and it is recommended that hospitalization be chosen for treatment, as this can alleviate symptoms and improve the patient's cardiac function. If these symptoms persist, they may sometimes worsen, leading to heart failure. The patient may experience palpitations, chest tightness, difficulty breathing, and swelling in the lower limbs. Because pericardial effusion directly affects the function of the heart, treatment may involve the use of cardiotonic and diuretic medications. Mainly, medications that invigorate muscle strength are used to improve the myocardial oxygen consumption of the patient, thereby achieving the goal of alleviating clinical symptoms.
What position should be adopted for difficulty in breathing due to pericardial effusion?
If a patient frequently experiences difficulty in breathing, it is recommended to immediately adopt a sitting position, as this can reduce the load on the heart, thereby alleviating expansion. Currently, for the purpose of treating breathing difficulties, conditions like pericardial effusion are very serious, and puncture aspiration for examination can be chosen as a treatment. For heart failure caused by pericardial effusion, sometimes it is necessary to use some cardiotonic diuretics, thus improving the patient's breathing difficulties. Currently, symptomatic treatment is primarily adopted in therapy, mainly adopting a semi-recumbent position or dangling both legs, which can reduce the heart's afterload, thereby easing the patient's condition.
Is a 4mm patent ductus arteriosus considered large?
Patent ductus arteriosus is a type of congenital heart disease. Generally, patients around the age of six months to one year may not necessarily have their ductus arteriosus close. If it does not close by around one year of age, it is considered a congenital heart disease, and it is recommended to seek early surgical treatment at a hospital. Surgery is needed if the condition exceeds approximately 4mm in size. If the patient currently shows no symptoms, it is possible to initially observe the condition. However, if symptoms persist, accompanied by palpitations, chest tightness, difficulty breathing, especially if respiratory infections recur, treatment is necessary.
Can mitral stenosis be repaired?
Mitral stenosis sometimes requires surgical treatment to achieve repair standards, but it cannot be repaired solely through medication, as medications only relieve symptoms and cannot serve the purpose of treatment. This disease can cause ischemic and hypoxic changes, leading to heart failure. Patients typically present with a rumbling murmur in the precordial area, and may also experience palpitations, difficulty breathing, and other symptoms. It is sometimes crucial to actively monitor changes in the patient's blood pressure, heart rate, and pulse. The treatment primarily focuses on symptomatic relief, improving heart function, and may include the administration of low-flow oxygen inhalation to help alleviate the current condition of the patient.
Can tachycardia resolve on its own?
Tachycardia can resolve on its own, but this is typically under physiological conditions. Especially in situations of stress or emotional excitement, tachycardia can resolve on its own. However, if it is due to a pathological disease, this is not the case. Particularly, it is important to re-examine the electrocardiogram, monitor changes in heart rate, blood pressure, and pulse. If the heart rate is too fast and blood pressure is elevated, sometimes active treatment and symptom control are necessary. Additionally, if it cannot resolve on its own, it is first necessary to rule out coronary heart disease, psychological disorders, and other pathological changes that might cause this condition.
Can ventricular septal defect avoid amniocentesis?
Because ventricular septal defect is a type of congenital heart disease, it is recommended that patients adopt a light diet and especially avoid spicy and stimulating foods due to the condition of ventricular septal defects. It is still recommended to pursue active and early surgical treatment to improve symptoms. If there is poor cardiac function, or symptoms of palpitations and chest tightness occur, amniocentesis should not be performed as it carries certain risks. However, for milder symptoms that can be timely controlled, amniocentesis and other tests may be considered, but it is also necessary to rule out other diseases. If the patient does not have any special diseases in the past, such as coronary heart disease or diabetes, the procedure can be handled.
Does mitral valve cause hemoptysis with lumps?
If the patient has a history of mitral stenosis, it is still necessary to actively control the symptoms in treatment. Because mitral stenosis can cause hemoptysis, the amount of blood coughed up depends on individual factors. This condition can cause capillary rupture and bleeding, which may result in the coughing up of blood clots. This situation does not indicate whether there is a tumor, as mitral stenosis is a type of rheumatic heart disease or congenital heart disease. Currently, the treatment primarily focuses on symptomatic relief, actively controlling the heart rate, and managing changes in blood pressure and pulse, which can also improve this condition.