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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
Do people with rheumatic heart disease need to take medication regularly?
Patients with rheumatic heart disease should also maintain a light diet, especially avoiding spicy and irritating foods. It is important to monitor changes in heart rate, blood pressure, and pulse. If the heart rate is too fast or the blood pressure is high, it may sometimes be necessary to use medication for early intervention. Rheumatic heart disease mainly manifests as chest tightness and difficulty breathing, and sometimes it can also present as swelling of the lower limbs. With active treatment, these symptoms can normally be alleviated. It is also important to monitor changes in heart rate and pulse regularly. If there are any incidents or difficulty in breathing, it is necessary to go to the hospital for treatment. During this period, it is still important to educate patients to regularly and routinely take oral medications to improve heart function, which is beneficial.
Can babies with ventricular septal defect sleep on their stomachs?
If the child has an atrial septal defect, it is not recommended for them to sleep on their stomach because this position can increase the burden on the heart, leading to an overload of the heart. This is a type of congenital heart disease. Currently, surgical treatment is primarily recommended, as early surgical intervention can alleviate the symptoms in children. Patients with ventricular septal defects typically display signs of ischemia and hypoxia, which can affect a child’s growth and development. It is advised to periodically re-examine the heart through echocardiography. If the defect is relatively large, early surgical treatment is recommended. It is also important to actively prevent upper respiratory infections, which can be beneficial for the child. In terms of sleeping posture, it is not recommended to sleep on the stomach; the best position is lying on the left side, as this can help alleviate the burden on the child’s heart.
Is an 8mm patent ductus arteriosus severe?
Since patent ductus arteriosus is a congenital heart disease, it is recommended that patients have regular echocardiographic re-examinations. For the majority, this condition can close on its own. However, if it does not close, surgical treatment is necessary. Currently, the patient's patent ductus arteriosus has reached about 8 millimeters, which is quite severe. It is advised to seek early surgical treatment at a hospital to alleviate the symptoms. Presently, there are no medications available to treat this disease, and surgical treatment is the primary approach. Early surgical intervention at a hospital is advisable.
Can atrial septal defect of the patent foramen ovale type heal itself?
This disease is a congenital heart disease, and it is recommended that the patient undergo a cardiac echocardiography. If symptoms such as palpitations and chest tightness occur, and distinct murmurs can be heard in the precordial area, surgical treatment is sometimes advised. After all, an atrial septal defect can lead to certain conditions, especially in children who are prone to pediatric pneumonia or bronchitis, which can affect their growth and development. Currently, surgical treatment is the main approach. If the issue is not very serious, the defect might heal on its own as the child grows, but this possibility is relatively small. In most cases, surgery is recommended.
Does an asymptomatic atrial septal defect require treatment?
If the patient has a ventricular septal defect and shows no obvious symptoms, it is possible to initially observe the condition. Firstly, this is a type of congenital heart disease, and it is recommended that the patient undergo a cardiac echocardiography to further confirm the diagnosis. If the defect is relatively large, surgery might sometimes be recommended. If the defect is not very large and the patient shows no obvious symptoms, there might be no need for immediate intervention, and regular monitoring would suffice. During this period, it is still important to monitor changes in the patient's blood pressure and heart rate. If the heart rate is too fast or the blood pressure is high, it might sometimes be necessary to actively treat these issues, possibly using medication to improve symptoms. In terms of treatment, surgery is generally advised as the main approach since medication often does not yield very effective results for this condition.
Does ventricular septal defect affect growth and development?
Because atrial septal defect is a type of congenital heart disease, if the patient's congenital heart disease is very severe, surgical treatment is needed. Atrial septal defect does have some impact on growth and development, as congenital heart disease can cause infections or pulmonary inflammation in patients, which can lead to developmental delays in children. Personally, I recommend that if it is a type of congenital heart disease, especially atrial septal defect, it is better to have surgery early, as this can avoid impacting growth and development. After the surgery, there are no sequelae, and it does not affect growth and development. However, not undergoing surgery can impact growth and development.
What should be paid attention to daily with an atrial septal defect?
If the patient has an atrial septal defect, it is advised that the patient should adhere to a light diet and regularly visit the hospital for electrocardiogram and echocardiography checks. If the defect is relatively large, I personally recommend surgical treatment for the patient, as it can effectively alleviate the current condition. After all, while drug treatment has some effect, there is a risk of recurrence. Surgery can permanently treat atrial septal defects and improve the patient’s symptoms. If the patient experiences difficulty breathing, this needs to be addressed. Additionally, it is important to keep warm, avoid catching cold, and monitor changes in the patient’s heart rate, blood pressure, and pulse.
What to do about rheumatic heart disease joint pain?
If the patient has a history of rheumatoid arthritis or rheumatic heart disease, symptomatic treatment is primarily used in their treatment. If the patient experiences joint pain, it is suggested that they can use some non-steroidal anti-inflammatory drugs (NSAIDs) to control their symptoms. Another approach is to recommend Chinese herbal medicine treatments, including acupuncture and massage to relieve joint pain. Since rheumatic heart disease mainly manifests as a cardiac condition, particularly when the patient experiences palpitations and chest tightness, it is crucial to actively manage these symptoms using cardioprotective drugs or positive inotropic drugs to improve cardiac function.
What should I do if I have dizziness and nausea due to rheumatic heart disease?
If a patient with rheumatic heart disease experiences dizziness, fatigue, nausea, and vomiting, these symptoms require active management. The current treatment for rheumatic heart disease primarily focuses on symptomatic treatment. It also involves the use of medications that improve heart function and reduce cardiac load. This helps in controlling heart rate, blood pressure, and pulse changes, thereby alleviating symptoms. If a patient presents with dizziness, nausea, and vomiting, it could sometimes be due to insufficient cerebral arterial blood supply or ischemic cerebrovascular disease. In such cases, a head CT scan should be performed for a more definitive diagnosis. Treatment may include the use of vasodilators and other medications to improve circulation and provide symptomatic relief.
What position should be taken for pericardial effusion?
If the patient is diagnosed with pericardial effusion, it is generally recommended that the patient remain in a semi-recumbent position, or with legs dangling, to reduce cardiac load and improve symptoms. This is because the main complication of pericardial effusion is the occurrence of myocardial ischemia, or myocardial necrosis. Additionally, the primary treatment for pericardial effusion is still based on pericardiocentesis to improve cardiac function. During this period, it is also essential to actively monitor changes in the patient's blood pressure. If the patient's blood pressure is too high, antihypertensive medications should be used. Generally, a semi-recumbent position is still recommended for patients with pericardial effusion.