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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
Can people with mitral stenosis have children?
If the patient has mitral stenosis, the decision on whether to have children should be based on the size and extent of the narrowing. This is because, in the late stages of pregnancy, this condition can be life-threatening, especially as it can lead to heart failure. This occurs because blood volume increases and the heart is overloaded, which is very dangerous. It can cause the fetus to develop certain diseases due to ischemia and hypoxia, potentially endangering its life. Since mitral stenosis is a type of congenital heart disease, surgical treatment is sometimes necessary to alleviate the condition. The decision to have children can vary depending on individual differences and is not absolute. If the symptoms are severe, it is recommended not to have children.
Do young people have mitral valve regurgitation?
Mitral valve regurgitation is a type of congenital heart disease that tends to occur in children, adolescents, or the elderly. Young people can also develop mitral valve regurgitation. To diagnose this condition, an echocardiogram is necessary, as it allows for a more definitive diagnosis. In terms of treatment, symptomatic treatment is often primary, using cardiotonic diuretics to improve the patient's heart function. During this period, it is important to monitor changes in the patient's vital signs, especially heart rate, pulse, and blood pressure. If the heart rate is too fast, efforts should sometimes be made to actively control ventricular force, thereby reducing the load on the heart.
If a ventricular septal defect is not surgically repaired, what will happen?
If the patient has a history of congenital heart disease, especially ventricular septal defect, it can lead to symptoms such as palpitations and chest tightness. The current recommendation for treatment is primarily symptomatic management; however, it is also advised that patients seek early surgical intervention at a hospital. Medical treatment or drug therapy often does not yield ideal results for this condition, and surgical intervention is necessary to address these symptoms. Currently, minimally invasive surgical treatment can be used. If the patient does not undergo surgery, conditions such as palpitations, chest tightness, and difficulty breathing can occur at any time.
Which is more serious, patent ductus arteriosus or ventricular septal defect?
Both of these diseases are types of congenital heart disease, and if there are issues with either of them, the situation can be quite severe. There isn't a distinction between which disease is severe and which is not. If the arterial duct remains open or does not close, surgery is still required for this condition. Patients with ventricular septal defect primarily display changes related to ischemia and hypoxia, and they may also experience recurrent respiratory infections, which are quite serious. Surgery is generally the best treatment. Early surgical intervention can achieve a complete cure, but it is also advisable for the patient to have regular echocardiographic check-ups at the hospital.
Is it easy to get pneumonia if the arterial duct is not closed?
Because patent ductus arteriosus is a type of congenital disease, particularly congenital heart disease, it is recommended that patients visit a hospital for a cardiac ultrasound. This can help clarify the diagnosis and thus determine the treatment plan. A simple patent ductus arteriosus can sometimes close on its own. For those that do not close or are underdeveloped, surgical treatment can be used to alleviate the current condition. This is important because the disease can easily lead to pneumonia, especially recurrent respiratory infections. Sometimes, there may be developmental anomalies, particularly affecting the growth and changes in the child's height and weight. In these cases, early surgical treatment is still recommended.
How long will it take for tachycardia to get better?
If a patient experiences this kind of tachycardia, it is important to seek medical attention promptly, preferably conducting an electrocardiogram, as this can further clarify the diagnosis. Simple tachycardia does not require special treatment, as early-stage tachycardia can heal on its own or improve gradually. In terms of diet, it is still recommended that patients adhere to a light diet, particularly avoiding spicy and stimulating foods. If a patient experiences this kind of rapid heartbeat, they can use some medications to control the ventricular rate, thereby improving the symptoms.
What to do about chronic cough due to mitral valve insufficiency?
If the patient exhibits mitral regurgitation, this condition falls under cardiac valvular diseases. If the patient frequently experiences coughing and expectorating phlegm, it indicates a certain level of inflammatory infection. It is recommended for the patient to undergo a chest CT scan for an effective confirmation of the cause, which will then determine the treatment plan. For simple mitral stenosis, symptomatic treatment is currently the primary approach, using medications to address heart failure or ischemia and hypoxia. Early treatment is advised to alleviate the current state of ischemia and hypoxia. Persistent coughing and expectorating phlegm indicate inflammation, necessitating the use of antibiotics.
What is the cause of pericardial effusion with persistent high fever?
If the patient presents with pericardial effusion and experiences elevated body temperature, it may indicate the presence of an infection, suggesting that the symptoms are worsening. Currently, the treatment for pericardial effusion primarily involves puncture, fluid extraction, and laboratory analysis. If the pericardial effusion is severe or abundant, fever may occur. Since fever is an indicator of inflammation, it is necessary to use antibiotics for active treatment in order to control this condition. If the body temperature continues to rise, sometimes it is also necessary to use antipyretic drugs to alleviate the symptoms. Persistent high fever indicates that the condition has become very serious, signaling that the infection indices are extremely severe.
Can someone with mitral stenosis fly on a plane?
If the patient has a history of mitral stenosis, it is best not to fly, as flying may exacerbate the symptoms, causing situations like palpitations, chest tightness, and breathing difficulties. If the mitral stenosis is treated timely, these symptoms will subside. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. An overly rapid heart rate can sometimes cause palpitations. It is especially important to manage the ventricular rate. The patient's diet should primarily consist of low salt, low fat, and low sugar. Regular re-examinations of the electrocardiogram and echocardiogram are necessary, and if symptoms worsen, it is critical to go to the hospital for treatment promptly.
How to quickly recover from tachycardia?
If a patient experiences tachycardia, it needs to be actively addressed, and the patient is advised to go to the hospital to get an electrocardiogram. If the heart rate is too fast, it can lead to an increased myocardial oxygen consumption, resulting in states of ischemia and hypoxia. It is currently necessary to visit the hospital promptly for treatment to improve this condition of myocardial tachycardia or myocardial ischemia. Some medications that improve myocardial function can be used to control the ventricular rate. For sinus tachycardia, no special treatment is required; regular monitoring is sufficient. In terms of treatment, symptomatic treatment is primarily emphasized, along with rest, particularly establishing a good routine. Adjusting the frequency of deep inhalation or exhalation can also bring improvement.