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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 pericardial effusion cause facial swelling?
If a patient has a history of pericardial effusion, this condition may present with eyelid edema. Because cardiac tamponade can cause the patient to experience sodium and water retention, this retention can manifest as eyelid edema, as well as edema in both lower limbs. In cases where the volume of pericardial effusion is substantial, surgical treatment, such as aspiration for fluid extraction, may sometimes be necessary. For minor and smaller volumes of pericardial effusion, the effusion can be absorbed on its own, with symptomatic treatment being the main approach. Eyelid edema can occur with pericardial effusion, and active treatment should be pursued. Using medications to improve symptoms can provide relief.
Can you swim with patent ductus arteriosus?
If the patient has a history of patent ductus arteriosus, it is recommended that they avoid vigorous exercise, as this can increase the heart's oxygen consumption, leading to symptoms such as palpitations, chest tightness, and difficulty breathing. If it is solely this condition, sometimes palpitations may occur, leading to changes in cardiac function. It is advised not to swim. While appropriate exercise can be beneficial, swimming requires better cardiopulmonary function. It is recommended that patients undergo early surgical treatment to improve their current condition.
Can you run with tachycardia?
If the patient experiences this type of tachycardia, it is not recommended for the patient to run, as running can exacerbate the rapid heart rate, leading to tachycardia. If this occurs, it can be actively managed to control the ventricular rate. It is best to find the cause of tachycardia, especially if it is a pathological disease, particularly supraventricular or ventricular tachycardia, which sometimes requires active management to improve myocardial oxygen consumption. In such cases, running is not advisable. Running increases cardiac output, leading to myocardial ischemia, thereby exacerbating symptoms and further bringing significant discomfort to the patient. Rest is recommended.
Where can moxibustion be applied for pulmonary hypertension?
If the patient has pulmonary arterial hypertension, it is advisable for the patient to actively monitor their blood pressure changes sometimes. This type of pulmonary arterial hypertension may sometimes require drug treatment. The disease primarily manifests as the patient experiencing coughing, phlegm production, palpitations after activity, shortness of breath, and occasionally accompanied by difficulty breathing, especially worsening at night. Sometimes there may also be swelling in the lower extremities. Regarding Traditional Chinese Medicine, herbal medicine, and acupuncture, these treatments can relieve symptoms. However, pulmonary arterial hypertension can sometimes further develop into cor pulmonale, which is irreversible. In such cases, it is recommended to be hospitalized for infusion therapy.
Why does tachycardia always cause hiccups?
If the patient experiences tachycardia accompanied by hiccuping, it may indicate an early-stage digestive system disorder. It is recommended for the patient to consume a light diet, eat smaller, more frequent meals, especially avoiding spicy and irritating foods, and to regularly undergo gastroscopy. Care should be taken with consuming spicy and irritating foods, and it is also advisable to regularly undergo electrocardiogram (ECG) check-ups at the hospital. Sometimes, the ECG may show signs of angina or myocardial ischemia, which can lead to excessive secretion of stomach acid and subsequently cause hiccuping. Additionally, a gastroscopy should be done to further clarify the diagnosis.
What should I do if pericardial effusion prevents me from lying down?
If pericardial effusion occurs and the patient cannot lie flat, it indicates that this heart failure has not been timely corrected. The patient should immediately go to the hospital to use medications, especially cardiovascular and diuretic drugs, to improve cardiac function and alleviate the current condition of the patient. Generally, it is still recommended that patients primarily adopt a semi-recumbent position to reduce the load on the heart muscle, thereby improving symptoms. If the patient cannot lie flat, do not force it; a semi-recumbent position will suffice as it makes no significant difference. With aggressive internal medicine treatment, pericardial effusion can be alleviated, and the patient's symptoms will improve. However, during this period, it is still necessary to monitor changes in the patient's heart rate, blood pressure, and pulse, and to address any issues promptly.
Can someone with tachycardia do heavy work?
If the patient experiences tachycardia, it is recommended that the patient avoid strenuous physical labor, as engaging in heavy physical activity at this time may increase the cardiac load, further exacerbating myocardial ischemia, leading to an increase in myocardial oxygen consumption. When this condition occurs, it is important to rest and not engage in heavy physical labor. It is also advisable for the patient to visit a hospital to have an electrocardiogram (ECG) checked to rule out coronary heart disease and arrhythmias that may be causing the sinus tachycardia, as sometimes this condition needs to be managed. If the heart rate is too fast, it may sometimes worsen symptoms of heart palpitations.
Why does mitral stenosis cause enlargement of the left atrium?
Because mitral stenosis can lead to changes in the mitral valve, particularly causing excessive pressure in the left ventricle, this excessive pressure can lead to enlargement of the left atrium, which are complementary conditions. During this period, it is still important to actively manage the condition, using medication treatment. If the area of stenosis is relatively large, surgical treatment is needed, as balloon dilation can currently be used to alleviate this condition. Early treatment is best to relieve clinical symptoms. At the same time, it is also important to actively monitor changes in heart rate, blood pressure, and pulse, so as to control the heart rate and reduce myocardial oxygen consumption.
Will mild mitral valve insufficiency become more severe?
If the patient has a history of mitral valve insufficiency, and if it is not treated timely, the condition will worsen. If the patient develops heart failure, sometimes it is necessary to actively correct the heart failure, because the most serious complication of this disease is heart failure, which is quite severe. Once the patient's heart function changes, especially if the ejection fraction decreases, it can lead to ischemic and hypoxic changes in the patient. In terms of treatment, it is also important to monitor the patient's blood pressure, heart rate, and pulse changes, while actively controlling the heart rate.
What should be noted for an atrial septal defect with patent foramen ovale?
If the patient presents with a ventricular septal defect or a patent foramen ovale, it is important to maintain a healthy diet and particularly to prevent upper respiratory infections, as these conditions are types of congenital heart disease. They mainly lead to repeated respiratory infections, cyanosis, or lung infections, resulting in changes associated with congenital heart disease. For a ventricular septal defect, early surgical intervention is currently recommended. Patent foramen ovale is also treated surgically. During this period, it is important to monitor changes in the child's height and weight, as such diseases can affect the child's growth and development.