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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
How to treat calcification of mitral valve regurgitation?
Mitral valve regurgitation with calcification indicates the onset of calcification in this condition, though this alone does not necessarily indicate a problem. However, mitral valve regurgitation should still be actively treated. Early or mild cases can lead to pathological changes in the heart, particularly when there is excess pressure on the mitral valve, left ventricle, or left atrium. This may cause symptoms like palpitations, chest tightness, and difficulty breathing. Sometimes, medications to dilate blood vessels, strengthen the heart, and promote urination may be necessary to reduce cardiac load and improve symptoms.
Does pericardial effusion hurt?
If a patient has pericardial effusion, they may experience pain in the precordial area, as well as symptoms of chest tightness, breathing difficulties, and palpitations. A small amount of pericardial effusion can be completely absorbed on its own; however, a large amount of pericardial effusion can sometimes lead to breathing difficulties. For treatment, a pericardiocentesis can be performed to examine the fluid, as this condition is very dangerous. In cases of pericardial effusion, I personally suggest undergoing a cardiac echocardiogram or a chest CT scan for a more definitive diagnosis. During this period, it is still important to actively monitor the patient's blood pressure, heart rate, and pulse changes. If there is a very high heart rate or other complications, active treatment should be pursued.
Is pericardial effusion related to diet?
If a patient often experiences pericardial effusion, it is recommended that they visit a hospital for a cardiac echocardiogram, as this pericardial effusion is necessarily connected to the heart. Although it is not greatly related to diet, if the patient enjoys eating salty foods, it can still have a certain impact. It is advised to choose a diet low in salt, fat, and sugar, especially limiting sodium intake, because consuming too much salt can exacerbate fluid and sodium retention, leading to pericardial effusion. Currently, treatment mainly focuses on symptomatic treatment, and early use of medications. Diuretics can be used to help alleviate the patient's current condition.
Can mitral valve insufficiency be treated with interventional surgery?
If the condition of mitral valve regurgitation is not very severe, interventional surgery can be considered when the condition is under control. However, if the mitral valve regurgitation is accompanied by heart failure, especially chronic heart failure, and if cardiac function is not timely corrected, the patient may not tolerate the surgery, and there are certain risks associated with the operation. Because mitral valve regurgitation can lead to the formation of thrombi, particularly causing cerebral thrombosis or ischemic cerebrovascular diseases, it is important to actively monitor changes in the patient's heart rate, blood pressure, and pulse. If conditions such as tachycardia or elevated blood pressure occur, they need to be actively managed. If the disease is timely controlled, surgical treatment can be considered.
Why does pericardial effusion reduce the pulse pressure difference?
Pericardial effusion can result in reduced pulse pressure differences between systolic and diastolic pressures. This occurs because pericardial effusion can compromise the heart's pumping function, leading to decreased myocardial contractility, which in turn may lead to excessive vascular pressure and a decrease in pulse pressure. This is a pathological change caused by pericardial effusion. Currently, in treatment, medication can be chosen to improve patient's cardiac function and thereby increase cardiac output. It is also important to actively treat the pericardial effusion, which may involve pericardiocentesis to drain the fluid and check pressures, as this can also alleviate reduced pulse pressure issues.
Can pericardial effusion cause fever?
Pericardial effusion can sometimes cause fever. If the patient has a fever, it may indicate a poor prognosis and suggest the presence of an infection. In such cases, antibiotics should be used for treatment, along with measures to reduce the fever. If the effusion is caused by other diseases, it is still necessary to actively treat the underlying condition. Currently, for pericardial effusion, if the volume of the effusion is small, it can be absorbed by the body itself. However, if there is a large amount of effusion, the patient might experience symptoms like chest tightness, palpitations, and difficulty breathing. In such cases, it may be necessary to perform a puncture for fluid drainage and examination. If fever occurs during this period, indicating an infection, anti-inflammatory medications should be used for treatment. If necessary, corticosteroid medications might also be needed.
Is mild to moderate mitral valve regurgitation serious?
If the patient has a history of mitral valve insufficiency, especially in moderate cases, it is considered quite severe. The current treatment mainly focuses on symptomatic treatment to improve the patient's cardiopulmonary function. If the patient experiences palpitations, chest tightness, or difficulty breathing, sometimes intravenous therapy is required to alleviate the current condition. Because for congenital heart disease or rheumatic heart disease, the treatment primarily involves strengthening the heart, diuresis, vasodilation, symptomatic treatment, and management. If not treated and managed promptly, the disease could worsen, and the patient may also develop swelling in both lower limbs.
Can you exercise with pericardial effusion?
If the patient has pericardial effusion, it is acceptable to encourage them to participate in outdoor activities, but they should exercise moderately and not too vigorously, especially avoiding strenuous physical workouts. Also, aerobic exercises should be moderate, and they should not spend too long on outdoor activities. Decisions should be made based on the individual's condition. If the condition of heart failure is severe, it is advisable for the patient to rest primarily. Particularly in terms of diet, the intake of sodium should be restricted. Sometimes, excessive intake of sodium can exacerbate symptoms like palpitations, chest tightness, and breathing difficulties. These are serious symptoms that require active management and treatment.
Mitral valve insufficiency can easily cause what kind of failure?
The most severe complication of mitral valve insufficiency is the occurrence of left-sided heart failure, or left and right heart failure, eventually leading to total heart failure. Since the mitral valve is a type of rheumatic heart disease and also a cardiac valve disorder, cardiac function is abnormal at this time. If this condition is not treated promptly, it will further lead to a decline in cardiac function, causing the occurrence of heart rate failure. Patients mainly exhibit symptoms of ischemia and hypoxia, as well as edema in both lower limbs and some situations of water and sodium retention. It is necessary to actively use cardiotonic diuretics to improve the patient's cardiac function.
What are the reasons for insomnia, hand tremors, and palpitations?
If a patient frequently experiences insomnia, trembling hands, and palpitations, it is possible that these symptoms are caused by myocardial ischemia. It is recommended that the patient actively undergo treatment using medications that dilate blood vessels and improve circulation, and firstly, coronary heart disease should be ruled out. If a person has long-term sleep disorders, they can also develop a certain level of anxiety, which in turn can lead to insufficient coronary artery blood supply and thus myocardial ischemia. This condition can also manifest as palpitations and trembling hands. Another scenario is hypoglycemia. If blood sugar levels are too low, symptoms such as palpitations, chest tightness, and trembling hands can occur, typically at night. For such cases, it is also necessary to promptly monitor the patient's heart rate, blood pressure, and pulse changes, and the diet should primarily consist of high-quality protein.