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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
What happens to pulmonary hypertension if you stay up late?
Because if pulmonary hypertension is not treated consistently, it can further develop into pulmonary heart disease, which is very dangerous. Patients may also experience palpitations, chest tightness, and difficulty breathing, especially after respiratory activities, where palpitations and breathing difficulties worsen. Frequent staying up late can lead to abnormal arterial hypertension in patients and cause this high pressure to continue to rise. Sometimes the condition can worsen because once patients are diagnosed with pulmonary hypertension, it is important to rest, especially to avoid staying up late, as it can cause further worsening due to vascular constriction.
When should the pericardial effusion drainage tube be removed?
If the patient has pericardial effusion and there is no apparent leakage from the drainage tube, and no fluid drainage, it is possible to consider removing the tube after two days. In cases like this, active drainage is sometimes still necessary because pericardial effusion is a type of exudate, which can be inflammatory. Draining can help relieve the cardiac workload. If the drainage tube is clear and there is no fluid leakage, removing the tube after about two days can be considered. However, there is a situation where the tube must not be removed. If there is fluid leaking from the pericardial effusion, or if the symptoms of pericardial effusion are still severe, and there is some fluid remaining in the pericardial cavity, the tube should not be removed.
Is mitral valve regurgitation due to incomplete closure congenital?
If the patient has a history of mitral valve insufficiency accompanied by regurgitation, it may indicate congenital heart disease, but it does not rule out rheumatic heart disease caused by other illnesses. Because of this, it may indeed be a type of congenital heart disease, and some surgical treatments can be used, which are relatively safe. During this period, it is still necessary to actively monitor changes in the patient's blood pressure, pulse, and heart rate. If there is an increase in blood pressure or an overly rapid heart rate, it needs to be actively managed. Early intervention and treatment can alleviate the current condition of the patient. Based on this situation, it is recommended to just perform a cardiac echocardiogram.
Can mitral valve regurgitation be detected by imaging?
Mitral stenosis is a type of heart valve disease. It may be congenital heart disease or rheumatic heart disease, depending on individual differences. It is recommended that patients go to the hospital for a cardiac ultrasound to confirm the diagnosis, as X-rays cannot differentiate between mitral regurgitation and mitral stenosis. This condition requires a cardiac ultrasound for diagnosis. If patients experience symptoms like palpitations, chest tightness, or difficulty breathing during this period, these issues need to be actively managed. Generally, positive inotropic agents are used to alleviate the current condition of the patient and achieve relief, while also ensuring regular follow-up visits at the hospital.
Why does mitral valve insufficiency cause regurgitation?
Mitral valve regurgitation can cause backflow, as it is a type of rheumatic heart disease. Currently, treatment primarily focuses on symptomatic relief and improving the patient’s cardiopulmonary function. During this period, it is still important to actively monitor the patient’s heart rate, blood pressure, and pulse changes. If there is a rapid heart rate or increased blood pressure, these conditions need active intervention to alleviate the patient’s state of ischemia and hypoxia. If there is significant regurgitation, it may lead to a state of hypoxia. During this period, it is still important to actively monitor the patient’s heart rate, blood pressure, and pulse. Regular follow-up with cardiac echocardiography is adequate, and it is also necessary to actively prevent upper respiratory infections.
What will happen if there is too much pericardial effusion?
If a patient has an excessive amount of pericardial effusion, symptoms such as palpitations, chest tightness, and difficulty breathing can occur. Currently, the treatment primarily focuses on symptomatic relief. If there is excessive pericardial effusion, symptoms such as chest tightness, palpitations, and difficulty breathing may occur. I personally suggest going to the hospital for a cardiac echocardiogram to further confirm the diagnosis and determine the treatment plan. For simple pericardial effusion, if the amount is relatively small, it can be temporarily observed without treatment. However, for cases with excessive pericardial effusion, it is necessary to perform a pericardiocentesis to remove the fluid and improve cardiac function. During this period, it is still necessary to actively monitor the patient's blood pressure, heart rate, and pulse changes, and address any rapid heart rate.
Can pericardial effusion be aspirated?
Pericardial effusion can be treated with percutaneous fluid drainage, particularly in cases where there is a significant amount of fluid. However, for minor effusions, it is advisable that patients temporarily observe their condition and focus on symptomatic treatment. These small amounts of pericardial effusion can be absorbed naturally, and this typically pertains to milder cases. It is also recommended that patients regularly visit the hospital for echocardiography to monitor their condition. If the pericardial effusion does not fully resolve, fluid drainage may sometimes be necessary to alleviate the patient's current condition, as this fluid generally represents an inflammatory exudative change.
Can you eat eggs with pericardial effusion?
If the patient has a history of pericardial effusion, it is advisable to recommend a diet high in quality protein and avoid spicy and irritating foods. However, consumption of eggs is permissible as they are rich in protein, which can supplement protein intake. During this period, supplementing with albumin can sometimes be beneficial for the absorption of inflammation and the reduction of effusion. During this period, it is still important to maintain a light diet, especially avoiding greasy and spicy foods, while also monitoring changes in the patient's heart rate, blood pressure, and pulse. If the heart rate is too fast, sometimes active management is required.
Pericardial effusion usually requires attention to the following aspects:
If the patient has pericardial effusion, it is still necessary to maintain a light diet, eat small meals frequently, and especially avoid spicy and irritating foods. Meanwhile, patients should pay attention to regular re-examinations of cardiac echocardiography and electrocardiograms, as the most effective and direct method for diagnosing pericardial effusion is puncture and fluid extraction for examination. For minor amounts of pericardial effusion, it is recommended that patients first observe and use medication, which can also help alleviate symptoms. During this period, it is important to monitor changes in the patient's blood pressure and heart rate. If blood pressure rises or heart rate increases rapidly, it can exacerbate pericardial effusion. However, it is still crucial to actively use medication for early intervention, which can also help alleviate symptoms, and actively prevent upper respiratory infections.
Why does pericardial effusion cause difficulty in breathing?
Pericardial effusion primarily manifests as palpitations, chest tightness, and difficulty breathing. Sometimes, pericardial effusion can exacerbate heart failure. Once heart failure is alleviated, these symptoms can also subside. Currently, it appears that pericardial effusion mainly presents as palpitations, chest tightness, and difficulty breathing, which are related to diet and fatigue, especially after exercise. This increase in myocardial oxygen consumption can lead to heart failure, resulting in difficulty breathing, particularly exertional dyspnea. At this point, it is necessary to provide low-flow oxygen inhalation and improve the patient's cardiopulmonary function, which is also helpful. It is still necessary to actively treat pericardial effusion. The treatment mainly involves diagnostic aspiration of the fluid. If the pericardial effusion is caused by inflammation, it can be treated with antibiotics.