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Zhang Yue Mei
Cardiology
About me
Member of the Jining Branch of the Shandong Respiratory Society and the Jining Emergency Medicine Poisoning Society. Graduated from Jining Medical College, engaged in clinical work in internal medicine and emergency medicine for over 30 years, with rich experience in diagnosing and treating common and prevalent diseases in internal medicine and internal medicine emergencies. Has unique insights in the application of integrated traditional Chinese and Western medicine in the treatment of cardiovascular diseases. Authored more than 10 articles published in national journals, including "Clinical Analysis of 50 Cases of Acute Episodes of Pulmonary Heart Disease Treated with Integrated Traditional Chinese and Western Medicine" and "Treatment of Coronary Heart Disease Blood Stagnation Type from the Perspective of Phlegm". Organized and participated in the "Clinical Study of Blood Lipid Clearing Treatment for Primary Hyperlipidemia" and was awarded the third prize for scientific research achievements in Jining City. Contributed to the editing of two works, including the "Clinical Diagnostic Techniques Manual".
Proficient in diseases
With extensive experience in common and frequently-occurring diseases in cardiology, there is unique expertise in using a combination of traditional Chinese and Western medicine to treat cardiovascular system diseases.
Voices
Causes of arrhythmia
Arrhythmia is a common and frequently occurring disease in clinical practice, primarily caused by various organic heart diseases. Common heart diseases include coronary heart disease, congenital heart disease, rheumatic heart disease, pulmonary heart disease, severe myocarditis, and cardiomyopathy, all of which can lead to arrhythmias that are generally severe. Arrhythmias can also occur in some healthy individuals due to instability of the autonomic nervous system. This type of arrhythmia can be clinically cured through lifestyle adjustments, appropriate exercise, and improvements in myocardial contractility and conductivity.
Can people with heart failure eat fish?
Patients with heart failure can eat fish, as fish contains a large amount of high-quality protein, vitamin B, trace elements, and minerals. Consuming fish can increase the high-quality protein the body needs, enhance the body's immunity and disease resistance. Especially for patients with heart failure, who suffer from chronic myocardial ischemia, need nutritional support. When preparing fish, it should not be made too salty, as patients with heart failure should follow a low-salt diet. If the fish is too salty, consuming it in excess could exacerbate heart failure. Preparing fish in a lighter way, such as making fish soup, can not only supplement the body's high-quality protein but also be easier to digest.
How to adjust for premature ventricular contractions?
Ventricular premature beat management should vary based on the cause. Frequent ventricular premature beats caused by organic heart disease can be harmful to the body, and under a doctor's guidance, effective antiarrhythmic drugs should be used for treatment. If the ventricular premature beats are due to autonomic dysfunction in healthy individuals, or caused by excessive fatigue or staying up late, this type of premature beat generally does not require the use of antiarrhythmic drugs for treatment. Instead, managing the autonomic nerves and engaging in regular exercise can enhance the normal contractile strength of the heart and adjust the autonomic nerves to correct these abnormal ventricular premature beats.
What medicine should I take to lower blood lipids for hyperlipidemia?
Hyperlipidemia is currently a common and frequently occurring disease in clinical practice. Persistent elevation of blood lipids can cause certain damage to the body. Currently, there are many lipid-modifying and lipid-lowering medications used clinically, including statin-based Western medicines, as well as some traditional Chinese patent medicines. Additionally, some herbal teas and herbal decoctions can also be used to achieve the purpose of lowering lipids. The choice of medication should be made under the guidance of a doctor. Apart from using medication, it is also important to pay attention to dietary adjustments, adopting a diet low in fat, salt, and oil, while also increasing physical exercise and reducing weight.
What causes cardiomyopathy?
In clinical practice, the most common type of myocarditis is viral myocarditis. Due to a decrease in the body's resistance, the virus invades and damages the myocardium, causing localized and diffuse inflammatory damage to the heart muscle, which poses significant harm to the body. The early clinical symptoms of viral myocarditis often manifest primarily as respiratory and gastrointestinal symptoms, accompanied by palpitations and shortness of breath, necessitating the use of electrocardiograms and myocardial enzyme spectrum tests. Early detection, diagnosis, and treatment of viral myocarditis play a crucial role in the prognosis.
Nursing Care for Patients with Atrial Fibrillation
Atrial fibrillation (AF) refers to atrial fibrillation, caused primarily by organic heart diseases, commonly seen in coronary heart disease, rheumatic heart disease, cardiomyopathy, and pulmonary heart disease, as well as certain metabolic disorders such as hyperthyroidism. Patients with AF can experience impacts on cardiac function, and in severe cases, may develop heart failure. Nursing care primarily involves ensuring the patient rests and avoids excessive fatigue. Mild physical activities can be performed, and it is advisable to eat easily digestible foods and avoid spicy foods to reduce gastrointestinal irritation and lessen the burden on cardiac function. Attention should be paid to sleep, avoiding smoking and alcohol, routinely checking the electrocardiogram (ECG), and seeking timely medical treatment at a hospital if special conditions arise.
What should I do if I have a rapid heartbeat and insomnia?
Experiencing a rapid heart rate can cause panic, restlessness, and severely affect sleep. After an electrocardiogram examination, if the rapid heart rate is not caused by organic heart disease, medications to control the heart rate can be used under a doctor’s guidance, or choose sedative and calming traditional Chinese medicines or Western medicines to stabilize the nerves, slow the heart rate, and promote sleep. If the rapid heart rate is due to organic heart disease, treatment of the underlying disease is necessary under a doctor's guidance, along with the use of medications to control the heart rate, to ensure the quality of sleep.
Does tachycardia cause fever?
Tachycardia does not cause fever, but fever can cause tachycardia. During a fever, the body's metabolism increases and the heart rate speeds up, a phenomenon commonly seen in colds, viral infections, and bacterial infections. After a clear diagnosis through blood tests, effective medication treatment should be administered. Once the body temperature normalizes, the tachycardia will be relieved. If the tachycardia is not caused by fever, an electrocardiogram should be conducted to determine the cause of the tachycardia, and effective medication should be used under the guidance of a doctor to adjust it.
Can people with cardiomyopathy eat beef?
Patients with myocarditis can eat beef, but not too much. They should consume beef in small amounts. Beef is a type of meat with very high nutritional value, and it is a major source of high-quality protein, trace elements, and minerals for the human body. Eating beef regularly can improve the body's immunity and disease resistance. For patients with myocarditis, eating beef can help accelerate the repair of myocardial tissue. However, it is advisable not to eat fatty beef but instead choose lean meat and consume it in moderation. It is also important to pay attention to dietary structure, preferably eating easily digestible, high-protein nutritional foods, and increase the intake of vegetables and fruits, which can aid in the recovery from myocarditis.
"Heart atrial fibrillation" refers to what?
Atrial fibrillation is the most common clinical arrhythmia. An electrocardiogram reveals abnormal fluctuations in the atria, which are fast and disordered with some fibrillating waves, known as atrial fibrillation. Diseases causing atrial fibrillation are often associated with structural heart disease. Common conditions include rheumatic heart disease, heart failure, pulmonary heart disease, viral myocarditis, coronary artery disease, and congenital heart disease. Atrial fibrillation can also occur in conditions that cause sympathetic or parasympathetic nerve activity changes, with hyperthyroidism being a common related disease.