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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
How is myocardial infarction treated?
Myocardial infarction is a common and frequently occurring severe emergency condition in clinical practice. If not effectively treated, myocardial infarction can lead to serious complications that jeopardize life, and thus it requires effective treatment. Currently, there are various clinical treatment methods for myocardial infarction, including medication, intravascular stent implantation, and coronary artery bypass surgery among others. Based on the patient's constitution and the characteristics of the blood vessels, an effective treatment method should be selected under the guidance of a doctor to save the patient's life and improve the quality of life post-treatment.
Symptoms of Sinus Arrhythmia
Symptoms of sinus arrhythmia vary according to different causes, including sinus bradycardia, sinus tachycardia, sinus arrhythmia, sinus arrest, and sick sinus syndrome. Mild cases of sinus bradycardia, sinus tachycardia, and arrhythmia generally do not present noticeable clinical symptoms. However, severe cases can experience symptoms such as palpitations, fatigue, and shortness of breath. Sinus arrest and sick sinus syndrome often present more severe clinical symptoms, including not only shortness of breath but also dizziness, blackouts, fainting, and acute cerebral ischemia and hypoxia.
What should be done at the start of hypertension?
What to do at the onset of hypertension, specifically refers to mild early-stage hypertension. Mild early-stage hypertension can be managed through reasonable dietary adjustments and increased physical activity to lower blood pressure to normal levels. Generally, it is not necessary to use antihypertensive medications. Aerobic exercises such as swimming, skipping rope, square dancing, playing table tennis, volleyball, tennis, can increase vascular elasticity and improve blood circulation, thereby achieving a blood pressure-lowering effect. In terms of diet, it is important to focus on low-fat, low-salt, and low-oil intake to reduce the occurrence of arteriosclerosis and decrease blood viscosity, as well as sodium and water retention which can cause elevated blood pressure. Pay attention to rest, avoid overworking, and do not get overly excited. These are effective treatment and prevention methods for initial mild hypertension.
What foods should people with heart disease eat?
Patients with heart disease should adopt a diet that is low in fat, salt, and oil in their daily lives, and they should try to eat more fruits and vegetables that are high in vitamins, trace elements, and dietary fiber. They can frequently eat foods such as sea cucumber, eggs, milk, beef tendon, lean meat, rabbit meat, belt fish, yellow croaker, shrimp, and others that contain a good amount of high-quality protein needed by the human body, and have lower cholesterol. Continuous consumption over time can enhance the body's immunity and disease resistance.
What exercise should be done every day for hyperlipidemia?
People with high blood lipids, if they do not have significant heart or lung disease, can participate in some aerobic exercises: such as swimming, tennis, volleyball, basketball, badminton, and square dancing. These exercises are aerobic and can help with weight loss. Exercise can consume excess body fat and lower blood lipids. It also enhances heart vitality, improves vascular elasticity, increases blood flow, and increases lung capacity, enhancing physical resistance and overall physical fitness, which can also help to reduce blood lipids.
Is atrial fibrillation the same as atrial flutter?
Atrial fibrillation, also known simply as AFib, is the same disease just referred to by different names. Atrial fibrillation is caused by various reasons leading to pathological changes in cardiac contractility and conductivity. By using a stethoscope, a doctor can detect irregularities in heart rate and varying intensities of heart sounds. Electrocardiogram (ECG) tests can record the distinctive waveforms of atrial fibrillation. Rapid atrial fibrillation requires medication for treatment. If not effectively treated, long-term atrial fibrillation can lead to heart failure, resulting in insufficient blood supply to the body and causing significant harm.
What is the pulse rate for tachycardia?
Under normal circumstances, each heartbeat of a healthy individual generates one pulse, with the pulse rate being equal to the heart rate. During tachycardia, the pulse rate increases. If the heart rate and pulse rate are not the same, it indicates arrhythmia. This discrepancy between pulse rate and heart rate can be caused by severe arrhythmias, such as ventricular premature beats, atrial premature beats, atrial fibrillation, and significant atrioventricular block. This condition occurs because the strength and speed of heartbeats vary, with some weak heartbeats not being strong enough to be reflected in the pulse, leading to an inconsistency between heartbeats and pulse. This condition requires an electrocardiogram.
Rescue of hypotensive shock
Low blood pressure is an important clinical symptom and diagnostic indicator of shock. Regardless of what causes the shock, the presence of low blood pressure, along with cold limbs, cold sweat, reduced urine output, and an indifferent expression, indicates insufficient peripheral vascular perfusion. Prolonged insufficient perfusion can lead to damage to vital organs. Therefore, timely emergency treatment is essential to elevate blood pressure and save the patient's life. The initial steps include administering oxygen to ensure the oxygenation of vital organs, replenishing blood volume, using vasopressors, and providing timely emergency treatment to save the patient's life.
What is the range for low blood pressure?
Blood pressure is an important indicator of human vital signs. Normal blood can meet the demands of human life activities and the blood supply to major organs. Too low blood pressure can severely affect human health and even endanger life. Normal blood pressure ranges from 90 to 140 mmHg for systolic and 60 to 90 mmHg for diastolic pressure. A systolic pressure below 90 mmHg and a diastolic pressure below 60 mmHg is considered low blood pressure. Diagnosis should also take into account underlying diseases, clinical symptoms, and other factors.
Does sudden cardiac death have a connection with overwork?
Sudden cardiac death is directly related to overexertion, particularly in individuals with coronary heart disease, congenital heart disease, rheumatic heart disease, viral myocarditis, and heart rhythm disorders, especially those accompanied by heart failure. Excessive strain can increase the burden on the heart, exacerbate heart failure, lead to arrhythmias, and in severe cases, result in sudden death. Therefore, patients with structural heart disease must follow a doctor's guidance to routinely use effective medications for treatment, rest adequately, avoid overexertion, and maintain a low-fat, low-salt diet to minimize factors that increase cardiac load and prevent the occurrence of sudden death.