

Zhang Yue Mei

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

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.

What should be paid attention to for hyperlipidemia?
What should be noted for hyperlipidemia? First, maintain regular life habits, avoid staying up late, smoking, excessive drinking, and overeating. Try to avoid consuming animal offal, fatty meats, fried foods, and foods high in cholesterol. Opt for easily digestible and high dietary fiber foods, and consume more vegetables and fruits to help lower blood lipids. Additionally, under the guidance of a doctor, medication that regulates blood lipids should be used. Common medications include rosuvastatin, atorvastatin, fenofibrate, and Xuezhikang, which should be routinely used to maintain blood lipids within a normal range.

Are the symptoms of rheumatic heart disease severe?
Rheumatic heart disease is a type of organic heart disease where the heart valves are damaged, leading to stenosis and insufficiency. Symptoms vary with the extent of the damage. Mild damage does not significantly alter hemodynamics, and there may be no clinical symptoms, allowing for unrestricted physical activity. Severe damage results in noticeable changes in hemodynamics, presenting with symptoms of heart failure such as coughing, expectoration, cyanosis, palpitations and shortness of breath after activity, swelling of the lower limbs, and indigestion among other signs of heart dysfunction. Early treatment is necessary to prevent worsening of heart failure and to safeguard the patient’s life.

What is heart disease?
Heart disease is caused by various factors that invade the heart, resulting in the loss of its normal physiological functions. Common causes of heart disease include rheumatic heart disease, congenital heart disease, viral myocarditis, coronary artery disease, and pulmonary heart disease. These diseases are considered organic heart diseases, caused by various reasons that lead to pathological changes in the heart's muscles, valves, etc., losing the heart's normal ability to pump blood and supply the body with blood.

Can people with low blood pressure drink tea?
People with low blood pressure can drink tea. Currently, there are many types of tea in daily life: green tea, oolong tea, black tea, Tieguanyin, as well as some medicinal teas such as ginseng tea, astragalus tea, and goji berry tea. Regular consumption of these teas is beneficial for health, as they provide essential nutrients. The active ingredients in tea can enhance mental alertness, promote blood circulation, and increase heart vitality. Additionally, some medicinal teas like astragalus tea and goji berry tea have the effects of replenishing qi, nourishing yin, and supporting kidney health. By nourishing yin and supporting kidneys, and adjusting the blood through replenishing qi, these teas can help raise blood pressure.

Can premature ventricular contractions cause a heart attack?
Ventricular premature beats will not cause myocardial infarction as they arise from different mechanisms and lead to different outcomes. Ventricular premature beats occur due to changes in the ventricular conduction system, causing irregular heartbeats. Myocardial infarction is caused by the narrowing of coronary arteries, the formation of plaques, and thromboses, leading to blockage that deprives the heart of oxygen, resulting in ischemia and necrosis, known as myocardial infarction. Myocardial infarction is a serious condition that requires immediate medical intervention to save the patient's life. Ventricular premature beats can occur due to pathological reasons or can be seen in healthy individuals, and can be managed with medications that regulate the heart rate to achieve the desired therapeutic outcome.