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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
Chronic heart failure means
Chronic heart failure refers to a condition where the heart is unable to effectively pump blood throughout the body to meet the needs of vital organs, leading to a series of clinical symptoms caused by venous congestion and arterial ischemia. Symptoms include post-activity palpitations, orthopnea, swelling of the lower limbs, and enlarged liver. This condition causes great distress to patients and requires long-term use of effective medications to alleviate chronic heart failure. Patients with chronic heart failure need to ensure adequate rest, avoid overexertion, adhere to a low-salt diet, and limit the intake of spicy and greasy foods to prevent exacerbation of heart failure.
Is low blood pressure dangerous?
Severe hypotension is very dangerous. Hypotension is a diagnostic indicator of shock. Excessively low blood pressure leads to insufficient perfusion of the microcirculation, especially in vital organs such as the brain, heart, and kidneys, which can cause ischemia and hypoxia, leading to the failure of these organs and endangering life safety. Therefore, the occurrence of hypotension, especially severe hypotension, requires active resuscitation. Initially, it is necessary to administer fluids to supplement blood volume and make corrections, while also using some vasopressor medications to treat the disease causing the hypotension, achieving a blood pressure-raising effect to save lives.
Can people with myocardial infarction drink coffee?
Patients with myocardial infarction should not drink coffee. After suffering a myocardial infarction, it is crucial to immediately go to the hospital for emergency treatment. Failure to receive timely treatment can lead to serious complications, including heart failure, arrhythmias, and cardiogenic shock. Patients with myocardial infarction need to rest, quit smoking and drinking, and avoid eating irritating foods. Coffee contains caffeine, which stimulates the sympathetic nervous system. Consuming coffee can excite patients, increase heart rate, and lead to increased oxygen consumption by the heart, which increases the burden on the heart and adversely affects the condition.
Rheumatic heart disease causes
The primary cause of rheumatic heart disease is an abnormal immune response caused by infection with hemolytic streptococcus, which leads to damage of the heart valves. This damage results in narrowing or insufficiency of the valves, altering the hemodynamics within the blood and increasing the burden on the heart, thereby causing a series of clinical symptoms. Early control of streptococcal infections can reduce the occurrence of rheumatic heart disease. Common streptococcal infections include upper respiratory tract infections, acute tonsillitis, and suppurative tonsillitis. Actively using effective antibiotics to control these infections can greatly reduce the incidence of rheumatic heart disease.
What should patients with cardiomyopathy pay attention to?
Patients with cardiomyopathy need to rest adequately, avoid overexerting themselves, and not get overly emotional to keep their mood calm and prevent an increased burden on the heart, which could trigger heart failure. In their diet, they should consume easily digestible foods that are high in superior protein and eat plenty of fruits and vegetables. These foods can provide the high-quality proteins, vitamins, and trace elements needed by the body, enhancing immunity and disease resistance. In the event of thrombosis and myocardial cell repair, systematic medication treatment under a doctor's guidance is essential to promote myocardial repair.
Is sinus arrhythmia serious?
Sinus arrhythmia is a relatively common type of arrhythmia in clinical practice. It is typically identified through electrocardiogram testing. If no other specific symptoms are present other than sinus arrhythmia, sinus bradycardia, or sinus tachycardia, and if there is no structural heart disease, generally, there are no serious concerns. Often, these kinds of arrhythmias are caused by autonomic nervous system dysfunction, leading to an imbalance between the sympathetic and parasympathetic nerves. To address this irregular heartbeat, it is advisable to rest adequately in daily life and to include some aerobic exercise. Exercise can enhance cardiac contractility and strengthen regular heart function, which can help correct the arrhythmia.
Can people with cardiomyopathy run?
Whether a person with myocardial disease can run or not depends on the extent of myocardial damage and clinical symptoms. If the myocardial damage is severe and there are significant clinical symptoms of heart failure and arrhythmia, this group should not run and needs bed rest. If strenuous activity would worsen heart failure, the myocardial damage is mild, with no typical clinical symptoms, and does not affect daily activities, this group can engage in appropriate exercises like walking or running, but the duration should not be too long, about 20 to 30 minutes each time.
How to treat low blood pressure?
The treatment of hypotension varies based on the cause and the underlying diseases. Mild hypotension without any accompanying diseases can often be managed by nutritional adjustments, proper rest, avoiding overwork, and refraining from staying up late and smoking. These measures can help gradually increase blood pressure. In cases where hypotension is caused by shock, bleeding, or heart disease, treatment should address these conditions while also replenishing blood volume and administering antihypertensive drugs as necessary. Severe hypotension can be life-threatening, thus, acute and severe low blood pressure is considered a critical condition that requires immediate emergency treatment.
Is cardiomyopathy life-threatening?
Whether cardiomyopathy poses a threat to life depends on the severity of the condition. Mild myocardial damage, if detected early, diagnosed early, and treated with effective medications in a timely manner, generally has a good prognosis, poses no threat to life, and leaves no sequelae. Severe myocardial damage, due to lack of timely treatment, can lead to serious complications such as heart failure, arrhythmias, and cardiogenic shock, which can endanger life safety. Therefore, early diagnosis, early treatment, and prevention of complications are crucial treatment measures for cardiomyopathy.
How to alleviate low blood pressure
How to alleviate low blood pressure depends on the cause of the low blood pressure and the degree to which the blood pressure has decreased. For mild low blood pressure without any primary disease, it is necessary to rest and consume high-protein, high-nutritional foods, especially high intake of broth, chicken soup, ginseng, sea cucumber soup, etc., which can effectively raise blood pressure. If the low blood pressure is caused by a disease and the blood pressure is relatively low, it is necessary to treat the primary disease while correcting the blood pressure. First, blood volume should be supplemented to raise blood pressure. In severe cases, pressor drugs should be used, and when blood pressure reaches a normal level, it is maintained to supply blood to important organs.