Subscribe
119
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 to regulate low blood pressure
How to adjust for low blood pressure depends on the causes of the low blood pressure and the severity of the condition. Different adjustments and treatments are necessary. Mild low blood pressure not secondary to any disease is caused by physical weakness and an unreasonable dietary structure leading to decreased blood pressure. This only requires adjusting the dietary structure, consuming a high-energy, high-nutrient diet, eating broths, and paying attention to rest to improve the state of low blood pressure. If the blood pressure is too low and accompanied by other diseases such as infection, allergies, or bleeding, which cause the low blood pressure, the primary disease should be treated first. At the same time, under the guidance of a doctor, effective antihypotensive medication should be used for treatment.
Heart Failure Drug Therapy
Due to some myocardial diseases that cause damage to the myocardium, or other reasons that increase the heart's load, heart failure may occur. Clinical treatment involves strengthening the heart and promoting diuresis, improving blood vessel function, increasing the heart’s contractility, reducing the heart’s resistance, and decreasing the volume of blood returning to the heart. Through these effective drug treatments, heart failure can be corrected. Patients with heart failure should avoid excessive fatigue and maintain a low-salt diet to prevent increasing the burden on the heart.
What is good to eat for myocardial infarction?
After suffering from myocardial infarction, it is necessary to use effective drug treatments under the guidance of a doctor, and at the same time, dietary structure should be appropriately adjusted. Consume easily digestible foods and avoid spicy and greasy foods. You can eat some foods containing high-quality protein, high vitamins, and high trace elements, such as milk, eggs, lean meat of animals, and sea cucumber. These foods contain high-quality protein, which can enhance immunity and promote the repair of myocardial tissue. Consume more vegetables containing crude fiber, such as celery, spinach, and winter melon. These vegetables can not only supplement trace elements and vitamins but also help in easing bowel movements, relieving constipation, and reducing the burden on the heart. Focus on consuming green leafy vegetables. For fruits, choose kiwi, grapefruit, and oranges which are rich in vitamin C and potassium. Avoid smoking and drinking alcohol, and avoid strong tea, coffee, and foods that are too cold, too hot, spicy, or stimulating.
Emergency treatment for high blood pressure
Hypertension is currently a common and frequent disease, especially among middle-aged and elderly people. It requires the use of proper antihypertensive drugs to lower blood pressure back to a normal range to ensure the blood supply to the heart and brain. If medication is not taken on time, or due to emotional excitement or excessive fatigue, there can be a sudden increase in blood pressure. Immediate use of effective antihypertensive drugs is necessary to lower the blood pressure to a safe range to prevent accidents. In case of a hypertensive emergency, one should go to the hospital for active treatment to avoid life-threatening risks.
Can premature ventricular contractions be cured?
Ventricular premature beats are a relatively common type of cardiac arrhythmia clinically, divided into benign and malignant premature beats. Benign premature beats refer to physiological premature beats occurring in healthy individuals, caused by autonomic dysfunction due to excessive drinking, smoking, staying up late, etc. This type of premature beat does not require medicinal treatment; it can heal itself through adjusting lifestyle, enhancing nutrition and exercise, resting adequately, and quitting smoking and drinking. Malignant premature beats caused by organic heart disease can also achieve clinical cure if the primary disease is treated early and antiarrhythmic drugs are used simultaneously.
What are the symptoms of a heart rate less than 60 beats per minute, which is considered bradycardia?
A heart rate below 60 beats per minute is clinically diagnosed as bradycardia. Bradycardia can occur in normal, healthy individuals as well as in patients with organic heart disease. In young adults, heavy laborers, and athletes who often exercise, the heart rate is generally below 60 beats per minute without any clinical symptoms, and it does not pose a risk to the body. This slower heart rate serves as a protection for the heart. In patients with organic heart disease, a significant decrease in heart rate can lead to clinical symptoms such as palpitations, shortness of breath, and feeling of apprehension, necessitating the adjustment of heart rate under the guidance of a doctor using effective medications.
The basic etiology of chronic heart failure
Chronic heart failure is one of the most common complications of various organic heart diseases, and there are many causes of chronic heart failure. The main reason is due to primary diseases that have not been effectively treated. Long-term myocardial ischemia, hypoxia, excessive fatigue, emotional excitement, overeating, too full, constipation, and other reasons increase the cardiac burden, leading to chronic heart failure. People with organic heart disease must treat the primary disease under the guidance of a doctor. At the same time, pay attention to rest, avoid emotional excitement, eat easily digestible food, maintain a low-salt, low-fat diet, and ensure smooth bowel movements to prevent increasing the cardiac burden and causing heart failure.
Which department should I visit for rheumatic heart disease?
Patients with rheumatic heart disease need to visit the department of cardiology for diagnosis and treatment. Rheumatic heart disease involves pathological changes in the heart valves and is considered a serious heart condition that can cause complications such as arrhythmias and heart failure, necessitating regular cardiology visits. For complications that arise, a comprehensive analysis is needed, followed by systemic treatment. These patients should rest regularly, properly use medications, adjust their heart rate, improve heart function, and enhance their quality of life.
How to treat premature ventricular contractions?
Ventricular premature beats require an electrocardiogram to determine the frequency and nature of the premature beats, and a comprehensive judgment is made in conjunction with the medical history. Ventricular premature beats can be seen in the normal population, and in some cases, they occur in individuals with unstable autonomic nerve function. This group of people does not need drug treatment. Paying attention to rest, engaging in appropriate exercise, and regulating the autonomic nerves can make the premature beats disappear. In patients with organic heart disease who experience frequent premature beats, it is necessary to choose antiarrhythmic drugs for adjustment and treatment under the guidance of a doctor.
Can atropine be used for tachycardia?
Tachycardia is a common and frequently occurring condition clinically, which can be observed in healthy populations as well as in those suffering from certain cardiac diseases causing tachycardia. The choice of medication should be made under the guidance of a doctor, and it is crucial not to misuse drugs arbitrarily. Tachycardia should not be treated with atropine, as its primary side effects can induce tachycardia. Using atropine can cause an already rapid heart rate to increase further, resulting in significant damage to the body. Tachycardia needs medications that inhibit sympathetic nerve excitement, commonly using receptor blockers, which can effectively suppress excessively rapid heart rhythms.