How to prevent heart disease

Written by Zhang Yue Mei
Cardiology
Updated on November 26, 2024
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In clinical settings, heart diseases include congenital heart disease, coronary heart disease, rheumatic heart disease, pneumonic heart disease, cardiomyopathy, etc. Some diseases are preventable, such as the most common coronary heart disease. The occurrence of coronary heart disease is due to long-term lipid metabolism disorders and increased blood lipids, which cause arteriosclerosis and subsequent coronary atherosclerosis, leading to insufficient myocardial blood supply and myocardial damage. Preventing and treating hyperlipidemia and reducing arteriosclerosis can decrease the incidence of coronary heart disease.

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Written by Zhang Yue Mei
Cardiology
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Rheumatic Heart Disease Concept

Rheumatic heart disease is a type of organic heart disease caused by a hypersensitivity reaction in the body due to infection by Streptococcus pyogenes. This leads to pathological changes in the heart valves, including the tricuspid and mitral valves, resulting in stenosis or insufficiency which affects hemodynamics. This condition is known as rheumatic heart disease. Patients with rheumatic heart disease should actively seek treatment under the guidance of a doctor in the early stages to control the occurrence of complications.

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Written by Li Tao
Pulmonology
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The cause of cor pulmonale

Cor pulmonale, also known as pulmonary heart disease, refers to the increased pulmonary vascular resistance caused by pathological changes in the bronchi, lung tissue, thorax, or pulmonary vessels, leading to pulmonary arterial hypertension and subsequent structural and functional changes in the right ventricle. This condition is clinically referred to as cor pulmonale. The causes of cor pulmonale can be divided into three main categories: The first category is diseases of the bronchi and lungs, such as chronic obstructive pulmonary disease (COPD), which accounts for approximately 80%-90% of cases. Other causes include bronchial asthma, bronchiectasis, severe pulmonary tuberculosis, interstitial pneumonia, and more. The second category involves diseases related to disorders of thoracic cage movement, such as various thoracic deformities, kyphoscoliosis, spinal tuberculosis, arthritis leading to extensive pleural adhesions, and deformities caused by thoracic plastic surgery. The third category includes pulmonary vascular diseases, such as pulmonary arterial hypertension, pulmonary thromboembolism, and other conditions leading to narrowing or blockage of pulmonary arteries, all of which can progress to cor pulmonale.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart disease soak their feet?

Patients with heart disease can soak their feet. Soaking feet can dilate peripheral blood vessels, promote the expansion of capillaries, accelerate blood flow, and help invigorate the blood and remove stasis. Especially when soaking feet, adding some blood-activating and channel-unblocking medicines can achieve better effects. Foot soaking for patients with heart disease can dilate peripheral blood vessels, reduce the blood returning to the heart, and lessen the burden on the heart. Particularly for patients with coronary artery atherosclerosis, foot soaking can enhance blood flow and invigorate the blood, which is beneficial for heart disease patients. However, do not soak for too long and the water level should not be too high.

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Written by Hao Ze Rui
Pulmonology
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Complications of cor pulmonale

Complications of cor pulmonale commonly include several conditions. The first is pulmonary encephalopathy, caused by respiratory failure leading to hypoxia and carbon dioxide retention, which can cause somnolence in patients and, in severe cases, lead to coma. The second is acid-base imbalance and electrolyte disturbances. Cor pulmonale may present with various electrolyte disturbances, such as hyponatremia and hypokalemia. The third is arrhythmias, most commonly manifesting as atrial premature beats or paroxysmal supraventricular tachycardia. The fourth complication is shock. Shock is not very common in cor pulmonale, but if it occurs, the prognosis is poor.

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Written by Xiao Chang Jiang
Cardiology
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Early symptoms of heart disease

How is heart disease diagnosed? What are its early symptoms? Actually, the concept of heart disease is very broad as it includes many diseases related to the heart. Generally, it refers to problems with the structure or function of the heart, or its inability to perform its pumping function. Its early symptoms can include chest tightness, chest pain, or a crushing feeling after activity, and some may even radiate to the back or the inside of the arms, even involving the shoulders, presenting symptoms like increased heart rate, palpitations, tinnitus, and breathing difficulties. All these are related to heart disease. But how can we determine what kind of heart disease it is? We believe that the first step is to visit a hospital for tests such as electrocardiograms (ECG), ambulatory ECGs, exercise stress tests, and other imaging tests including coronary CT and even coronary angiography. Of course, some biochemical tests are also necessary, such as myocardial enzymes, troponins, myoglobins, brain natriuretic peptides, immunological and biological tests, which all help to determine the nature of the heart disease. In summary, we must pay special attention to heart disease, and once these symptoms appear, we should seek medical attention promptly and early.