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Chen Tian Hua
Cardiology
About me
Cardiologist, Associate Chief Physician, has been engaged in cardiovascular clinical work for 20 years, accumulating rich clinical experience.
Proficient in diseases
Diagnosis and treatment of various difficult and critically ill cardiovascular diseases.
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How to lower high blood pressure
Patients with hypertension need to adopt a comprehensive approach to reduce their blood pressure, primarily comprising two aspects: On one hand, they should regulate their lifestyle for treatment purposes, which includes maintaining a long-term low-salt and low-oil diet, consuming more vegetables and fruits, regularly engaging in physical exercises and labor, keeping a healthy weight level, avoiding fatigue, not staying up late at night, and maintaining a good emotional state. On the other hand, suitable antihypertensive medications should be chosen based on the specific conditions of the patients and used long-term. If necessary, a combination of antihypertensive drugs may be required. Effective control of blood pressure can only be achieved by combining lifestyle adjustments with medication.
Can high blood pressure be hereditary?
Hypertension has a certain level of heritability, and research indicates that if parents have hypertension, their children’s risk of developing this condition significantly increases. Of course, genetic factors are only one of the reasons for the development of hypertension. The presence of genetic factors does not necessarily lead to hypertension; postnatal environmental factors are also very important. Maintaining good lifestyle habits over time, including healthy dietary habits, regular physical exercise, reasonable weight control, and a positive mindset can help prevent hypertension. Moreover, even without a family history of hypertension, poor lifestyle habits can still lead to the development of the condition.
Is a blood pressure of 180 considered severe?
Blood pressure reaching a systolic level of 180 mmHg is considered severe hypertension, which is quite serious. This type of blood pressure requires active treatment with antihypertensive medications to gradually bring the pressure back to normal levels. This kind of blood pressure often requires the combination of different antihypertensive drugs with various mechanisms of action to effectively control it. It is recommended to select antihypertensive drugs under the guidance of a specialist doctor based on individualized treatment principles, starting with small doses. The reduction in blood pressure should not be too rapid nor should it cause the pressure to drop too low. In addition to standard antihypertensive treatment, long-term adjustments to lifestyle habits and changes to unhealthy behaviors are also necessary. If there are other related cardiovascular risk factors, they should also be actively managed.
What are the early symptoms of pulmonary embolism?
The early symptoms of pulmonary embolism are clinically diverse and often non-specific. Mild cases may not present any symptoms at all. Common symptoms include the following: 1. Unexplained difficulty in breathing; 2. Pain in the precordial region; 3. Some patients initially present with fainting as the first clinical symptom; 4. Some patients may also experience irritability, fear, or a near-death feeling; 5. Early symptoms can also include coughing, coughing up blood, and palpitations. Pulmonary embolism is a critical condition in clinical settings. Once it occurs, it is essential to go to the hospital promptly for an accurate diagnosis and to receive effective treatment to avoid severe clinical consequences.
What should I do about tachycardia?
When tachycardia occurs, it is important to actively identify the cause of the tachycardia and actively treat the underlying disease causing the tachycardia. If it is caused by heart failure, it is essential to actively provide anti-heart failure treatment to control the heart failure. Once the heart failure is stabilized, long-term administration of beta-blockers should be given to effectively control the heart rate. In cases of rapid arrhythmias, anti-arrhythmic drugs should be administered timely. If arrhythmias recur frequently and there are indications, radiofrequency ablation surgery can be performed. Patients with hyperthyroidism should be treated to reduce the synthesis and secretion of thyroid hormones, bringing them back to normal levels. If the tachycardia arises from mental stress, emotional fluctuations, or exercise, no special treatment is necessary. It only requires stabilization of the tense emotions, relaxation, and proper rest; the heart rate will quickly return to normal.
Frequent ventricular premature beats refer to what?
Frequent ventricular premature beats refer to the occurrence of more than five ventricular premature beats per minute. Ventricular premature beats, also known as ventricular premature contractions, can occur in patients without structural heart disease, as well as in those with structural heart disease. For frequent ventricular premature beats occurring on the basis of structural heart disease, it is necessary to actively treat the underlying heart disease. Some ventricular premature beats can also be treated with radiofrequency ablation surgery to reduce their occurrence. In daily life, it is important to maintain a healthy lifestyle, reasonably plan work and life activities, reduce mental stress, avoid extreme emotional fluctuations, avoid overwork and staying up late, and ensure sufficient sleep.
Mild regurgitation of the mitral and tricuspid valves, what's the cause?
Mild regurgitation of the mitral and tricuspid valves, if seen in healthy individuals without related organic diseases, mainly occurs due to the physiological aging of the mitral and tricuspid valves as age increases. This results in slight insufficiency during ventricular contraction, leading to mild regurgitation. This condition is not pathological and does not require treatment, nor does it lead to adverse consequences. However, if the mild regurgitation of the mitral and tricuspid valves is accompanied by an organic disease that causes ventricular enlargement, the cardiac enlargement and annular dilation result in relative regurgitation due to the organic disease. It is necessary to actively control the underlying disease to prevent further enlargement of the heart, which could worsen the insufficiency and cause more blood regurgitation.
What foods are suitable for coronary heart disease?
Patients with coronary heart disease should eat light, easily digestible foods, opt for low-salt and low-fat options, and consume plenty of fresh vegetables and fruits. Foods rich in dietary fiber, such as wheat, oats, and buckwheat, can also be eaten in moderation. Avoid foods high in animal fats and cholesterol, as well as salt-rich preserved items. In addition to dietary adjustments, patients with coronary heart disease should engage in reasonable exercise, effectively control their weight, maintain a good psychological state, and avoid overwork and staying up late, ensuring ample sleep at night. It is important to actively control risk factors such as high blood pressure, diabetes, and high blood cholesterol, provide long-term standardized medication treatment for coronary heart disease, and maintain stability of the condition.
What can you eat to lower high blood pressure?
Patients with hypertension may experience some reduction in blood pressure by consuming certain vegetables and fruits, such as celery, winter melon, spinach, kiwifruit, hawthorn, and bananas. Additionally, drinking some types of tea, like kuding tea, Eucommia tea, Apocynum tea, and kudzu root tea, can also help lower blood pressure. However, these effects are not very strong and these items should not be relied upon for blood pressure treatment. Patients with hypertension need to adopt standardized treatment methods for long-term blood pressure control, actively improve their lifestyle, and choose appropriate first-line antihypertensive medications for long-term treatment. It is essential to maintain blood pressure control to prevent adverse outcomes caused by hypertension and improve prognosis.
Can a ventricular septal defect heal by itself?
Some ventricular septal defects can heal on their own. For ventricular septal defects smaller than five millimeters, some patients can heal on their own; the defects that generally heal are those in the membranous and muscular parts of the septum, and the younger the age, the greater the likelihood of healing. If the ventricular septal defect still exists after the age of five, it generally cannot heal on its own. For ventricular septal defects that do not heal spontaneously, if they significantly affect hemodynamics, interventional treatment or surgical surgery is needed for repair. If the impact of the ventricular septal defect on hemodynamics is not significant, regular follow-up examinations can be conducted to understand the condition of the disease.