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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.
Voices
Is high diastolic pressure considered high blood pressure?
If the diastolic blood pressure exceeds 90 mmHg, hypertension should also be considered. Patients with a high diastolic blood pressure who do not actively undergo hypotensive treatment can suffer long-term damage to target organs such as the heart, brain, and kidneys, as well as severe hypertensive complications. For patients with high diastolic blood pressure, it is also necessary to adopt effective lifestyle adjustments and choose clinically frontline antihypertensive drugs for long-term treatment. Only by effectively controlling elevated diastolic pressure in the long term can severe target organ damage and hypertensive complications be avoided, thus improving the clinical prognosis for patients with hypertension.
Is a ventricular trigeminy serious?
Whether the severity of ventricular premature contractions in trigeminy is serious or not depends on the specific condition of the patient. If it occurs in a healthy individual due to certain triggers such as excessive smoking and drinking, extreme fatigue, and repeated staying up late, and is not caused by an organic disease, the condition is generally not serious. With prompt elimination of these triggers, it can be quickly alleviated. If it occurs on the basis of severe organic heart disease, the condition is more serious at this time. Sometimes the malignant degree of this trigeminy of ventricular premature contractions can be significant, and it may induce malignant ventricular arrhythmias, leading to sudden cardiac death. Therefore, it is necessary to provide relevant treatment as soon as possible to avoid adverse consequences.
What are the symptoms of atrial fibrillation?
The most common symptoms of atrial fibrillation episodes are chest tightness, palpitations, shortness of breath, and fatigue. When atrial fibrillation causes a significant decrease in cardiac output, it can also lead to insufficient cerebral blood supply, causing symptoms such as dizziness and blackouts. Occasionally, it may also cause fainting in patients. When coronary artery blood supply is insufficient, it can also trigger angina attacks. Moreover, if atrial fibrillation leads to heart failure, it can cause significant respiratory difficulty. Atrial fibrillation is a common arrhythmia clinically. The treatment of atrial fibrillation should be based on the specific situation, choosing either cardioversion or controlling the ventricular rate. Cardioversion can be achieved through medication or radiofrequency ablation surgery, while controlling the ventricular rate can be managed with β-blockers, amiodarone, digoxin, and other drugs. In treating atrial fibrillation with ventricular rate control, patients need to take anticoagulants long-term to prevent the occurrence of peripheral arterial embolism. (Please follow medical advice regarding medications.)
How to prevent high blood pressure
The main methods to prevent hypertension are as follows: 1. Maintain a balanced diet, avoid long-term excessive intake of sodium salt, and make sure to consume plenty of fresh vegetables and fruits to supplement adequate amounts of potassium salt and dietary fiber; 2. Regularly participate in sports and physical labor, maintain an active lifestyle, avoid a sedentary lifestyle, and prevent significant weight gain; 3. Combine work with rest to avoid repeated fatigue and staying up late; work should be flexible, and ensure sufficient sleep at night; 4. Maintain a good mood, avoid frequent emotional fluctuations, and also avoid long-term mental overstrain; 5. Do not smoke and avoid excessive drinking.
Is mild mitral regurgitation a disease?
Mild mitral regurgitation can be caused by diseases or it can also be seen in healthy individuals. In healthy people, as age increases, the valve may experience some aging, leading to mild regurgitation. This mild mitral regurgitation is not considered a pathological condition and does not require treatment. Of course, mild mitral regurgitation can also be seen in some organic heart diseases, most commonly due to heart enlargement caused by various diseases leading to relative mild mitral regurgitation. For mild mitral regurgitation caused by diseases, it is important to effectively treat the related diseases to maintain stability of the condition, to prevent the disease from worsening and causing the heart to enlarge further, leading to more severe mitral regurgitation.
What to do about reduced urine output in the late stage of rheumatic heart disease?
Patients with rheumatic heart disease who experience oliguria in the late stage should consider the possibility of heart failure as the cause. Due to heart failure leading to a decrease in cardiac output, renal blood perfusion is reduced, which in turn causes symptoms of oliguria. Additionally, if the patient also has renal function impairment, it will further exacerbate the symptoms of oliguria. It is important for patients with rheumatic heart disease who experience symptoms of oliguria to seek medical attention promptly and receive active treatment as soon as possible. Medications to control heart failure should be administered to increase the heart's contractility and cardiac output, improve renal perfusion, and diuretics should be given to increase urine output. With heart failure under control, the patient's condition can be alleviated. For patients with rheumatic heart disease, if there are indications for surgery, timely surgical treatment should be provided.
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.