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Li Hai Wen
Cardiology
About me
Li Haiwen, a master's degree student, associate chief physician, has been engaged in clinical cardiology and cardiovascular disease intervention for 9 years. In 2015, he was transferred from the Cardiology Department of Hainan Medical University Affiliated Hospital to the Cardiology Department of Guiyang Second Traditional Chinese Hospital. He has studied for one year respectively at the Guangdong Cardiovascular Institute and the Cardiac Catheterization Lab of West China Hospital, Sichuan University, focusing on radiofrequency ablation for cardiac arrhythmias and pacemaker intervention therapy. He has passed the Ministry of Health's entrance examination for pacemaker and electrophysiology intervention physicians. He has also undertaken a short-term study visit at the Electrophysiology Center of Korea Goryeo University. His main research direction is the intervention diagnosis and treatment of cardiovascular diseases, with proficiency in pacemaker implantation (temporary and permanent pacemakers) and coronary intervention therapy as well as left ventriculography.
Proficient in diseases
Specializing in radiofrequency ablation for arrhythmias, able to make rapid and accurate diagnoses and perform radiofrequency ablation treatment for various supraventricular tachycardias. Proficient in independently using the CARTO 3.0 system and Ensite Velocity system to perform radiofrequency ablation treatment for complex arrhythmias such as atrial flutter (left atrium, right atrium) and ventricular arrhythmias (ventricular premature beats, ventricular tachycardia).
Voices
The causes of reduced urine output due to pericardial effusion
Pericardial effusion can potentially lead to reduced urine output. This occurs because in patients with pericardial effusion, the diastolic function of the heart is restricted, limiting the blood volume during the diastolic phase. This, in turn, reduces the amount of blood pumped by the heart during the systolic phase, ultimately leading to ischemia. To ensure the blood supply to vital organs like the brain, the heart reduces its blood supply, impacting the glomerular filtration rate, and thus symptoms of reduced urine output can occur. Additionally, symptoms such as limb edema, shortness of breath, respiratory difficulties, and chest tightness often accompany these. As pericardial effusion can cause congestion in the gastrointestinal tract, some patients may also experience abdominal distension, nausea, and vomiting among other digestive symptoms. A pericardial effusion ultrasound can definitively diagnose a pericardial effusion.
How to prevent heart disease
As the aging society approaches, the incidence of heart disease is gradually increasing. So, how can we effectively prevent heart disease? Generally, to prevent heart disease, you can start from the following aspects: First, maintain good living habits, adhere to a low-salt, low-fat diet, eat less spicy and greasy food, and persist in exercising. Maintaining good living habits is very important. Second, control the "three highs" such as high blood lipids, high blood sugar, or high blood pressure. It is necessary to undergo standardized treatment under the guidance of a doctor to control blood lipids and blood sugar.
Does pericardial effusion cause proteinuria?
Pericardial effusion generally does not cause proteinuria. Conditions that cause proteinuria mainly include hypertension and diabetes, which are common causes of proteinuria in the elderly. Additionally, patients with glomerulonephritis may also experience proteinuria, but this is more often seen in younger people. Pericardial effusion primarily affects the heart, leading to reduced cardiac pumping and resulting in ischemia and hypoxia, which can cause symptoms such as dyspnea, fatigue, and limb edema. In cases of significant pericardial effusion, cardiac tamponade may occur, leading to a sharp drop in blood pressure, with the patient experiencing profuse sweating, cold and clammy skin, and confusion, which are signs of hypotensive shock and often require emergency pericardial fluid drainage to alleviate symptoms.
Can elderly people with atrial fibrillation take calcium tablets?
Elderly patients with atrial fibrillation can take calcium supplements if their condition requires it, such as those with osteoporosis. Generally, taking calcium supplements does not affect atrial fibrillation nor does it impact the effectiveness of the medications treating atrial fibrillation. However, calcium supplements themselves do not have an effect on atrial fibrillation and cannot reduce the occurrences of atrial fibrillation episodes. When atrial fibrillation occurs repeatedly, it is necessary to take anticoagulant medications under the guidance of a doctor, such as warfarin or the newer oral anticoagulant medication rivaroxaban, to prevent the formation of blood clots and avoid complications caused by clots from atrial fibrillation. Additionally, if the heart rate is fast, it is appropriate to take medications that control heart rate to improve symptoms.
How to check for arteriosclerosis?
Arteriosclerosis is a relatively common disease in our daily life. After being diagnosed with arteriosclerosis, the following tests should be considered: Firstly, blood tests, such as lipid panels, are necessary to determine the levels of blood lipids. Based on the results, medication might be required for treatment. Secondly, arterial Doppler ultrasound is useful as it can effectively detect the presence and severity of arteriosclerosis. Thirdly, arterial angiography is recommended when there is a strong suspicion of arterial narrowing due to arteriosclerosis, leading to coronary heart disease or other conditions. This test helps in determining the severity of the arteriosclerosis and in deciding the treatment plan.
Postoperative complications of atrial septal defect intervention surgery
Atrial septal defect is a relatively common congenital heart disease in clinical practice. Minimally invasive interventional treatment can effectively address atrial septal defects and generally leaves no surgical scars. The complications of atrial septal defects can be analyzed from the following aspects: First, puncture complications. Atrial septal defects require the puncture of the femoral vein. A small number of patients may experience complications such as arteriovenous fistula, pseudoaneurysm, or hematoma at the puncture site. Generally, these complications are not serious and do not endanger the patient's life. Second, complications from dislodged occlusion devices. If the occlusion device becomes dislodged, it can lead to serious complications, including obstruction of the relevant blood vessels. Third, hemolytic reactions. A small number of patients may develop hemolytic reactions to the occlusion device. Such complications are also quite serious; however, they are very rare in clinical practice and do not require excessive concern.
Do you have to take medication for life for dilated cardiomyopathy?
Dilated cardiomyopathy refers to a disease characterized by an enlarged heart, especially significant enlargement of the left ventricle, along with a severe reduction in the heart's ejection fraction. Those diagnosed with dilated cardiomyopathy generally require long-term, and possibly lifelong, medication management. This includes diuretic medications such as furosemide or spironolactone, and β-blocker agents such as metoprolol or bisoprolol. These medications can effectively improve symptoms of heart failure caused by dilated cardiomyopathy, enhance quality of life, and even extend lifespan. Therefore, it is crucial for patients with dilated cardiomyopathy to take medications as prescribed by a doctor and not to discontinue them arbitrarily.
Can hormones be used for atrial fibrillation?
Patients with atrial fibrillation can use steroids, but in principle, it is best not to use them. This is because the use of steroids can cause excitement of the sympathetic nerves, leading to an increased heart rate, which in turn can trigger an episode of atrial fibrillation and cause uncomfortable heart symptoms, such as palpitations, chest tightness, shortness of breath, and difficulty breathing. Of course, atrial fibrillation is not a contraindication for the use of steroids. If the condition requires it, such as during an asthma attack or certain immunological diseases, steroids can be used. When using steroids, it is important to strengthen observation and inform the patient to seek timely medical attention at a hospital if symptoms of an atrial fibrillation episode, such as palpitations or chest tightness, occur.
Postoperative precautions for atrial septal defect surgery
Ventricular septal defect surgery is often divided into surgical operations and interventional treatments by the Department of Internal Medicine. For interventional treatments, it is important to rest in bed for 24 hours afterwards. Also, the site of the puncture needs to be immobilized for at least eight hours, so it is important to regularly check the heart with an echocardiogram after the surgery. After surgical operations, it is important to maintain a balanced diet with easily digestible foods. Within a month after surgery, try to avoid strenuous activities, and regularly check the heart with an echocardiogram under the guidance of a doctor.
What vegetables should be eaten for high blood pressure?
Hypertension is a common disease in our daily life. What vegetables should people with hypertension eat? Pay attention to the following aspects: First, eat less salty food, especially pickled foods, such as salted pork, cured meat, and pickled fish products; these should be consumed in moderation. Second, eat more vegetables and fruits, such as celery, bitter melon, cabbage, and tomatoes. These vegetables are very helpful for our health. Likewise, fruits such as apples and pears, which are rich in Vitamin C, also assist in maintaining good health.