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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
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.
How to relieve vomiting caused by heart disease?
Treatment for vomiting caused by heart disease must depend on its cause. First, if caused by heart failure, as the symptoms of heart failure worsen, including right-sided heart failure, patients may experience nausea, vomiting, and bloating after eating. The key in these cases is to correct heart failure, perhaps with intravenous diuretic medications or the newer diuretic drug tolvaptan, which can alleviate symptoms of vomiting caused by heart failure. Secondly, digoxin toxicity can cause vomiting if patients with heart failure are taking too much or have been on digoxin for a prolonged period. The primary action in these instances is to discontinue the digoxin medication promptly. Thirdly, if associated with gastritis, treatment would involve medications to stop vomiting and oral omeprazole to protect the stomach lining. (Medications should be taken under medical supervision.)
Can pericardial effusion be drained?
In cases of moderate or large pericardial effusion, fluid can be drained, such as when the thickness of the pericardial effusion exceeds two centimeters. Draining the fluid can relieve the symptoms caused by the pericardial effusion, improve cardiac blood supply, and also allow for the collection of samples for routine and biochemical analysis of the effusion, as well as pathological examination. By analyzing the drained fluid, it is possible to determine the nature of the effusion, such as whether it is an exudate or a transudate. This can then further help in determining the cause of the effusion, where exudates are often caused by factors such as tuberculosis and cancer, while transudates are often due to heart failure or hypoproteinemia and other factors.
Can mild regurgitation of the heart's mitral and tricuspid valves be repaired?
Mild regurgitation of the heart's mitral and tricuspid valves is a very common phenomenon clinically. This mild regurgitation will not disappear nor can it be repaired. However, from a medical perspective, this mild regurgitation is a normal physiological phenomenon; it does not cause symptoms, does not affect health, and does not require treatment. Naturally, there is also no need to consider repairs. In daily life, it is important to maintain good habits, abstain from smoking and alcohol, engage in regular exercise, and have periodic health checks including blood pressure monitoring and blood tests for lipids and glucose. Early identification and proactive intervention in cases of high blood pressure, cholesterol, and blood sugar can effectively prevent worsening of this regurgitation.
Can a cardiac ultrasound detect thyrotoxic heart disease?
Cardiac ultrasound examinations cannot directly diagnose hyperthyroid heart disease, which often leads to an enlargement of the heart and a reduction in cardiac pumping function. Cardiac ultrasound can detect these structural changes in the heart caused by hyperthyroidism and can assess heart function, but it cannot determine if these are caused by an overactive thyroid. A combination of blood tests for thyroid function or a thyroid ultrasound is needed for a comprehensive diagnosis. If the thyroid ultrasound shows a rich blood flow in the thyroid region, appearing flame-like, or if the blood tests show a significant decrease in thyroid-stimulating hormone, in conjunction with cardiac ultrasound, it can confirm the presence of hyperthyroid heart disease.
Can mitral stenosis patients eat donkey-hide gelatin?
Mitral stenosis patients can consume donkey-hide gelatin, but the gelatin itself does not treat mitral stenosis. If there is mitral stenosis, especially severe stenosis, surgery should be undertaken as soon as possible. Without surgical treatment, as time progresses, mitral stenosis can cause the left atrium to enlarge, leading to atrial fibrillation, arrhythmias, and symptoms of heart failure. Additionally, atrial fibrillation can easily lead to thrombotic complications, such as causing a cerebral infarction. Severe cerebral infarction can lead to hemiplegia, long-term bed rest, significantly impacting the patient's quality of life, and increasing economic burdens. Early surgery can effectively prevent these complications.
How to exercise to recover from premature ventricular contractions?
For ventricular premature beats exercise, it should be judged based on whether there is structural heart disease. Firstly, for those with structural heart disease, such as dilated cardiomyopathy or valvular heart disease, the exercise should be based on the patient's physical tolerance. Engage in exercises that are not physically demanding, such as jogging, practicing Tai Chi, and park walking, taking not feeling fatigue or experiencing symptoms of breathlessness as references. Secondly, for those without structural heart disease, ventricular premature beats without structural heart disease or other diseases, such as pneumonic heart disease, these ventricular premature beats are often functional. Daily exercise generally has no apparent restrictions; activities such as running, playing ball, or swimming are all permissible.
Can people with arteriosclerosis drink alcohol?
Arteriosclerosis is a very common disease in daily life. After being diagnosed with arteriosclerosis, many patients often feel worried or anxious, and frequently ask their doctor if they can drink alcohol. The answer is yes, patients with arteriosclerosis can drink a moderate amount of alcohol, but should not drink excessively. As the saying goes, good liquor, when consumed properly, can be beneficial to health. Drinking in moderation can have certain health benefits. In addition, while drinking in moderation, it is also important to maintain good living habits, exercise regularly, quit smoking, and control weight to prevent the occurrence and progression of arteriosclerosis. (This should be done under the guidance of a doctor.)
Can atherosclerosis be cured?
Atherosclerosis is a very common disease in daily life. Many patients, after being diagnosed with atherosclerosis, often ask doctors "Can my atherosclerosis be cured?" The answer is no, as atherosclerosis cannot be completely cured. However, this does not mean that atherosclerosis is untreatable. From a medical perspective, controlling blood pressure, lipids, and blood sugar, maintaining good lifestyle habits, exercising regularly, quitting smoking, controlling weight, and following a doctor's guidance to properly take medications can effectively control the onset and progression of atherosclerosis.
How to deal with low blood pressure?
Low blood pressure in medicine refers to a systolic pressure below 90mmHg and a diastolic pressure below 60mmHg. So, what should one do after being diagnosed with low blood pressure? First, a formal examination is necessary, such as a blood test, to see if anemia might be causing the low blood pressure. Additionally, carrying out a cardiac ultrasound and an electrocardiogram (ECG) to check for potential heart diseases is advisable. Second, if anemia, heart diseases, or other conditions are ruled out as causes of the low blood pressure, appropriate medication can be taken to raise the blood pressure. For instance, certain traditional Chinese medicines, ginseng, Codonopsis pilosula, Glehnia littoralis, and Pseudostellaria heterophylla, can be helpful. One can take Chinese herbal decoctions under the guidance of a qualified Traditional Chinese Medicine doctor to help increase blood pressure. (Specific medications should be used under the guidance of a doctor; do not self-medicate.)