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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
Should fluid intake be controlled for pericardial effusion?
Whether pericardial effusion requires control of water intake depends on the cause of the pericardial effusion, as there are many reasons for it, such as heart failure, tuberculous pericarditis, tumors, and hypoproteinemia. Pericardial effusion caused by heart failure requires water intake restriction, as excessive drinking can aggravate the symptoms of heart failure. However, for pericardial effusion caused by tuberculosis or tumors, water intake does not significantly affect the pericardial effusion, so there is no need to deliberately control water consumption. Patients with pericardial effusion should quit smoking and avoid alcohol in their daily lives, as smoking and drinking can exacerbate the symptoms of pericardial effusion. Additionally, patients should not overexert themselves.
What should be paid attention to in daily life with dilated cardiomyopathy?
For dilated cardiomyopathy, attention should be paid to the following two aspects: First, maintain good living habits, such as a low-salt diet, abstaining from smoking and alcohol, and adhering to appropriate exercise when the condition is stable. At the same time, try to avoid staying up late and excessive fatigue. Second, standardized medication treatment should be carried out under the guidance of a doctor. This includes drugs such as the diuretic furosemide or spironolactone, as well as beta-blockers like metoprolol sustained-release tablets. Proper medication can improve symptoms, reduce the occurrence of heart failure, and lessen hospital visits, thereby improving life quality and extending life span. Never stop or switch any medication on your own at home. (Please consult a doctor before using any medication)
Normal blood pressure, high blood pressure, and low blood pressure ranges.
Normal adult systolic blood pressure is between 90-139mmHg, and diastolic pressure is between 60-89mmHg. When the systolic pressure exceeds 140mmHg and the diastolic pressure exceeds 90mmHg, this condition is medically referred to as hypertension. When the systolic pressure is below 90mmHg and the diastolic pressure is below 60mmHg, this condition is medically referred to as hypotension. Regardless of whether it is hypertension or hypotension, it often causes symptoms in patients, such as headache, dizziness, and fatigue. Therefore, whether it is hypertension or hypotension, one should visit the hospital's department of cardiology for a formal examination. The doctor will assess the situation on-site to determine if treatment is necessary and how to administer it.
Is pericardial effusion prone to recurrence?
Whether pericardial effusion is prone to recurrence depends on the causes of the effusion. There are many causes of pericardial effusion, such as organic heart disease, heart failure, tumors, tuberculosis, and hypoproteinemia, all of which can lead to the development of pericardial effusion. Among these, pericardial effusion caused by tuberculous pericarditis will not recur as long as standardized anti-tuberculosis treatment is administered and the tuberculosis is controlled. However, pericardial effusion caused by heart failure may recur repeatedly because heart failure itself can also recur. Moreover, pericardial effusion caused by tumors, if the tumors cannot be eradicated, often also recurs.
The difference between cardiomyopathy and coronary heart disease
Cardiomyopathy refers to a type of disease characterized primarily by organic changes in the myocardium, such as dilated cardiomyopathy, hypertrophic cardiomyopathy, and restrictive cardiomyopathy. These diseases are characterized mainly by pathological changes in the myocardium itself, forming a category of heart diseases. In contrast, coronary heart disease often refers to a type of heart disease caused by the narrowing of the coronary arteries due to atherosclerosis, leading to insufficient blood supply to the heart. Cardiomyopathy often manifests as damage to the myocardium, while coronary heart disease often manifests as blockage of the blood vessels. This is the fundamental difference between these two categories of heart diseases.
How to eliminate pericardial effusion and ascites?
The methods for eliminating pericardial effusion and ascites mainly include the following aspects: First, etiological treatment, which involves treating the underlying causes of pericardial effusion and ascites. For instance, if tuberculosis is the cause, standard anti-tuberculosis treatment should be administered. Once tuberculosis is under control, the ascites and pericardial effusion will naturally resolve. Second, symptomatic treatment, such as the use of diuretic drugs, can reduce the phenomenon of pericardial effusion and ascites in some patients. If there is hypoproteinemia, appropriate supplementation with albumin can effectively improve the effusion. Third, fluid drainage treatment, if the amount of pericardial effusion and ascites is large, puncture and fluid drainage can be performed to alleviate the pericardial effusion and ascites, and at the same time, further investigate the cause of the effusion.
How to diagnose atrial fibrillation?
Atrial fibrillation, abbreviated as AF, refers to rapid and irregular beating of the atrial chambers of the heart. How should one be examined after being diagnosed with atrial fibrillation? Generally, the examination for atrial fibrillation involves the following aspects: First, blood tests, such as thyroid function tests, to see if there is hyperthyroidism causing the atrial fibrillation. Second, echocardiography. This test can reveal whether there are any heart valve diseases or myocardial diseases that might lead to atrial fibrillation. Third, electrocardiogram (ECG) and Holter monitor. Both ECG and Holter monitoring are effective and non-invasive tests that confirm the diagnosis of atrial fibrillation.
Does pericardial effusion require diuresis?
Whether pericardial effusion requires diuretic treatment depends on the cause of the pericardial effusion. If the pericardial effusion is caused by heart failure, the patient often experiences symptoms of heart failure such as difficulty breathing, fatigue, and swelling of the limbs. In this case, diuretic treatment is necessary. Appropriate diuretic treatment can effectively improve the symptoms of heart failure, reduce the degree of pericardial effusion, and may even avoid the need for pericardial puncture. If the pericardial effusion is caused by tuberculosis, diuretic treatment often cannot effectively reduce the pericardial effusion. If the amount of pericardial fluid is large, puncture and fluid extraction are often needed to improve symptoms, while actively treating the tuberculosis causing the condition.
Can heart disease cause numbness in the hands?
Heart disease, such as coronary atherosclerotic heart disease, can potentially cause numbness in the hands. When angina or myocardial infarction of coronary heart disease occurs, there is often severe chest pain. This chest pain may be accompanied by pain and numbness in the left shoulder or left hand. During episodes of pain, an electrocardiogram often shows significant ST depression or ST elevation. This condition is commonly seen in middle-aged and elderly patients. In addition, cervical spondylosis can also cause numbness in the hands, often seen in young people who spend long periods looking down at their mobile phones or using computers, usually showing symptoms of neck pain. A cervical spine MRI can often determine whether cervical spondylosis is causing these symptoms.
Do you need to take medication for a long time for dilated cardiomyopathy?
Patients with dilated cardiomyopathy need long-term or even lifelong medication because dilated cardiomyopathy is an incurable disease that requires medication to properly control the onset of heart failure symptoms. The symptoms of heart failure due to dilated cardiomyopathy can easily recur, leading to repeated hospitalizations, often related to the patient's irregular medication use or arbitrary discontinuation of medication. Therefore, patients with dilated cardiomyopathy must take medication under a doctor's guidance for long periods, such as using diuretics and medication like sustained-release metoprolol, etc. At the same time, it is important to maintain good living habits, a low-salt diet, a good emotional state, and conduct moderate exercise under stable conditions.