

Di Zhi Yong

About me
Graduated from Harbin Medical University, now working at a hospital in Heilongjiang Province.
Proficient in diseases
Hypertension, coronary heart disease, ischemic cardiomyopathy.

Voices

Can patients with dilated cardiomyopathy have sexual activity?
It is advised to actively treat dilated cardiomyopathy and improve the patient's cardiac function. If the disease is not controlled, patients can still have sexual intercourse, but it will exacerbate their cardiac symptoms. If this disease is not actively and effectively controlled, it is not recommended to engage in sexual activity, as this could worsen the progression of the disease and is not conducive to recovery. During this period, it is advised that patients regularly visit the hospital for cardiac echocardiography checks. It is also best to regularly check complete blood counts, liver and kidney function, blood glucose, and blood lipids, as well as monitor their own blood pressure, heart rate, and pulse changes.

Does a ventricular septal defect easily cause pulmonary embolism?
Ventricular septal defect is a type of congenital heart disease. Currently, early surgical treatment is recommended for this disease, as it can lead to the formation of blood clots and easily cause pulmonary embolism. If pulmonary embolism occurs, this disease is very dangerous and can significantly impact human life. Therefore, early surgical intervention is the main approach. During this period, it is crucial to actively control the patient's blood pressure, heart rate, and pulse changes. At the same time, active and early surgical intervention should be carried out. If the defect area is large, it can also lead to heart failure, especially if murmurs are present in the precordial region, and it can easily cause palpitations, chest tightness, and breathing difficulties.

Pericardial effusion tracheal shift to which side?
If a patient presents with pericardial effusion, normally the trachea is displaced laterally, but specific circumstances can determine this. For minor or moderate amounts of pericardial effusion, the current treatment primarily involves pericardiocentesis to drain the fluid; symptomatic treatment is predominantly used. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. If the patient experiences a rapid heart rate and increased blood pressure, these conditions need to be actively managed. Early use of cardiotonic diuretics can help alleviate respiratory distress, wheezing, or shortness of breath after activity caused by the pericardial effusion. Regular cardiac echocardiography check-ups are also recommended for the patient.

Can mild regurgitation of the mitral and tricuspid valves be cured?
For the disease of mild regurgitation of the heart's mitral and tricuspid valves, which belongs to heart valve disorders, it can be improved with medication. However, this disease tends to recur, particularly in cases of upper respiratory tract infections or under the influence of inflammation, which can provoke the onset of this disease. This condition primarily manifests as symptoms like palpitations, chest tightness, and shortness of breath in patients. These symptoms especially include paroxysmal nocturnal dyspnea. Occasionally, there may also be swelling in the lower limbs. With aggressive medical treatment, these issues can be managed, but it is also advisable for patients to regularly come to the hospital for follow-up checks.

Can patients with dilated cardiomyopathy eat sea cucumber?
In general, if a patient is diagnosed with dilated cardiomyopathy, it is advised that the patient actively treats and controls the symptoms, as this disease tends to recur. If the patient's cardiac function declines, sometimes it may be necessary to use some anti-myocardial drugs to treat this disease. In terms of diet, it is generally recommended that the patient follows a light diet, especially avoiding spicy and stimulating foods. As for sea cucumber, I personally recommend eating it sparingly, as sometimes it can have certain impacts on the human body. It is still advisable to adhere to a light diet, focusing on eating more vegetables and fruits, while also educating patients to improve symptoms through dietary exercise.

Is a 5mm patent ductus arteriosus serious?
Patent ductus arteriosus is a type of congenital heart defect. Typically, the ductus arteriosus is expected to close on its own, but if it remains open over time and is larger than about five centimeters, it is crucial to seek surgical treatment at a hospital promptly. Currently, there are no particularly effective medications to improve this condition since it is a congenital heart disease. Early surgical intervention is recommended. This condition is considered serious, and during this period, it is important to actively prevent upper respiratory infections, as they can repeatedly lead to pulmonary inflammation.

Causes of fatigue in rheumatic heart disease
If the patient is diagnosed with rheumatic heart disease, and exhibits symptoms such as fatigue, numbness, or weak limbs, it could indicate a decline in heart function. It is recommended that the patient visit a hospital for a cardiac ultrasound to rule out these issues, as this condition is treatable. Currently, the treatment primarily focuses on symptomatic relief and improving heart function using cardiotonic diuretics, which can alleviate the patient’s current condition. If the patient experiences palpitations, difficulty breathing, or other similar symptoms, immediate attention is necessary. Ongoing monitoring of the patient's heart rate, blood pressure, and pulse changes is essential. If there is a high heart rate, or symptoms like swelling in the lower limbs, diuretics may be used to relieve these symptoms.

Can mild rheumatic heart disease be pregnant?
Generally, for patients with mild rheumatic heart disease, pregnancy is not recommended. Pregnancy can sometimes increase the burden on the heart, leading to heart failure. If this condition is treated in time, or if the patient has relatively good heart function and rheumatic heart disease rarely recurs, pregnancy can still be considered for young female patients. However, for rheumatic heart disease patients experiencing palpitations and chest tightness, it is best not to consider pregnancy. This condition can increase the load on the heart, especially in the late stages of pregnancy, and may further exacerbate heart failure.

What foods are good for ventricular premature beats?
Generally, it is recommended that patients eat foods that are easy to digest, and patients are encouraged to eat more vegetables, especially green vegetables, as this can effectively supplement vitamins and an appropriate intake of vitamins. Regarding meat, patients are encouraged to focus on a diet of high-quality proteins, eating more lean meats, fish, and eggs to adequately enhance nutrition. However, do not eat spicy and stimulating food, especially greasy food, and also avoid animal organs. Do not smoke or drink, as these can lead to the development of coronary heart disease. Regular electrocardiogram check-ups are also advisable.

Ventricular septal defect is prone to complications with which diseases?
Ventricular septal defect is a type of congenital heart disease, and if a patient frequently experiences this condition, it can easily lead to heart failure. It particularly can cause arrhythmia. If a patient experiences palpitations, chest tightness, or states of ischemia and hypoxia, it needs to be addressed. Currently, the primary treatment for this disease is surgical. Patients should also be encouraged to regularly and frequently have echocardiographic check-ups. If the defect is relatively large, surgical treatment is recommended, and this surgery is also a type of minimally invasive procedure, which has very good outcomes.