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Zhang Yue Mei
Cardiology
About me
Member of the Jining Branch of the Shandong Respiratory Society and the Jining Emergency Medicine Poisoning Society. Graduated from Jining Medical College, engaged in clinical work in internal medicine and emergency medicine for over 30 years, with rich experience in diagnosing and treating common and prevalent diseases in internal medicine and internal medicine emergencies. Has unique insights in the application of integrated traditional Chinese and Western medicine in the treatment of cardiovascular diseases. Authored more than 10 articles published in national journals, including "Clinical Analysis of 50 Cases of Acute Episodes of Pulmonary Heart Disease Treated with Integrated Traditional Chinese and Western Medicine" and "Treatment of Coronary Heart Disease Blood Stagnation Type from the Perspective of Phlegm". Organized and participated in the "Clinical Study of Blood Lipid Clearing Treatment for Primary Hyperlipidemia" and was awarded the third prize for scientific research achievements in Jining City. Contributed to the editing of two works, including the "Clinical Diagnostic Techniques Manual".
Proficient in diseases
With extensive experience in common and frequently-occurring diseases in cardiology, there is unique expertise in using a combination of traditional Chinese and Western medicine to treat cardiovascular system diseases.
Voices
Which department should I go to for coronary heart disease?
Coronary heart disease, formally known as coronary atherosclerotic heart disease, is a type of ischemic heart disease caused by the atherosclerosis of the coronary arteries, and one should register with the department of cardiology. Coronary heart disease can cause significant harm to the body and requires treatment under the guidance of a cardiologist in the department of cardiology. Effective medications are used to relieve symptoms, improve myocardial blood supply, and treatments commonly include methods such as dilating the coronary arteries, invigorating the blood, nourishing the myocardium, and regulating blood lipids, to prevent the progression of coronary heart disease.
The harm of low blood pressure
Low blood pressure can pose certain risks to the body, especially when it is persistently low, which may lead to insufficient blood supply to vital organs. The brain, particularly sensitive to ischemia and hypoxia, can suffer from inadequate blood supply due to prolonged low blood pressure, or even experience strokes. Low blood pressure can also lead to insufficient cardiac blood supply, causing ischemic heart disease. In particular, long-term low blood pressure can damage the kidneys, leading to renal failure and causing irreversible pathological changes. Therefore, patients with chronic low blood pressure should receive active treatment to alleviate their condition and protect vital organs.
The standard for low blood pressure
The diagnostic criteria for hypotension are that if both systolic and diastolic pressures are below normal levels, it is diagnosed as hypotension. Normal blood pressure ranges from 90-140 mmHg for systolic and 60-90 mmHg for diastolic. A clinical diagnosis of hypotension is made if the systolic pressure is below 90 mmHg and diastolic pressure is below 60 mmHg. There are many causes of hypotension, which can result from certain diseases, blood loss, anaphylactic shock, heart failure, etc. Hypotension can also be caused by physiological reasons such as an unreasonable diet structure, lack of nutrition, or lack of energy. Regardless of the cause, any instance of hypotension requires appropriate treatment.
Does myocarditis require hospitalization?
Myocarditis is an infectious disease caused by viral infection leading to myocardial damage. Particularly extensive myocardial damage can pose significant risks to life and cause serious complications. Common complications include heart failure and arrhythmias, with severe cases possibly leading to sudden death. Therefore, patients with myocarditis must be hospitalized for treatment. Under the observation of doctors and nurses, effective rest can be ensured, and treatments such as antiviral and myocardial nutrition can be applied to prevent the occurrence of complications.
What is a good diet for heart failure?
Heart failure is one of the most common complications of various organic heart diseases. After the onset of heart failure, it is necessary to use effective medications to treat the primary disease causing the heart failure. At the same time, methods such as cardiotonics, diuretics, and vasodilators should be used to reduce the burden on the heart as much as possible and correct heart failure in a timely manner. Patients with heart failure should rest, keep calm, and avoid overexertion in daily life. Their diet should primarily consist of low-fat and low-salt foods, and they should abstain from smoking and drinking alcohol. They should avoid spicy foods, pickled foods, and overly salty foods. Eating overly salty foods can increase blood volume, increase the burden on the heart, and worsen heart failure. (The use of medications should be conducted under the guidance of a professional doctor.)
How do you get heart disease?
There are many causes of heart disease, the most common being coronary atherosclerotic heart disease, which is due to long-term hyperlipidemia leading to arteriosclerosis. After the coronary arteries harden, the lumen narrows, resulting in insufficient myocardial blood supply and the onset of coronary heart disease. Rheumatic heart disease occurs when the body is infected with streptococcus and does not receive adequate treatment, leading to an abnormal immune response that attacks the heart valves, causing valve damage. Pulmonary heart disease is caused by long-term insufficient ventilation leading to emphysema, and pulmonary hypertension increases the resistance on the heart, causing right ventricular hypertrophy.
What should I do about swollen feet caused by rheumatic heart disease?
Patients with rheumatic heart disease who experience swelling in their feet usually suffer from heart failure. First and foremost, it is important to rest and avoid excessive exertion to alleviate the burden on the heart, ensuring adequate sleep and relaxation, maintaining a pleasant mood, consuming easily digestible foods, and following a low-fat, low-salt diet, particularly avoiding high-sodium foods. Eating foods high in sodium can lead to water and sodium retention, which increases the burden on the heart and worsens swelling. In severe cases, it is necessary to use effective diuretic medications under the guidance of a doctor to reduce the cardiac load and eliminate fluid retention.
the recurrence rate of myocarditis
The most common type of myocarditis clinically seen is viral myocarditis, which is a localized or diffuse cardiac injury resulting from viral infections. Mild myocardial damage, when treated effectively under the guidance of a doctor, typically does not recur after recovery. Recurrence referred to involves serious myocardial damage, or lack of systematic treatment, leading to complications such as heart failure and arrhythmias. These complications often exacerbate under certain triggering factors like infections, colds, excessive fatigue, emotional excitement, overeating, constipation, etc., increasing the cardiac load and causing the recurrence of heart failure and arrhythmias.
What should people with low blood pressure eat?
No matter what the cause of low blood pressure, it is necessary to supplement with nutrients. Therefore, patients with low blood pressure should consume foods high in quality protein such as milk, eggs, lean meat from animals, fish, and shrimp. These foods not only provide high-quality protein needed by the human body but also supply a variety of vitamins and trace elements, enhancing physical constitution. Additionally, consuming more salty soups, vegetable soups, chicken broth, and fish soup can not only provide rich nutrients but also quickly increase blood volume, thereby raising blood pressure.
Coronary heart disease is related to anemia.
Coronary heart disease and anemia are not the same type of diseases; they differ in mechanisms of onset, clinical symptoms, and treatment methods. Coronary heart disease is caused by long-term arteriosclerosis, leading to narrowing of the coronary arteries, which causes ischemia and damage to the myocardium, hence it is called coronary heart disease. The treatment for coronary heart disease involves the use of medications to improve blood supply by dilating the coronary arteries, as well as medications to promote blood circulation and remove blood stasis. Anemia is due to a reduction in blood cells, causing ischemia in peripheral tissues and organs, leading to a series of clinical manifestations. Treatment involves supplementing blood or providing hematopoietic elements, depending on the cause of the anemia.