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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
Rescue of hypotensive shock
Low blood pressure is an important clinical symptom and diagnostic indicator of shock. Regardless of what causes the shock, the presence of low blood pressure, along with cold limbs, cold sweat, reduced urine output, and an indifferent expression, indicates insufficient peripheral vascular perfusion. Prolonged insufficient perfusion can lead to damage to vital organs. Therefore, timely emergency treatment is essential to elevate blood pressure and save the patient's life. The initial steps include administering oxygen to ensure the oxygenation of vital organs, replenishing blood volume, using vasopressors, and providing timely emergency treatment to save the patient's life.
What is the range for low blood pressure?
Blood pressure is an important indicator of human vital signs. Normal blood can meet the demands of human life activities and the blood supply to major organs. Too low blood pressure can severely affect human health and even endanger life. Normal blood pressure ranges from 90 to 140 mmHg for systolic and 60 to 90 mmHg for diastolic pressure. A systolic pressure below 90 mmHg and a diastolic pressure below 60 mmHg is considered low blood pressure. Diagnosis should also take into account underlying diseases, clinical symptoms, and other factors.
Does sudden cardiac death have a connection with overwork?
Sudden cardiac death is directly related to overexertion, particularly in individuals with coronary heart disease, congenital heart disease, rheumatic heart disease, viral myocarditis, and heart rhythm disorders, especially those accompanied by heart failure. Excessive strain can increase the burden on the heart, exacerbate heart failure, lead to arrhythmias, and in severe cases, result in sudden death. Therefore, patients with structural heart disease must follow a doctor's guidance to routinely use effective medications for treatment, rest adequately, avoid overexertion, and maintain a low-fat, low-salt diet to minimize factors that increase cardiac load and prevent the occurrence of sudden death.
What is the range for low blood pressure?
Blood pressure below normal is clinically diagnosed as hypotension. Normal blood pressure ranges from 90 to 140 mm Hg systolic and 60 to 90 mm Hg diastolic. If the systolic pressure is below 90 mm Hg and the diastolic pressure is below 60 mm Hg, it is clinically diagnosed as hypotension. Symptoms of hypotension often include fatigue, dizziness, palpitations, shortness of breath, and darkening before the eyes. Mild hypotension may not present any clinical symptoms, while severe hypotension requires treatment based on clinical symptoms and the underlying disease to correct it.
How to deal with low blood pressure?
The management of low blood pressure requires different approaches depending on the cause of the hypotension and the severity of the condition. For mild hypotension not caused by a primary disease, it is important to rest, avoid staying up late, and consume more broth to stabilize or increase blood pressure. Hypotension caused by a disease, especially severe hypotension, requires emergency treatment in a hospital. Severe hypotension can be life-threatening and may require the use of vasoactive drugs, replenishment of blood volume, and other emergency measures to improve blood supply to the periphery and ensure blood supply to vital organs.
Chronic heart failure means
Chronic heart failure refers to a condition where the heart is unable to effectively pump blood throughout the body to meet the needs of vital organs, leading to a series of clinical symptoms caused by venous congestion and arterial ischemia. Symptoms include post-activity palpitations, orthopnea, swelling of the lower limbs, and enlarged liver. This condition causes great distress to patients and requires long-term use of effective medications to alleviate chronic heart failure. Patients with chronic heart failure need to ensure adequate rest, avoid overexertion, adhere to a low-salt diet, and limit the intake of spicy and greasy foods to prevent exacerbation of heart failure.
Is low blood pressure dangerous?
Severe hypotension is very dangerous. Hypotension is a diagnostic indicator of shock. Excessively low blood pressure leads to insufficient perfusion of the microcirculation, especially in vital organs such as the brain, heart, and kidneys, which can cause ischemia and hypoxia, leading to the failure of these organs and endangering life safety. Therefore, the occurrence of hypotension, especially severe hypotension, requires active resuscitation. Initially, it is necessary to administer fluids to supplement blood volume and make corrections, while also using some vasopressor medications to treat the disease causing the hypotension, achieving a blood pressure-raising effect to save lives.
Can people with myocardial infarction drink coffee?
Patients with myocardial infarction should not drink coffee. After suffering a myocardial infarction, it is crucial to immediately go to the hospital for emergency treatment. Failure to receive timely treatment can lead to serious complications, including heart failure, arrhythmias, and cardiogenic shock. Patients with myocardial infarction need to rest, quit smoking and drinking, and avoid eating irritating foods. Coffee contains caffeine, which stimulates the sympathetic nervous system. Consuming coffee can excite patients, increase heart rate, and lead to increased oxygen consumption by the heart, which increases the burden on the heart and adversely affects the condition.
Rheumatic heart disease causes
The primary cause of rheumatic heart disease is an abnormal immune response caused by infection with hemolytic streptococcus, which leads to damage of the heart valves. This damage results in narrowing or insufficiency of the valves, altering the hemodynamics within the blood and increasing the burden on the heart, thereby causing a series of clinical symptoms. Early control of streptococcal infections can reduce the occurrence of rheumatic heart disease. Common streptococcal infections include upper respiratory tract infections, acute tonsillitis, and suppurative tonsillitis. Actively using effective antibiotics to control these infections can greatly reduce the incidence of rheumatic heart disease.
What should patients with cardiomyopathy pay attention to?
Patients with cardiomyopathy need to rest adequately, avoid overexerting themselves, and not get overly emotional to keep their mood calm and prevent an increased burden on the heart, which could trigger heart failure. In their diet, they should consume easily digestible foods that are high in superior protein and eat plenty of fruits and vegetables. These foods can provide the high-quality proteins, vitamins, and trace elements needed by the body, enhancing immunity and disease resistance. In the event of thrombosis and myocardial cell repair, systematic medication treatment under a doctor's guidance is essential to promote myocardial repair.