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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
Is sinus arrhythmia serious?
Sinus arrhythmia is a relatively common type of arrhythmia in clinical practice. It is typically identified through electrocardiogram testing. If no other specific symptoms are present other than sinus arrhythmia, sinus bradycardia, or sinus tachycardia, and if there is no structural heart disease, generally, there are no serious concerns. Often, these kinds of arrhythmias are caused by autonomic nervous system dysfunction, leading to an imbalance between the sympathetic and parasympathetic nerves. To address this irregular heartbeat, it is advisable to rest adequately in daily life and to include some aerobic exercise. Exercise can enhance cardiac contractility and strengthen regular heart function, which can help correct the arrhythmia.
Can people with cardiomyopathy run?
Whether a person with myocardial disease can run or not depends on the extent of myocardial damage and clinical symptoms. If the myocardial damage is severe and there are significant clinical symptoms of heart failure and arrhythmia, this group should not run and needs bed rest. If strenuous activity would worsen heart failure, the myocardial damage is mild, with no typical clinical symptoms, and does not affect daily activities, this group can engage in appropriate exercises like walking or running, but the duration should not be too long, about 20 to 30 minutes each time.
How to treat low blood pressure?
The treatment of hypotension varies based on the cause and the underlying diseases. Mild hypotension without any accompanying diseases can often be managed by nutritional adjustments, proper rest, avoiding overwork, and refraining from staying up late and smoking. These measures can help gradually increase blood pressure. In cases where hypotension is caused by shock, bleeding, or heart disease, treatment should address these conditions while also replenishing blood volume and administering antihypertensive drugs as necessary. Severe hypotension can be life-threatening, thus, acute and severe low blood pressure is considered a critical condition that requires immediate emergency treatment.
Is cardiomyopathy life-threatening?
Whether cardiomyopathy poses a threat to life depends on the severity of the condition. Mild myocardial damage, if detected early, diagnosed early, and treated with effective medications in a timely manner, generally has a good prognosis, poses no threat to life, and leaves no sequelae. Severe myocardial damage, due to lack of timely treatment, can lead to serious complications such as heart failure, arrhythmias, and cardiogenic shock, which can endanger life safety. Therefore, early diagnosis, early treatment, and prevention of complications are crucial treatment measures for cardiomyopathy.
How to alleviate low blood pressure
How to alleviate low blood pressure depends on the cause of the low blood pressure and the degree to which the blood pressure has decreased. For mild low blood pressure without any primary disease, it is necessary to rest and consume high-protein, high-nutritional foods, especially high intake of broth, chicken soup, ginseng, sea cucumber soup, etc., which can effectively raise blood pressure. If the low blood pressure is caused by a disease and the blood pressure is relatively low, it is necessary to treat the primary disease while correcting the blood pressure. First, blood volume should be supplemented to raise blood pressure. In severe cases, pressor drugs should be used, and when blood pressure reaches a normal level, it is maintained to supply blood to important organs.
How to regulate low blood pressure
How to adjust for low blood pressure depends on the causes of the low blood pressure and the severity of the condition. Different adjustments and treatments are necessary. Mild low blood pressure not secondary to any disease is caused by physical weakness and an unreasonable dietary structure leading to decreased blood pressure. This only requires adjusting the dietary structure, consuming a high-energy, high-nutrient diet, eating broths, and paying attention to rest to improve the state of low blood pressure. If the blood pressure is too low and accompanied by other diseases such as infection, allergies, or bleeding, which cause the low blood pressure, the primary disease should be treated first. At the same time, under the guidance of a doctor, effective antihypotensive medication should be used for treatment.
Heart Failure Drug Therapy
Due to some myocardial diseases that cause damage to the myocardium, or other reasons that increase the heart's load, heart failure may occur. Clinical treatment involves strengthening the heart and promoting diuresis, improving blood vessel function, increasing the heart’s contractility, reducing the heart’s resistance, and decreasing the volume of blood returning to the heart. Through these effective drug treatments, heart failure can be corrected. Patients with heart failure should avoid excessive fatigue and maintain a low-salt diet to prevent increasing the burden on the heart.
What is good to eat for myocardial infarction?
After suffering from myocardial infarction, it is necessary to use effective drug treatments under the guidance of a doctor, and at the same time, dietary structure should be appropriately adjusted. Consume easily digestible foods and avoid spicy and greasy foods. You can eat some foods containing high-quality protein, high vitamins, and high trace elements, such as milk, eggs, lean meat of animals, and sea cucumber. These foods contain high-quality protein, which can enhance immunity and promote the repair of myocardial tissue. Consume more vegetables containing crude fiber, such as celery, spinach, and winter melon. These vegetables can not only supplement trace elements and vitamins but also help in easing bowel movements, relieving constipation, and reducing the burden on the heart. Focus on consuming green leafy vegetables. For fruits, choose kiwi, grapefruit, and oranges which are rich in vitamin C and potassium. Avoid smoking and drinking alcohol, and avoid strong tea, coffee, and foods that are too cold, too hot, spicy, or stimulating.
Emergency treatment for high blood pressure
Hypertension is currently a common and frequent disease, especially among middle-aged and elderly people. It requires the use of proper antihypertensive drugs to lower blood pressure back to a normal range to ensure the blood supply to the heart and brain. If medication is not taken on time, or due to emotional excitement or excessive fatigue, there can be a sudden increase in blood pressure. Immediate use of effective antihypertensive drugs is necessary to lower the blood pressure to a safe range to prevent accidents. In case of a hypertensive emergency, one should go to the hospital for active treatment to avoid life-threatening risks.
Can premature ventricular contractions be cured?
Ventricular premature beats are a relatively common type of cardiac arrhythmia clinically, divided into benign and malignant premature beats. Benign premature beats refer to physiological premature beats occurring in healthy individuals, caused by autonomic dysfunction due to excessive drinking, smoking, staying up late, etc. This type of premature beat does not require medicinal treatment; it can heal itself through adjusting lifestyle, enhancing nutrition and exercise, resting adequately, and quitting smoking and drinking. Malignant premature beats caused by organic heart disease can also achieve clinical cure if the primary disease is treated early and antiarrhythmic drugs are used simultaneously.