Why is the hemoptysis in mitral stenosis dark red?

Written by Di Zhi Yong
Cardiology
Updated on September 01, 2024
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Since mitral stenosis is a type of congenital heart disease, it could also be rheumatic heart disease. When mitral stenosis occurs, the patient mainly coughs up pink, frothy sputum because the blood at this time is dark red. Before gas exchange occurs, a person's arterial blood exhibits ischemia and hypoxia, so the blood coughed up in this state is definitely dark red. If these symptoms persist, I personally suggest going to the hospital for infusion therapy. If necessary, some hemostatic drugs should also be used to control the symptoms.

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Written by Li Hai Wen
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Is severe mitral valve regurgitation serious?

Mitral valve regurgitation can be mild, moderate, or severe, with severe mitral valve regurgitation being the most serious. Over time, severe mitral valve regurgitation can cause enlargement of the heart and a decreased heart pumping function, eventually leading to symptoms of heart failure. Patients may experience difficulty breathing, shortness of breath, fatigue, and other symptoms. Additionally, there may be swelling in both lower limbs. When such symptoms occur, it is necessary to take diuretic medications under the guidance of a doctor to reduce heart strain, such as furosemide or spironolactone. If necessary, digoxin may be taken to strengthen the heart and improve symptoms of heart failure. After stabilization, a mitral valve replacement or repair surgery may be scheduled.

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Written by Di Zhi Yong
Cardiology
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Can someone with mitral stenosis fly on a plane?

If the patient has a history of mitral stenosis, it is best not to fly, as flying may exacerbate the symptoms, causing situations like palpitations, chest tightness, and breathing difficulties. If the mitral stenosis is treated timely, these symptoms will subside. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. An overly rapid heart rate can sometimes cause palpitations. It is especially important to manage the ventricular rate. The patient's diet should primarily consist of low salt, low fat, and low sugar. Regular re-examinations of the electrocardiogram and echocardiogram are necessary, and if symptoms worsen, it is critical to go to the hospital for treatment promptly.

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Written by Di Zhi Yong
Cardiology
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Why does mitral stenosis cause thromboembolism?

Due to mitral stenosis, thrombus formation can sometimes occur, especially when ischemic cerebrovascular diseases lead to cerebral infarction. This is because mitral stenosis can cause emboli to dislodge and travel through the bloodstream to reach the cerebral arteries or veins, leading to thrombus formation. During this period, anticoagulant medications are sometimes used for treatment. If a patient has a history of mitral stenosis, it is necessary to actively use medications for treatment. During this time, it is also important to monitor changes in the patient’s heart rate, blood pressure, and pulse to control the ventricular rate. Currently, treatment is primarily symptomatic, aimed at improving cardiac function.

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Written by Li Hai Wen
Cardiology
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The causes of embolism in mitral stenosis

Mitral stenosis in patients can lead to embolism due to the tendency of mitral stenosis to cause enlargement of the left atrium. The enlargement of the left atrium is a key anatomical factor leading to atrial fibrillation and cardiac arrhythmias. When atrial fibrillation occurs, it is easy for blood clots to form in the left atrium, especially in the area of the left atrial appendage. When a blood clot breaks off, it can travel with the bloodstream and cause occlusion of the corresponding blood vessels, resulting in embolic complications. Timely surgical intervention to treat mitral stenosis can effectively prevent complications such as atrial enlargement and blood clots caused by mitral stenosis.

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Written by Di Zhi Yong
Cardiology
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Can you eat preserved eggs with mitral stenosis?

If the patient has a history of mitral stenosis, it is recommended that they follow a low-salt, low-fat, and low-sugar diet, eat small meals frequently, and especially avoid spicy and stimulating foods. Century eggs are permissible to eat but should be consumed in moderation, one is enough. At the same time, the diet should be diversified and balanced with an emphasis on enhancing nutrition, which is most important. It is also advisable for the patient to limit their sodium intake to help alleviate symptoms. Currently, treatment primarily focuses on symptomatic relief. It is also crucial to actively control the patient's blood pressure, heart rate, and pulse changes. If there is an increase in blood pressure or if the heart rate is too fast, these conditions need to be actively managed to control the heart rate and improve cardiac function.