The reasons for ventricular enlargement due to patent ductus arteriosus

Written by Di Zhi Yong

Cardiology

Updated on September 23, 2024

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Patent ductus arteriosus can lead to enlargement of the anterior heart, as it can cause enlargement of the left atrium, left ventricle, or anterior ventricle, potentially leading to heart failure, especially altering heart function. If a patient has a patent ductus arteriosus, I personally recommend getting an ECG at a hospital early and then determining a treatment plan. Currently, surgical treatment is advised to improve the condition of reduced heart function. During this time, it is still important to actively and regularly monitor changes in the patient’s blood pressure, heart rate, and pulse. If the heart rate is too fast or blood pressure is elevated, regular hospital visits are necessary for management.

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Written by Xie Zhi Hong

Cardiology

1min 12sec

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Can you drink alcohol with a patent ductus arteriosus?

Under normal circumstances, the ductus arteriosus in newborns gradually closes, and in most infants, the ductus arteriosus is completely closed within three months. However, for some people, even after one year of birth, the ductus arteriosus may not necessarily be diagnosed as congenital patent ductus arteriosus (PDA), a heart condition. Patients with this condition often experience pathological cardiac phenomena such as left-to-right shunts or right-to-left shunts. Due to these potential issues, the cardiac workload can worsen, leading to cardiac dysfunction and eventually heart failure. Drinking alcohol can potentially increase the patient's blood pressure and heart rate, adding more strain to the heart and exacerbating the condition. Therefore, it is advised that such patients avoid alcohol until after surgical treatment has been completed and their condition has stabilized. There are two methods of surgical treatment: most cases can be completely cured with interventional therapy, while a minority may require surgical ligation.

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Written by Di Zhi Yong

Cardiology

38sec

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Can you swim with patent ductus arteriosus?

If the patient has a history of patent ductus arteriosus, it is recommended that they avoid vigorous exercise, as this can increase the heart's oxygen consumption, leading to symptoms such as palpitations, chest tightness, and difficulty breathing. If it is solely this condition, sometimes palpitations may occur, leading to changes in cardiac function. It is advised not to swim. While appropriate exercise can be beneficial, swimming requires better cardiopulmonary function. It is recommended that patients undergo early surgical treatment to improve their current condition.

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Written by Xie Zhi Hong

Cardiology

1min 1sec

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Can you get pregnant with patent ductus arteriosus?

Patent ductus arteriosus refers to a congenital channel between the aorta and the pulmonary artery that fails to close. This can lead to a mixing of blood between the veins and arteries, thus deteriorating heart function. Generally, individuals with this condition can become pregnant after treatment. Patent ductus arteriosus is a congenital heart defect that does not have hereditary properties and does not prevent one from having children. However, it is advised for individuals with this condition to undergo surgical treatment before attempting to conceive and bear children. If the ductus arteriosus remains untreated, the increased heart load during late pregnancy can cause symptoms such as difficulty breathing and respiratory distress. It is recommended that these individuals undergo minimally invasive surgical treatment or conventional surgical treatment before planning for pregnancy, as this will be more appropriate.

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Written by Xie Zhi Hong

Cardiology

1min 28sec

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Is a patent ductus arteriosus funnel type severe?

The arterial duct is a pathway through which blood from the maternal placenta is delivered to the fetus. This pathway usually closes at birth, and in most cases, it successfully closes within three months. If it remains open after one year, it can be diagnosed as a patent ductus arteriosus. The shapes of the arterial duct include funnel-shaped, tubular, and window-type. Regardless of the type, if it does not cause serious cardiac complications, it can be addressed with interventional treatments or surgical procedures, making it a relatively non-severe condition. However, if the patent ductus arteriosus remains open for a long time, leading to severe pulmonary arterial hypertension and even left-to-right shunts causing serious cardiac dysfunction, it is considered severe. Therefore, the shape of the patent ductus arteriosus does not have diagnostic significance regarding the severity of the condition. Rather, the severity is assessed based on the patient's symptoms, evaluation of cardiac function through echocardiography, and the condition of pulmonary artery pressure. In the early stages, most cases of patent ductus arteriosus are not very serious and can be resolved through treatment.

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Written by Di Zhi Yong

Cardiology

42sec

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Is a 4mm patent ductus arteriosus considered large?

Patent ductus arteriosus is a type of congenital heart disease. Generally, patients around the age of six months to one year may not necessarily have their ductus arteriosus close. If it does not close by around one year of age, it is considered a congenital heart disease, and it is recommended to seek early surgical treatment at a hospital. Surgery is needed if the condition exceeds approximately 4mm in size. If the patient currently shows no symptoms, it is possible to initially observe the condition. However, if symptoms persist, accompanied by palpitations, chest tightness, difficulty breathing, especially if respiratory infections recur, treatment is necessary.