How is cor pulmonale treated?

Written by Li Tao
Pulmonology
Updated on September 03, 2024
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Cor pulmonale refers to the disease characterized by increased pulmonary vascular resistance due to pathological changes in the bronchi, lung tissue, thorax, or pulmonary vessels, leading to pulmonary arterial pressure and subsequently causing changes in the structure and function of the right ventricle. When cor pulmonale occurs, treatment is generally divided into the acute exacerbation phase where active control of infections, clearing of the airways, improvement of respiratory function, correction of hypoxia and carbon dioxide retention, control of respiratory failure and acute heart failure, and management of complications are emphasized. During the chronic remission phase, the goal is to enhance the patient's immune function, eliminate triggering factors, reduce or avoid the occurrence of acute exacerbations, and partially or fully restore cardiopulmonary function.

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Written by Zhang Yue Mei
Cardiology
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Rheumatic Heart Disease Concept

Rheumatic heart disease is a type of organic heart disease caused by a hypersensitivity reaction in the body due to infection by Streptococcus pyogenes. This leads to pathological changes in the heart valves, including the tricuspid and mitral valves, resulting in stenosis or insufficiency which affects hemodynamics. This condition is known as rheumatic heart disease. Patients with rheumatic heart disease should actively seek treatment under the guidance of a doctor in the early stages to control the occurrence of complications.

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Written by Zhang Yue Mei
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Can people with heart disease drink alcohol?

Patients with heart disease should not drink alcohol, especially those with severe heart conditions, including heart failure and arrhythmias. Drinking alcohol can excite the sympathetic nervous system, increase heart rate, enhance myocardial oxygen consumption, increase cardiac burden, and worsen arrhythmias and heart failure. Additionally, patients with organic heart disease who regularly require medication should avoid alcohol. Alcohol can chemically interact with certain medications or reduce their effectiveness, potentially harming the body.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart disease drink alcohol?

Patients with heart disease should avoid drinking alcohol, especially those with severe conditions such as heart failure and arrhythmias. Drinking can excite the sympathetic nervous system, increasing heart rate and triggering episodes of arrhythmia, and exacerbating heart failure. Heart disease patients typically require medication, and consuming alcohol during treatment can cause chemical changes in some medications, affecting their effectiveness. Both alcohol and medications need to be detoxified in the liver, so drinking while on medication can increase the liver's burden, potentially leading to long-term liver damage.

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Written by Li Hai Wen
Cardiology
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Is heart pain always a heart disease?

Heart pain is not necessarily caused by heart disease; there are many reasons for heart pain, and these vary with the age of onset. For instance, in middle-aged and older people, attention should be paid to the possibility of angina or myocardial infarction. Symptoms of angina often last for a few minutes and can be relieved by rest or taking nitroglycerin tablets. Myocardial infarction, on the other hand, often presents with intense heart pain located at the sternum, which persists without relief. In younger individuals, it is important to consider lung-related diseases causing pain, such as pleurisy or pneumothorax, where pain is often related to breathing. It is necessary to visit a hospital for proper examinations, including an electrocardiogram, blood tests for cardiac enzymes and troponin, and a CT scan of the lungs to determine the cause of the pain based on these tests.

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Written by Zhang Yue Mei
Cardiology
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What should be noted for rheumatic heart disease?

Rheumatic heart disease is caused by valvular pathology and often affects heart function. It is important to rest regularly, avoid overexertion, wear more clothing to prevent colds, and avoid exposure to cold winds. Each occurrence of a cold can exacerbate rheumatic heart disease. Dietary attention should focus on easily digestible, high-nutrient foods. Avoid consuming spicy and greasy foods, as they can lead to indigestion and gastrointestinal irritation, which can worsen symptoms of heart disease and increase the cardiac burden, bringing about adverse factors for the patient.