Hello everyone! We have recently launched the "Come and Ask Pulse Sister" column. If you want to ask about health care, you can get an accurate answer. What are you waiting for? Hurry up and leave a comment to the "pulse sister", and send the problem to it~
FORM
Curious slip
Hello Sister Pulse!
There is a more gossipy problem, the childhood goddess Li Jiaxin, has reached the point where it may wither. I had never heard of any diseases she had before, so how did she almost become a vegetative person this time? What is the disease will have breathing difficulties, multi-organ failure and other situations, want to understand, I usually pay more attention.
Yo-yo, hello!
Good question +1.
In the second half of life, the fight is health.
What kind of disease is still speculation. At present, most people recognize her symptoms, which are in line with the manifestations of acute heart failure.
Our heart has left atrium, left ventricle, right atrium, right ventricle, valves between the ventricle and the atrium, and valves between the ventricles and arteries, which are "check valves" to prevent blood reflux. Certain lesions, such as congenital heart structural problems, such as congenital heart disease, can cause one of the "check valves" of the heart to not close, and whenever the atrium or ventricles are diastolic, some blood will regurgitate.
In order to counteract the effects of blood reflux, the left ventricle must beat harder to maintain blood flow throughout the body, so that the heart muscle is overworked and the heart is enlarged and weakened.
In this case, in the early stage, because the heart has a strong compensatory function, the patient will not have any symptoms. However, because the heart must beat harder than normal each time, in the long run, the heart and lungs may cause heart failure due to additional burden.
Let's take a look at what was going on at the time:
01
Guess what the disease is?
Li Jiaxin bedridden photo, pale, puffy, hands full of tubes, hanging nasal tubes to help breathe, Weibo screenshots
When many celebrities become seriously ill or die, the public tends to be more concerned about what causes the results.
Therefore, this time, everyone is also most concerned about what kind of emergency illness Li Jiaxin, who has never exposed health problems before?
According to Hong Kong's "East Net" reported on the 15th, 51-year-old Hong Kong star Li Jiaxin was admitted to the hospital on Weibo, and the situation was once serious enough to be admitted to the intensive care unit (ICU) for 48 hours, and said that he "picked up a life", the news triggered 230 million views, and more than 20,000 people left messages.
First, review the disease information reported by the media to see what symptoms are there.
In the middle of the night on January 10, Li Jiaxin began to feel breathless, very uncomfortable, the heart rate accelerated, reaching 140 or 150 beats per minute, coupled with unstable footsteps, so he immediately contacted the doctor and sent him directly to the ICU for rescue. The doctor said that her blood pressure to the level of energy, oxygen content is very low, after the heart, thoracic and nephrologists immediately sent to the ICU to draw pulmonary hydrops, when the cardiopulmonary liver and kidney function has almost stopped, fortunately the mind is still awake, if the blood can not reach the brain will become vegetative or die.
The doctor said that li Jiaxin's condition improved after the hydropulmonary water was withdrawn, the heartbeat began to slow down, and other functions slowly began to recover, but still did not reach the ideal level.
Referring to the condition of the body, Li Jiaxin said: "One organ affects another organ, and this sharp drop in blood pressure has affected the liver, kidneys, heart, lungs and other important organs. ”
Due to her breathing difficulties and the seriousness of the current epidemic, many people once speculated that it was new crown pneumonia. But it's not.
On January 16, Taiwan media reported that Li Jiaxin mentioned that her condition was more complicated, it was a congenital heart structure problem, and it could not be fundamentally comprehensively treated, and did not say the specific disease she suffered.
When the information is incomplete, it often stimulates a great desire for knowledge.
Someone inferred congenital mitral valve insufficiency based on her symptoms and the disease information provided.
Summarizing Li Jiaxin's symptoms:
Sudden shortness of breath in the middle of the night, difficulty breathing, which is mostly a cardiopulmonary problem;
Followed by extreme fatigue, rapid heartbeat, and decreased blood pressure, which is mostly a manifestation of cardiac insufficiency;
Shock and pleural effusion were found after being sent to the hospital, which is a manifestation of heart failure.
Sudden dyspnea at night, followed by heart failure, shock, and congenital structural problems with the heart, in the absence of more medical history, it can be inferred that Li Jiaxin's cause is likely to be "congenital mitral valve insufficiency".
In various valvular diseases, mitral valve insufficiency is most likely to cause heart failure, especially left heart failure, often at night there will be difficulty breathing (increased blood returned to the heart when sleeping flat), palpitation, shortness of breath, dyspnea, and even when asleep, forced to sit up, there may also be arrhythmia, hypotension, shock, dizziness, limb numbness, unconsciousness, etc.; when the right heart is affected, the liver and spleen will be enlarged, ascites, chest fluid, lower limb puffiness, etc.
Image source: vcg.com
This is very similar to Li Jiaxin's symptoms.
@ Knife on the tip of the heart (deputy chief physician of the Department of Cardiac Surgery of the Seventh People's Hospital of Zhengzhou City) speculated that it is most likely that the attack of acute heart failure leads to respiratory, liver and kidney dysfunction. He said that the symptoms of heart failure due to different causes may be slightly different. Acute left heart failure is manifested by dyspnea, mainly due to congestion of the pulmonary circulation. There will be heavy sweating around the body accompanied by chest tightness, shortness of breath, etc. Acute pulmonary edema occurs in severe cases.
@ Careful Ball League (physician of Zhongshan Hospital affiliated to Fudan University) also believes that from the description, Li Jiaxin may have heart failure, but there must be a reason for heart failure, that is, Li Jiaxin is said in the news that Li Jiaxin suffers from congenital structural heart disease.
02
What is heart failure?
Heart failure (heart failure) is not an independent heart disease, but a clinical syndrome in which various heart diseases progress to a severe stage (so there must be a cause for heart failure).
Common causes of heart failure include coronary artery disease [2] (including previous myocardial infarction), hypertension, atrial fibrillation, valvular heart disease, and myocardial lesions [2][3]. These causes can cause changes in the structure or function of the heart, which in turn can lead to heart failure [2].
It is due to a series of clinical signs and symptoms caused by the loss of heart function caused by various etiologies (does not mean that the heart has stopped working), so that the heart's blood output is reduced, and it cannot meet the needs of various tissues and organs of the body (corresponding to Li Jiaxin's multiple organ functions are impaired).
What are the symptoms of heart failure?
1. Dyspnea, excessive exhaustion, and lower extremity edema [2].
Wheezing, especially during exercise, lying flat, and sleeping at night, tends to worsen symptoms [2]. When sleeping at night, you must raise the pillow to breathe smoothly, otherwise you will feel chest tightness, asthma or sleep at night, and you need to sit up to alleviate it
2. The amount of movement and movement that can be loaded is usually limited, and even if the control is appropriate, the amount of exercise is still limited. After walking a little faster or after a little labor, I feel flustered, chest tightness, and shortness of breath [1].
3. Sputum is abundant, sputum is white or pink foamy
4. Dizziness, fatigue
5. Loss of appetite, bloating
6. Oligouria, lower extremity edema
03
How close is heart failure to us?
According to the 2019 China Heart Failure Blue Book report, the number of heart failure patients in China is as high as 6.5 million to 8.75 million. In people over 70 years of age, the prevalence of heart failure exceeds 10%. The 5-year mortality rate in patients with heart failure is 50%, and half of patients with severe heart failure can reach 50% in 1 year.
Wu Yan, chief physician of the Department of Cardiology of Peking University People's Hospital, pointed out that the prevalence of heart failure in mainland China is estimated to have reached 1.3%, and the incidence rate is relatively high.
He analyzed that the incidence of heart failure is high, because heart failure is not a disease, but the terminal stage of various heart diseases, that is to say, any heart disease slowly develops and eventually there will be heart failure, and the mainland is a big country with coronary heart disease, so there are many heart failure patients, but do not be nervous about heart failure, in addition to treating the primary disease, treatment of heart failure, appropriate exercise, prevention of infection is also very important.
Happy to answer questions
Pulse sister
bibliography
1. Wikipedia - Heart failure
2.Living Well With Chronic Heart Failure (PDF). Heart Foundation: 18. [25 May 2014].
3.National Clinical Guideline Centre (UK). Chronic Heart Failure: National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care: Partial Update. National Institute for Health and Clinical Excellence: Guidance. London: Royal College of Physicians (UK). 2010 [2020-10-07]. PMID 22741186.
4. Know @ knife on the tip of the heart @ be careful with the ball major league
5. Hong Kong "East Net"
6. 2019 Blue Book Report on Heart Failure in China