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In a city, there lives a middle school teacher named Li Fang.
Li Fang, a 33-year-old history teacher, has almost neglected her physical health because of the pressure of work and the busyness of her life. In the last week, she has started to feel some discomfort in her breasts, and at first she only felt a little pain occasionally.
She thought it might be caused by being too tired from work or sleeping in a bad position, so she didn't pay too much attention to it. But as time passed, the pain gradually intensified and even began to affect her daily life and teaching work.
One night, Li Fang's pain suddenly worsened while preparing for class, forcing her to put down her work and decide to go to the hospital for a check-up. At the hospital, she met a young cardiac surgeon, Zhang Ming.
After listening carefully to Li Fang's description, Zhang Ming decided to immediately perform a series of tests for her, including an electrocardiogram and an echocardiogram.
The results of the examination unexpectedly revealed that Li Fang's heart had a small vascular malformation, a rare congenital condition that usually doesn't cause much of a problem, but in some cases, can lead to serious heart problems if left undetected for a long time.
Zhang Ming explained the complexity of the disease to Li Fang and advised her to have surgery as soon as possible. In a conversation before the operation, Zhang Ming explained to Li Fang the uniqueness of this vascular malformation, and he used a lot of medical knowledge to explain the problem.
Zhang Ming told her that this vascular malformation, called a coronary fistula, is usually an abnormal pathway between the coronary arteries and the heart ventricles. Although rare, a certain number of cases have been recorded worldwide.
He described in detail the causes of coronary fistula, including genetic factors and malformations in early embryonic development, as well as the hemodynamic changes that this condition may cause.
Zhang Ming also explained to Li Fang the consequences that this malformation could lead to if surgery was not performed, such as myocardial infarction, heart failure and other serious conditions.
He stressed that although Li Fang's current symptoms are not particularly severe, preventive measures are always more important than treatment. He added that the cause is misdiagnosed as simple chest pain in many cases, so they are fortunate to be able to detect and treat it in time.
The operation was arranged quickly, and after several hours of precise operation, Zhang Ming successfully repaired Li Fang's vascular malformation. After the operation, Li Fang recovered in the hospital for a few days, and she felt that her body had improved significantly, and her chest pain had completely disappeared.
Before being discharged from the hospital, Zhang Ming and Li Fang had an in-depth conversation about how to maintain heart health and prevent future heart disease. In this discussion, Zhang Ming emphasized the importance of moderate exercise.
He advises Li Fang to do at least half an hour of moderate-intensity exercise every day, such as brisk walking or easy cycling. He explains that exercise strengthens heart function and improves blood circulation, while also reducing work stress.
He also advised Li Fang to change her eating habits, increase her intake of dietary fiber and protein, and reduce greasy and fatty foods to optimize her blood lipid levels.
At the final discharge instruction, Li Fang asked Zhang Ming a question, she asked, "Doctor, you mentioned earlier that my cause may be related to genetics, how should I conduct a family history investigation to determine if my family members are at similar risk?"
Zhang Ming explained in detail the importance of family history investigation and instructed her on how to gather information and conduct initial screening. He also advised her to bring her family to the hospital regularly for heart check-ups to prevent potential genetic risks.
Through this experience, Li Fang not only solved her own health problems, but also learned a lot about the prevention of heart disease.
She is grateful for Zhang Ming's professional guidance and meticulous care, and decided to add more health education content to her future teaching to help students understand and pay attention to their physical condition.
What do you think about heart disease?