Are palpitations an arrhythmia? Is Dr. Zhao Zibing good at cardiology or cardiac surgery?

Zhao Zibing, Deputy Chief Physician of the Department.

Practice experience: Started working in 1996, advanced in the Department of Cardiology of the Air Force General Hospital in 2000, advanced in the intensive care ward of the Second Affiliated Hospital of Hebei Medical University in 2004, and studied in the catheterization laboratory of Fuwai Cardiovascular Hospital in 2012.

Specialty: Combination of traditional Chinese and Western medicine**Cardiovascular, respiratory diseases, such as coronary heart disease, arrhythmia, hypertension, cardiomyopathy, chronic bronchitis, emphysema, pulmonary heart disease, bronchiectasis, pulmonary fibrosis and other syndromes.

The doctor is benevolent and very dedicated!

Specialty: Combination of traditional Chinese and Western medicine** heart and blood and respiratory diseases, such as coronary heart disease, arrhythmia, hypertension, cardiomyopathy, chronic fuqing bronchitis, emphysema, pulmonary heart disease, bronchiectasis, pulmonary fibrosis and other syndromes.

Both cardiology and cardiac surgery diagnose heart diseases. The former is mainly used in non-surgical methods, while the latter is mainly surgical. You can see a cardiologist first, and if surgery or other surgical tests are needed, they will consult a cardiac surgeon.

Congenital heart disease: Atrial septal defect is one of the more common types of congenital heart disease. According to the clinical data of Beijing and Shanghai, the atrial septal defect of congenital heart disease accounted for the sum of various congenital heart diseases. It is more common in women, with a female-to-male ratio of 2 1 to 4 1.

Congenital heart disease atrial septal defect is caused by hypoplasia of the tissues that make up the atrial septum during the embryonic stage.

A subset of smaller cases of atrial septal defects with 2nd hole congenital heart disease may close spontaneously within 1 year of birth and are unlikely to close spontaneously 2 years after birth. Surgery should be considered for patients with simple type 2nd port congenital heart disease atrial septal defect or 2nd port congenital heart disease atrial septal defect with partial right pulmonary venous ectopic reflux and the ratio of pulmonary circulation to systemic blood flow exceeding it**. The most appropriate age for surgery is 4 to 5 years of age, and early surgery** prevents increased pulmonary circulation resistance and the development of right heart failure.

Patients with congestive heart failure in infancy and early childhood who have not been controlled by medical surgery should undergo surgery as soon as possible.

There are two main methods for atrial septal defect in congenital heart disease, one is open-heart repair surgery assisted by cardiopulmonary bypass, and the other is minimally invasive umbrella closure interventional closure surgery. Among them, minimally invasive umbrella seals can choose the transfemoral route or the transthoracic route. The choice of surgical modality depends on the location of the atrial septal defect as follows:

1. Patients with ** type atrial septal defect are suitable for umbrella closure. Umbrella film closure has certain advantages in the treatment of atrial septal defects, because this method can avoid the non-physiological process of cardiopulmonary bypass, and the patient has a shorter rest time in the intensive care unit and a better postoperative recovery;

2. In other locations, such as atrial septal defects near the venous sinus, the umbrella piece is not easy to attach and fix, so it is not suitable for umbrella closure, which requires direct repair surgery under cardiopulmonary bypass;

3. The surgical selection of umbrella piece occlusion is not only related to the lesion site, but also related to the surgical method that the surgeon is good at, and it is recommended to make a comprehensive evaluation;

4. There are two ways to guide minimally invasive umbrella closure surgery, one is completed under the guidance of cardiac ultrasound, and the other is completed under the guidance of radiation, both of which have their own advantages and disadvantages. BUltrasound has poor visibility compared to DSA rays, but can avoid the patient's radiation exposure.

1.You don't have a surgical foundation – you start from scratch; Wait until you tie the knot until it doesn't slip the knot, you first estimate it yourself, this is called basic quality.

2.The hospital has just established this department, do you think the patients in this department come from **? Rely on intracardiac delivery or out-of-hospital publicity? It's called having no business.

3.Of course, the director is also the director who has just been, and he has been engaged in heart surgery, if he is not a heart surgeon, then you are choked, of course, it is not excluded that there are geniuses, I think geniuses are practiced to become geniuses. It's whether you're ready to play politics or do real work.

4.Just in terms of your heart and heart, of course, the future is better outside the heart, after all, the policy of the new department is very good, you are a veteran, the director mentioned that you are also well-behaved, and the competitors around you are also standing in the same boat, in general, the cohesion is good, if your department leaders are decent.

5.The above are all hors d'oeuvres, and the real advice is: everything is done by people, and people can do anything, grasp this point, and this is the way between heaven and earth.

I don't know what is going on in my heart, but your hospital has just started, and now it is difficult to travel in the blood rain, and it is difficult to develop, so I suggest you don't take risks, be practical. I regret my impulsiveness.

If the cardiology department is not a large hospital, it is difficult for cardiac surgery to develop, after all, patients choose strong hospitals for heart surgery.

Cardiology is good. Now the surgeries are minimally invasive. Of course, the prospect of cardiology is better. However, if the director is willing to promote, it is different. Cardiac surgeons, it's not easy to grow.

Cardiology is good. Now the surgeries are minimally invasive. Of course, the prospect of cardiology is better. Moreover, when you are old and old, cardiac surgery depends on your understanding and the operation at hand.

I don't know if you are a grassroots hospital or a municipal hospital, you are tired of doing heart surgery and have a small income, it depends on whether you like it or not.

Cardiology and Cardiac Surgery are recommended to choose cardiology first, and both departments should do cardiac ultrasound. Admission to the hospital should be done by the cardiology department first, and the right heart catheterization should be performed to measure the shunt volume.

Cardiology can intervene in the occlusion, which is minimally invasive and does not leave a scar. After all, the little girl has a big scar and an ugly scar after opening her chest, which affects the search for a partner.

If the cardiology department can't handle it, you will definitely be transferred to the cardiac surgery.

If you go into cardiac surgery first, the cardiac surgeon I know will definitely recommend that you go straight to surgery. (I'm a cardiologist).

If you have heart failure and edema of the lower limbs, you can see a cardiologist, and if you don't have heart failure symptoms, you can also do surgery, and it is recommended to go to cardiac surgery for diagnosis and treatment. Reminder: Don't follow the advertisement, it's unreliable, it is recommended to go to a large non-profit hospital opened by the state; Do not go to private, for-profit hospitals.

Cardiac surgery to see if there is still a chance for surgical repair.

The cardiovascular and cerebrovascular department of our hospital can treat your disease, and the curative effect is short and peculiar.

Both medical and surgical procedures are available, depending on whether you want surgical repair or medical intervention**.

The cute mug is almost done.

If you want to know more in detail, go to the bookstore and read the section on "Pre-excitation Syndrome" in "Atrioventricular junction arrhythmias" in the book "Internal Medicine" or other books specializing in cardiology, and you will have everything you need. If I were to type out all of these words, I guess I would stop cooking.

In fact, to simply say what is the difference between your heart and normal people, that is, there are some common cardiomyocytes forming an atrioventricular bypass between your atria and ventricles (Kent bundle and 3 other rare bundles), these cardiomyocytes seem to have an extra wire between your atria and ventricles, so that the electrical activity of the myocardium forms an abnormal closed loop, so the abnormal heart rhythm caused by it is pre-excitation syndrome (80 of which is manifested as tachycardia, 15 30 atrial fibrillation, 5 atrial flutter).

For people who are able to use radiofrequency ablation**, many can be completely**, which is no different from a normal person's heart. If this method cannot be used, the drug will only be taken for the rest of your life to inhibit the abnormal electrical activity.

The specific indications for radiofrequency ablation**, as well as other more detailed content, should go to the book I mentioned at the beginning, there are too many contents.

Are you only a physical examination, report or you often have tachycardia, the judgment is different, in case the doctor makes a mistake, you better ask him to give you the heart**, the ruler can pre-shock wave, in the physical examination, many doctors seem to write when they see it, never rule out other possibilities, it is really a pre-shock wave, tachycardia episodes are frequent, it is better to **, radiofrequency ablation is better. The mechanism is that you have an extra conduction pathway, which interferes with your inherent pathway, and you cut off the excess.

This is a kind of congenital heart disease, to be precise, it belongs to the category of arrhythmia, there are many types, the most common of which are WPW type and LGL type, but I don't know which type your family is suffering from, different types of performance are also different, but most of them will have tachycardia, generally yes, of course, it depends on the situation, the best way is to do radiofrequency ablation.

If you want to be more sure, it's best to send an electrocardiogram to take a look.

What is the difference between a person's heart and a healthy heart? ......What should patients with more conduction bypass pay attention to? ......No.

How is it**? ......Radiofrequency ablation.

What is the pathological response? What are the symptoms like at the onset? ......The heart beats fast.

Both hospitals have their strengths.

The Department of Infectious Diseases of Zhejiang First Hospital specializes in clinical and laboratory diagnosis of infectious diseases, antibiotic application, and diagnosis and treatment of various viral hepatitis.

Zhejiang No. 2 has a complete range of medical departments, with 45 clinical and medical technology departments. He is especially known for his expertise in emergency medicine, general surgery, oncology, neurosurgery, orthopedics, ophthalmology, cardiology, thoracic, respiratory, oral and otolaryngology.

The First Affiliated Hospital of Zhejiang University School of Medicine, the First Hospital of Zhejiang Medicine, the First Hospital of Zhejiang University, the First Hospital of Zhejiang University, the First Hospital of Zhejiang University, the First Hospital of Zhejiang University, the First Hospital of Zhejiang University, the First Hospital of Zhejiang University Zhou Shuihong (Chief Physician of the Department of Otorhinolaryngology) failed to operate, and the incorrect gastric tube was inserted, resulting in the loss of lung infection, destroying the case, and the environment of the ICU rescue room was like a vegetable market!! Remember not to look for Zhou Shuihong!

Zhou Shuihong! Zhou Shuihong! Chen Zhe! Chen Zhe!

Compared with Zhejiang, Zhejiang, the Provincial People's Hospital is much worse... If Zhejiang one and Zhejiang two are compared, score the department.

It depends on whether rheumatology and immunology is better in Zhejiang or Zhejiang.