Xiaoli, only 24 years old, began to experience chest tightness and shortness of breath two months ago, but she did not pay attention to it. In recent days, her shortness of breath has significantly worsened, accompanied by inability to lie flat to sleep, nausea, vomiting, abdominal distension and edema. So she came to the Department of Cardiology of Hunan Provincial People's Hospital for treatment. After examination, it was found that Xiaoli suffered from severe "heart failure". When Xiaoli was admitted to the hospital, her blood pressure was as high as 180/90 mmHg. Cardiac ultrasound showed that her left ventricular ejection fraction (LVEF) was only 22%, far below the normal level (55-65%). Her B-type natriuretic peptide precursor was as high as 28,500 ng/L, far exceeding the normal range, indicating typical heart failure. ▲ Director Yan Sulan’s medical team provides health guidance to Xiaoli Although Xiaoli's body mass index is only 18.4, which is within the normal weight range, her blood lipid profile is worrying. Her total cholesterol is as high as 6.03mmol/L, her low-density lipoprotein (LDL-C) is as high as 4.58mmol/L, and her high-density lipoprotein (HDL-C) is only 0.20mmol/L, indicating that her blood lipid metabolism is seriously abnormal and she has high-risk factors for atherosclerosis. According to Xiaoli's own account, her life is extremely irregular. She stays up late for a long time, falls asleep at 3 or 4 in the morning, and wakes up at 3 or 4 in the afternoon. She mainly eats takeout, and drinks a cup of milk tea almost every day. Recently, Xiaoli had a severe cold and lung infection induced breathing difficulties. Due to the lack of timely medical treatment, the symptoms worsened to severe heart failure, and she could not lie flat when sleeping, had shortness of breath, had poor appetite, and had obvious edema in the lower limbs. Yan Sulan, chief physician of the Department of Cardiology at Hunan Provincial People's Hospital , said that even for young people, a long-term unhealthy lifestyle will increase the risk of cardiovascular disease. Hypercholesterolemia is a risk factor for cardiovascular health. Her left ventricular ejection fraction was only 22%, indicating that her heart function was severely damaged. If not treated in time, it may cause sudden cardiac death. Director Yan Sulan reminded that cardiovascular disease is no longer exclusive to the elderly, and young people are also facing health risks. Long-term bad living habits such as staying up late and eating "junk" food can lead to lipid metabolism disorders, increased cardiac load, and serious consequences such as heart failure. Therefore, maintaining a regular schedule, avoiding excessive late nights, eating a reasonable diet, and controlling blood lipids are important measures to protect heart health. At the same time, it is also crucial for young people to have regular physical examinations and seek medical treatment in a timely manner if they have symptoms such as chest tightness and shortness of breath. Hunan Medical Chat Special Author: Chen Ting and Li Lihua, Department of Cardiology, Hunan Provincial People's Hospital Follow @湖南医聊 to get more health science information! (Edited by Wx) |
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