Hello, doctor. I have questions regarding post-operative care after heart surgery?
Hello, doctor.
In the past, I had a problem with arrhythmia, and Western medicine diagnosed it as ventricular tachycardia (VT).
Over the past year, the condition has worsened, with frequent episodes where my heart rate reaches about 180 beats per minute, accompanied by chest tightness and dizziness.
In Western medicine, I have been receiving emergency injections and taking Inderal to manage the condition.
In terms of Traditional Chinese Medicine (TCM), the doctor prescribed Tian Wang Bu Xin Dan and Zhi Gan Cao Tang, which I took for a while, but I did not see significant improvement.
Later, I went to a large hospital for catheter ablation, which took three attempts before it was successful.
The doctor mentioned that the abnormal electrical discharge in my left ventricle was located deeper inside and that the area was larger than usual, making it more difficult to ablate.
Although the procedure was successful, I experienced a recurrence once.
I have undergone a cardiac catheterization, and the fourth procedure did not reveal any abnormalities.
However, since the surgery, I have not had any further episodes of arrhythmia.
Occasionally, I still feel chest tightness and experience slight irregular heartbeats once or twice, but the Western doctors have not found any specific cause, and the diagnostic results are still considered normal.
Given that I have undergone catheter ablation surgery and my condition has improved but is not completely resolved, what assistance can Traditional Chinese Medicine provide? Thank you for your response, doctor.
Huang, 20~29 year old female. Ask Date: 2011/05/07
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear Mr.
Huang,
I am pleased to receive your letter! You have described your issue very clearly, and I hope Traditional Chinese Medicine (TCM) can help address the problems that Western medicine has been unable to resolve.
After undergoing catheter ablation for abnormal electrical discharges in the left ventricle, your condition has improved, but you still occasionally experience chest tightness.
I believe that the area of abnormal electrical activity in the left ventricle is difficult to completely ablate, and some localized symptoms may still persist, causing occasional irregular heartbeats.
Once the condition is reduced to a tolerable level, your body can gradually recover through proper care, and TCM can indeed be beneficial at this stage.
Returning to seek a diagnosis and prescription from a TCM practitioner should yield good results.
You might be wondering if I could prescribe some treatments to directly cure your condition.
I wish I could, but without your pulse diagnosis and other supporting information, I, as a TCM practitioner, cannot provide a prescription.
To treat your condition effectively, I need your cooperation; it is essential to first observe, listen, inquire, and palpate before I can prescribe the appropriate treatment for your illness.
I apologize for not being able to fulfill your wish.
This is my response to you.
Wishing you all the best!
Sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine
Nantou Hospital
Reply Date: 2011/05/07
More Info
Post-heart surgery, particularly after procedures like catheter ablation for ventricular tachycardia (VT), many patients seek complementary therapies, including Traditional Chinese Medicine (TCM), to aid in recovery and manage residual symptoms. Your experience with VT and the subsequent treatments you've undergone highlight the complexity of cardiac health, and it's understandable that you are looking for additional support.
Firstly, it's important to acknowledge that while TCM can offer supportive care, it should not replace conventional medical treatments, especially for serious conditions like arrhythmias. After your catheter ablation, where the abnormal electrical pathways in your heart were targeted, you may experience some lingering symptoms such as chest tightness or occasional palpitations. These can be common post-operative experiences as your heart adjusts to the changes made during the procedure.
In TCM, the approach to managing your condition would typically involve a holistic assessment of your overall health, including your emotional state, lifestyle, and dietary habits. Practitioners often focus on balancing the body's energy (Qi), improving blood circulation, and addressing any underlying deficiencies that may contribute to your symptoms.
1. Herbal Remedies: TCM practitioners may prescribe herbal formulas tailored to your specific symptoms. For instance, if you experience chest tightness and anxiety, formulas like Tian Wang Bu Xin Dan (Heavenly Emperor's Heart-Supplementing Pill) may be used to nourish the heart and calm the spirit. Additionally, Zhi Gan Cao Tang (Honey-Fried Licorice Decoction) can help strengthen the heart and improve circulation. However, it is crucial to consult a qualified TCM practitioner who can customize the herbal treatment based on your current health status and any medications you are taking.
2. Acupuncture: This is another common TCM practice that may help alleviate symptoms like chest discomfort and anxiety. Acupuncture can promote relaxation, improve blood flow, and potentially stabilize heart rhythms. A trained acupuncturist will select specific points that correspond to your symptoms and overall health.
3. Dietary Adjustments: TCM emphasizes the importance of diet in maintaining health. Foods that are considered beneficial for heart health include those rich in omega-3 fatty acids (like fish), whole grains, and plenty of fruits and vegetables. Avoiding overly spicy, greasy, or processed foods can also be beneficial, as these can exacerbate symptoms.
4. Lifestyle Modifications: Stress management techniques such as Tai Chi, Qi Gong, or meditation can be beneficial. These practices not only help reduce stress but also promote a sense of well-being and can improve cardiovascular health.
5. Regular Monitoring: Since you have a history of VT and have undergone significant procedures, it is essential to maintain regular follow-ups with your cardiologist. Any new or worsening symptoms should be reported promptly to ensure that they are not indicative of a more serious issue.
In summary, while TCM can provide supportive care post-heart surgery, it is essential to integrate these approaches with your ongoing conventional medical treatment. Always communicate with your healthcare providers about any complementary therapies you are considering to ensure they align with your overall treatment plan. Your health and safety should always be the priority, and a collaborative approach between TCM and Western medicine can often yield the best outcomes.
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