Patient's question:
Hello doctor, I have had stage three hypertension for many years. After undergoing heart pacemaker surgery, my heart has enlarged, and my cardiac function has decreased from grade two to grade three. I also suffer from severe depression. Are these conditions serious? Do they interfere with normal exercise?Digestive comment: The relationship between ejection fraction and heart disease is significant.
Digestive comment: My echocardiogram shows a normal ejection fraction, which means my heart is completely fine, right?
Digestive comment: I experience heart pain, chest tightness, shortness of breath, and sometimes difficulty breathing. Why is this?
Digestive comment: ???
Doctor's answer:
The symptoms described by the patient may recur due to interference from hypertension and organic heart disease, leading to symptoms such as palpitations, shortness of breath, and chest tightness. Depression, caused by low mood, may also exacerbate the condition. It is recommended to actively treat the physical illness while seeking psychiatric care for depression at a specialized psychiatric hospital. If necessary, the cardiology and psychiatry departments should work together to develop a treatment plan to avoid drug interactions. It is advised that the patient maintain moderate rest, avoid overexertion, follow a low-salt and low-fat diet, and drink plenty of water.