What are the reasons for chest tightness and shortness of breath in patients after valve replacement and defibrillation surgery for rheumatic heart disease?

Patient's question:

I am a patient who has undergone valve replacement and defibrillation for rheumatic heart disease. During my follow-up examination, it was found that everything was normal, but sometimes I still feel chest tightness and shortness of breath. What could be the cause of this? What should I do to resolve this situation?

Doctor's answer:

After valve replacement and defibrillation surgery for rheumatic heart disease, experiencing shortness of breath may still be related to heart dysfunction leading to insufficient circulating blood volume, which affects organ function. Therefore, although the patient may have surpassed a fully recovered state, it is still important to pay attention to regulation, prevent any factors that increase cardiac load, ensure adequate rest, balance work and rest, avoid excessive fatigue, overeating, and heavy physical exertion, etc.

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