What should be done for an enlarged heart and pleural effusion?
Disease description:
Poor heart function, with the condition of an enlarged heart, accompanied by symptoms of chest congestion (pleural effusion) and chest tightness. What should be done for an enlarged heart and pleural effusion?
Doctor's answer (1)
Dr. Tian Hongbo
Enlargement of the heart and pleural effusion are two distinct medical conditions, but they may be interrelated. Cardiomegaly (enlarged heart) can be caused by various factors such as hypertension, coronary artery disease, and cardiomyopathy. It may lead to reduced cardiac pumping function and cause systemic circulatory problems. Pleural effusion refers to an abnormal accumulation of fluid in the pleural cavity and is commonly seen in heart failure, lung diseases, infections, and tumors. Treatment options include:
1. Diuretic therapy: By promoting the excretion of sodium ions from the body, diuretics such as spironolactone tablets can effectively reduce fluid retention, thereby alleviating edema and pleural effusion caused by excessive cardiac load. However, long-term use requires monitoring of electrolyte balance.
2. Heart failure medications: These typically include angiotensin-converting enzyme inhibitors and beta-blockers, which help improve myocardial function and reduce the workload on the heart, exerting positive effects on heart failure associated with cardiac enlargement.
3. Lifestyle modifications: Restricting salt intake, quitting smoking and limiting alcohol consumption, engaging in moderate physical activity, and maintaining a healthy weight.
