Patient: description of illness (onset, main symptoms, hospital visit, etc.): I’m a 35 year old female, I’m short of breath, I have panic attacks when I walk around, I’ve been coughing lately with a cold, hard to fall asleep flat on my back, hard to fall asleep at night, and lately my heart rate has been in the 120’s, when I don’t have a cold it’s at 110 beats. High pressure is a little under 100. Congenital atrial septal defect, three years ago to do mitral valve repair, three months ago and did replace the mechanical mitral valve, repair the tricuspid valve, pre-surgery symptoms are not very obvious, recently came to the hospital to review the cold is serious, more than a cough, panic and shortness of breath, ultrasound results surprised me, cardiac insufficiency, left ventricular ejection LVEF 25%, from the Internet to see the value of this value is extremely low, at any time there is a danger to life, I do not think it’s so serious! I feel that it is not so serious, usually light activity is okay, not panic when not moving, how suddenly the heart failure is so serious, I did a second operation how can this result, I feel so bad, the pressure is very big, why my life is so bitter ah. I would like to beg the doctor on my knees, why suddenly heart failure is so serious, is not my recent cold infusion caused ah, heart function will not improve for a short period of time ah, or pay attention to what, heart function is not all heart failure? Thank you, good man life peace, wish you happiness. Shandong University Qilu Hospital cardiovascular internal medicine Yao Guihua: 1, from your narrative presumption, for the primary hole type atrial septal defect + mitral valve anterior leaflet cleft, first repair surgery, and then due to the mitral valve + tricuspid valve obvious regurgitation, and then did mitral valve replacement and tricuspid valvuloplasty; 2, can you provide the ultrasound report before and after the valve replacement surgery? It is very likely that the left atrium and left ventricle were significantly enlarged before the surgery; 3. Acute severe myocarditis (ECG, cardiac enzymes, troponin, etc. will be abnormal) can lead to cardiac enlargement and reduced cardiac function in a short period of time. 4, at present, we need to pay attention to rest, application of nutritive myocardium and formal anti-heart failure treatment, the treatment should be long-term, need patience and confidence.