I can see health

Chapter 429
Two days on the weekend.

Under the guidance of Ou Yangming, Lu Chen continued to learn about the interventional knowledge of cardiac electrophysiology.

Although Lu Chen has the virtual surgery space of the system, the system cannot provide a lot of clinical experience.

Ou Yangming has more than 50 years of experience in the field of electrophysiology, and his clinical experience is definitely a valuable asset.

And since learning about the content of the third-stage assessment, Lu Chen has also worked harder.

In addition to being in the cath lab every day, he is also in the training room of the training class.

As Lu Chen's teacher, Xiao Shikang was also a little surprised.

No one can succeed casually. At such a young age, Lu Chen has paid more than others to achieve his current achievements.

……

The First Affiliated Hospital of Kyoto University, Department of Cardiology Catheterization Laboratory.

"Lu Chen, I'll give you a day off tomorrow, so go and have a good rest." Xiao Shikang walked to Lu Chen's side, "There is a degree of relaxation and a combination of work and rest, so that the work efficiency will be high."

Lu Chen was taken aback for a moment, then smiled, "Ms. Xiao, no need, we sit most of the time in this job, unless there are patients or operations. Compared with other physical activity occupations, it is much easier."

"That's right, but I think you've been too tired recently." Xiao Shikang said.

Just when Xiao Shikang wanted to continue to say something, a doctor suddenly ran in from the catheterization room.

Everyone was stunned.

A doctor running around in a hospital means something has happened!
"Xiao Fang, what's the matter? Why are you in such a panic?" Xiao Shikang knew this young man. He was a doctor in the CCU of the Department of Cardiology.

When Xiao Fang saw Xiao Shikang, the tense expression on his face eased a little, and he walked towards Xiao Shikang quickly.

"Ms. Xiao, help me read an electrocardiogram." Xiao Fang stepped forward, holding an electrocardiogram in his hand.

Although Xiao Fang is also a doctor in the Department of Cardiology, in terms of the ability to judge pictures, the doctor in electrophysiology is the most professional.

Xiao Shikang frowned, and gently picked up the electrocardiogram.

"Mr. Xiao, this is my dad's electrocardiogram." Xiao Fang said while panting heavily.

Lu Chen also came over, and he was most interested in looking at the pictures.

Now, he still judges pictures in Jinghua Electrophysiology WeChat group from time to time.

"Is there something wrong with him?" Xiao Shikang glanced at it and handed the ECG to Lu Chen.

Xiao Fang thought for a while, and said: "In the past year, he has suffered from repeated palpitations and chest tightness. He used to do physical labor, and his heartbeat has been slow for a long time, with a heartbeat of about 40-50 beats per minute. Oh, yes, an uncle of mine also has This history of slow heart rate."

A normal person's heart rate is 60-100 beats/min.

However, it is normal for physically active people and athletes to have a slower than normal heart rate.

"However, in the past week, my dad often felt tachycardia. Every time it happened, the symptoms of palpitations were more obvious, and he was weak and unable to stand. It happened again an hour ago, and I asked him to come to the emergency department of the hospital. He is now lying down. In the observation room of the emergency department."

After understanding the condition, Xiao Shikang nodded slightly, and said: "From the picture, it can be seen that the J wave is obviously elevated in leads II, III, and AVF. Have you checked the myocardial enzymes?"

"I checked, it's negative." Xiao Fang said.

"That shouldn't be a myocardial infarction. I'll check again in three hours." Xiao Shikang said.

In the case of myocardial infarction, myocardial enzymes will rise four hours after the onset.

"Ms. Xiao, this J wave rises, I remember it is early repolarization syndrome?" Xiao Fang whispered.

"Well, not bad." Xiao Shikang nodded slightly, "Only from the electrocardiogram you gave, the heart rate is not particularly slow, at 54 beats per minute, there is no ST segment elevation, only the J wave in the inferior wall lead Lifting up. Because I haven’t had a dynamic electrocardiogram, I don’t know the other conditions for the time being. But combined with the family history, it is clear that it is early repolarization syndrome.”

"Early repolarization syndrome is a benign disease, so you don't have to worry too much. However, you still need to complete relevant examinations, such as dynamic electrocardiogram and cardiac ultrasound."

Hearing Xiao Shikang's words, Xiao Fang breathed a sigh of relief.

He has just graduated and stayed in the First Affiliated Hospital of Kyoto University, and the future is bright.

After a smooth life, I am afraid that my parents will get sick.

"Thank you, Mr. Xiao, I'm relieved to hear your words."

Xiao Shikang smiled and said, "Let's do the dynamic electrocardiogram and echocardiogram first."

"it is good."

This is also because he met his colleague, so Xiao Shikang dared to say it so bluntly.

If he was facing a patient, he wouldn't dare to say that if he borrowed some courage from Xiao Shikang.

Lu Chen had been listening to the conversation between the two of them. He held Xiao Fang's electrocardiogram in his hand and studied it carefully.

Just when Xiao Fang took the electrocardiogram and wanted to leave, Lu Chen made a sound.

"Mr. Xiao, look at this picture again, there seems to be J waves on the front wall?" Lu Chen said slowly.

Xiao Shikang smiled, "I also noticed that there are J waves on the front wall, but it's not a big problem. Many young people have this phenomenon."

Lu Chen frowned deeply, and said in a deep voice, "Mr. Xiao, I don't think it's that simple."

Seeing Lu Chen's expression, Xiao Shikang was slightly taken aback. Did he see anything unusual?

"Lu Chen, if you have any other opinions, you can directly say that this is Fang Ming, a resident physician in the CCU ward of our Cardiology Department." Xiao Shikang said.

Xiao Fang didn't come to the catheterization room often, and didn't know Lu Chen, so he hurriedly said, "Mr. Xiao, this is your advanced student? You look so young!"

"He is not a further student." Xiao Shikang smiled, "If he is my further student, he will be very popular. His name is Lu Chen, and he is a student of the electrophysiology training class. He will be assessed in our cath lab this month. .”

"Oh. I see!" Xiao Fang suddenly realized, "Is that the epicardial ablation of dry pericardial puncture some time ago?"

"Yes." Xiao Shikang smiled.

"It's amazing!" Xiao Fang gave Lu Chen a thumbs up, and his impression of him changed a little. He thought he was a doctor in training, so he didn't need to pay too much attention to his opinion.

But after finding out Lu Chen's identity, Xiao Fang became a little nervous again, "Doctor Lu, if you have any other diagnostic opinions, you can tell me."

"Let's take a look at the patient first." Lu Chen looked up at Xiao Fang. .

It is very one-sided to judge the pictures independently of the clinic.

Although Xiao Fang described the medical history in detail just now, Lu Chen still wanted to see the patient in person.

Xiao Fang was naturally very happy, but he didn't expect Lu Chen to be so enthusiastic that he took the initiative to invite Ying to see his father.

He hurriedly said, "Will that disturb your work?"

Then Xiao Fang glanced at Xiao Shikang.

"It's okay, there is no operation this morning, and there will be one in the afternoon." Xiao Shikang said, "Lu Chen, if you want to go and have a look, then you can go."

"Ah."

Lu Chen nodded, and then left the catheterization room with Xiao Fang and went to the emergency department.

(End of this chapter)