I can see health

Chapter 430 Disagreement
The First Affiliated Hospital of Kyoto University.

Lu Chen and Xiao Fang soon came to the emergency department.

Because Xiao Fang is an employee of the hospital, he first found the doctor in the emergency department.

"Doctor Fang, your father is fine now. Blood routine, liver and kidney function, myocardial enzymes, and blood coagulation are all normal." The emergency doctor said, "We also invited the Cardiology Department for emergency consultation, and it is considered to be early repolarization syndrome. , Conscience, it shouldn't be a big problem."

"Okay, thank you." Xiao Fang forced a smile.

If he had heard the news before, he would be very happy.

But now, he really can't be happy.

"Let's go see the patient first." Lu Chen looked through the patient's test sheet, but did not notice any abnormal results.

"Okay, come with me." Xiao Fang nodded and brought Lu Chen to his father.

Emergency room.

A man about 50 years old was lying on the hospital bed, his face was a little pale, and he looked weak.

"Dad, are you okay now?" Xiao Fang sat by the bed, handed his father a glass of water, and asked with concern.

"It's much better." There was a smile on the man's pale face, "I'm a little weak now, but everything else is fine. Don't worry, go to work."

"Dad, I've already asked for leave. Don't worry about it. Get well first." Hearing this, Xiao Fang felt relieved and looked at Lu Chen who was beside him.

But when Lu Chen saw the patient for the first time, his heart sank to the bottom.

The health bar above the patient's head shows 58 (--).

The life value is already below the critical 60, and there are still two minus signs.

This is not the value that a benign disease should have!

"Dad, this is a cardiology doctor. He has a lot of experience and came to see you." Xiao Fang didn't care about his father's strange eyes, and said straight to the point.

But in his father's eyes, the young man in front of him seemed to be younger than his own son, how could he be experienced?
But since his son said so, he didn't ask any more questions.

Immediately afterwards, Lu Chen asked several related questions.

"Uncle, every time you have an attack, tell me what the specific situation is like."

"Do you have the electrocardiogram from the previous illness? Let me compare it."

"Uncle, your heart rate used to be slow, but recently it feels faster?"

……

In fact, Lu Chen didn't need to ask too much. When he saw the patient's life value, he already had a judgment in his heart.

The reason why I asked a few more questions was just to make it less abrupt.

After asking the questions, Lu Chen performed a simple heart auscultation and physical examination on the patient.

Putting down the stethoscope, Lu Chen didn't speak, and his face was a little serious.

"Doctor Lu, how are you?" Xiao Fang said immediately.

Lu Chen winked and signaled Xiao Fang to go outside the ward.

Xiao Fang understood, said something to his father, and walked out of the ward with Lu Chen.

……

Outside the corridor of the emergency department, there are many family members of patients.

Some people looked very painful, and even cried bitterly.

Some people have happy faces, which is the joy of the rest of their lives after the catastrophe.

"Doctor Lu..." Xiao Fang stared at Lu Chen closely, afraid of hearing bad news from him.

Lu Chen paused, and said slowly: "It's clear, the diagnosis is clear, early repolarization syndrome."

"Ah? Is this the diagnosis?" Xiao Fang was a little dazed, and after a long time, it was still the diagnosis?
"Then isn't my dad all right?"

Lu Chen shook his head and said, "The diagnosis is correct, but early repolarization syndrome is not necessarily benign!"

"How do you say that?" Xiao Fang wondered.

Lu Chendao: "In the past academic circles, early repolarization syndrome was regarded as benign, but in recent years, with the deepening of ion channel research, many studies have shown that there are more and more malignant early repolarization syndromes. "

Xiao Fang frowned, full of puzzlement: "Doctor Lu, you are right, I have read a similar document, but this is only a rare case, and it does not prove my father's early repolarization syndrome. The sign is vicious!"

Early repolarization syndrome is more common in young people.

It was previously considered a benign disease, but now it is found that more and more sudden deaths of young people are related to this disease.

Lu Chen took out the patient's electrocardiogram again: "Of course there is evidence. First of all, you have to know that the higher the degree of J wave elevation, the higher the degree of malignancy. Your dad's electrocardiogram > 0.2mv can be regarded as a high degree." Vicious."

"Secondly, the more leads that appear in the J wave, it also indicates the higher the degree of malignancy. The common ones are the inferior wall leads and the anterior wall leads. Look at your dad's picture, not only the inferior wall, the anterior wall, but even the There are J waves on the high lateral wall! This is also called type 3 repolarization syndrome, and the degree of malignancy is extremely high!"

"In addition, the more obvious and exaggerated the J-wave shear and setback, it also indicates a higher degree of malignancy!"

Lu Chen's words echoed in Xiao Fang's heart, and he believed most of them.

If Lu Chen simply said that the degree of malignancy was high, then he would still have doubts.

However, facing such a well-founded explanation, Xiao Fang had no choice but to believe it!

After a while, Xiao Fang slowly said: "Doctor Lu, if according to what you said, it is suspected to be malignant early repolarization syndrome, what should be the next step?"

"Ms. Xiao also said just now." Lu Chen said, "Echocardiography must be checked. In addition, you can check your genes. I remember that Jiangcheng University School of Medicine has done a lot of research in this area. Finally, the current research on this For patients with possible high-risk sudden death, it is recommended to implant ICD as soon as possible for prevention.”

"The ICD implantation has reached this point?" Xiao Fang was startled.

He never thought that his father's condition was so serious.

Lu Chen nodded resolutely, "This is my opinion. You can also ask a few professors of cardiology for a comprehensive opinion."

The Cardiology Department of the First Affiliated Hospital of Kyoto University is the top discipline in the country.

Although Xiao Fang is only a resident doctor, the relationship here is intricate, and he will definitely be able to find a few experts at the cardiology department.

"Okay, no matter what, thank you Doctor Lu today." Xiao Fang nodded slightly.

As for the next step, he had to inquire again.

"Well, it's nothing, I'll leave first." Lu Chen smiled, and before leaving, he said, "If you decide to install an ICD, you should do it as soon as possible. Sudden death from arrhythmia is very sudden."

"Ah."

Looking at Lu Chen's leaving back, Xiao Fang was also a little tangled in his heart.

Xiao Shikang, as an old qualified doctor in the Department of Cardiology, his opinion is benign.

And Lu Chen, as a graduate student who has not yet graduated, but also has a good reputation, he said that he might have an ICD implanted!
The two disagree, who should they listen to?
　Originally, there were a few more chapters, but the director temporarily called me to work overtime.

　　The life of working overtime is coming to an end this month.

　　
　
(End of this chapter)