I can see health

Chapter 545 I would rather miss it than let it go!
Hypertrophic cardiomyopathy? !
This hereditary heart disease immediately popped up in Lu Chen's mind.

Hypertrophic cardiomyopathy, simply put, is the hypertrophy of the heart muscle tissue in a certain part of the heart.

Hypertrophy of the heart muscle blocks blood flow through the heart during contraction, causing a series of symptoms such as dizziness, palpitations and even chest pain.

The most typical symptom of hypertrophic cardiomyopathy is that the murmur of the heart will decrease when changing the body position and squatting.

This is also well understood. When a person squats, the distance between the lower limbs and the heart is shortened, so the blood flow to the heart increases.

The increase in blood flow back to the heart expands the ventricular cavity, and the distance between the mitral valve leaflet and the interventricular septum increases accordingly, thereby reducing the stenosis of the outflow tract and reducing the murmur.

However, no matter how obvious the symptoms are, if you want to diagnose hypertrophic cardiomyopathy, you still need to complete the echocardiographic examination.

"Student, do your parents have any history of heart disease?" Lu Chen asked.

Hypertrophic cardiomyopathy is a genetic disease. Generally speaking, most patients have a family history of genetic disease.

"No, probably not." The thin boy paused.

"No?" Lu Chen was taken aback.

Just when Lu Chen was about to write down his inspection opinion on the form, the boy suddenly said: "But my grandma seems to have a heart attack. I don't know what kind of heart disease it is, but I heard from my dad that this heart disease is in my heart. Grandma had it when she was young..."

Lu Chen nodded slightly, it seems that there is still a genetic predisposition.

Most of the students' grandmothers also have hypertrophic cardiomyopathy.

The disease most often occurs in middle age and is also the cause of sudden sudden death in some young people.

Why sudden death?
In fact, it is also easy to explain. Myocardial hypertrophy and blocked blood flow channels. Once the blood flow is completely blocked, the human brain and other parts will lack blood supply, leading to the possibility of sudden death.

"Doctor, what did you mean just now, is there something wrong with my heart?" The thin boy asked in a low voice.

Lu Chen wrote down his opinion on how to deal with it, and said, "Actually, you should have some feelings yourself, right?"

As long as the amount of activity is slightly increased, he will feel chest tightness and shortness of breath. He should have a deep understanding of such uncomfortable symptoms.

The thin boy nodded slightly. He always thought that he was malnourished and his body was weaker than others, so his activity tolerance was not as good as others.

But, no matter what, he had experienced the discomfort in his heart, and he couldn't hide it.

"Be sure to ask your parents to take you to the hospital for a checkup." Lu Chen said, "You don't need to have psychological pressure. Once you solve your problem, you will be able to participate in physical exercise normally in the future."

"Okay, thank you doctor."

The form for this physical examination will be submitted directly to the school, and the school will then contact the parents to solve each student's problem according to the medical examiner's advice.

After the thin boy left, Lu Chen handed the form to the director of the physical examination department.

"Director Song, I'm here to check on a student suspected of hypertrophic cardiomyopathy." Lu Chen said.

"Ah?" Director Song shrugged his glasses on the tip of his nose, and stared at Lu Chen in surprise, "You, are you right?"

The previous physical examinations were basically just going through the motions. If you could find a student with an arrhythmia, that would be a big deal!
How can we still find students with hypertrophic cardiomyopathy this year?
This seems a bit outrageous? !

"There should be no mistake." Lu Chen said.

Director Song looked at Lu Chen suspiciously, "How did you diagnose it?"

Without any pause, Lu Chen said: "The part I am in charge of is mainly auscultation. The patient usually has chest pain and palpitations after activities. At the same time, an obvious systolic murmur can be heard at the left edge of the sternum. In addition, when he squats down, the murmur Weakened, lessened symptoms..."

Listening to Lu Chen's series of symptoms and physical examination, Director Song of the Physical Examination Department was a little silent.

He himself came to the medical examination department as the director after he retired from the cardiology department.

He is no stranger to hypertrophic cardiomyopathy.

But it is really not easy to diagnose this disease only through physical examination and consultation!
Director Song knew that Lu Chen was just a graduate student. Although he had obtained a medical license and could be regarded as a real doctor, he was still a student after all!

"Okay, I trust your judgment." Director Song was silent for a while, and then slowly said: "I will communicate with the parents of the students and ask him to improve the echocardiography as much as possible to facilitate the diagnosis."

Seeing this, Lu Chen felt at ease.

Hypertrophic cardiomyopathy, although most of the prognosis is relatively good, but very few are at risk of sudden death, so it is best to find out what type of cardiomyopathy is as soon as possible, so as to prescribe the right medicine.

Lu Chen returned to the physical examination room and continued to conduct physical examinations for the students.

……

On the other side, Director Song immediately called the parents of the students.

"Hello, are you Jin Miao's parent?"

"Yes, are you?"

"I am a doctor from the Physical Examination Department of Jinghua No. [-] Hospital. This time, I am undertaking the physical examination for the college entrance examination of Jinghua Experimental Middle School. I found that your son Jin Miao may have some problems..."

Director Song's efficiency in handling things was relatively high, and the parents came to the school immediately.

When it comes to their own children, parents can't delay for a moment.

Originally, it was better for the school to talk about this matter, but the school is not considered a professional, so the doctor of Jinghua Second Hospital came forward.

"Doctor, do you think my son may have a heart attack?" Jin Huafang looked at Director Song in surprise.

Director Song nodded and said: "Through our examination this time, we can preliminarily judge that there may be a heart attack, but if it is confirmed, we may need to go to the hospital for further examination."

Jin Huafang asked suspiciously: "When I went to your hospital before, I had to do so many tests in order to be able to confirm the diagnosis. Why did you take a stethoscope at school today and tell us that the child has a heart attack?"

Jin Huafang looked very excited. It would be unacceptable for anyone to know that his child had a heart attack.

"Parents, please don't get excited." Director Song remained calm and comforted: "We are only preliminary suspicion at present, and we have not confirmed the diagnosis. The reason why we call you here is also responsible for your child and you. In the child's body In this regard, since we have undertaken the task of physical examination, we will definitely be responsible. Especially for heart disease, we would rather make a mistake ourselves, but we can't let it go, don't you think?"

Jin Huafang's mood gradually calmed down, and he was also worried about his child.

"This child is usually uncomfortable, so why don't you tell us!"

"It might be said, but your parents didn't care?" Director Song said, "Now is not the time to talk about these things. Let's take the child there for examination as soon as possible."

Jin Huafang held the form written by Lu Chen in his hand, which said "It is recommended to improve the echocardiogram and electrocardiogram to rule out hypertrophic cardiomyopathy", pondered for a while, and then nodded slowly: "Okay, I will take him there now. "

(End of this chapter)