I can see health

Chapter 591
Chest pain, ST-segment elevation on ECG, and one troponin short, this is definitely acute myocardial infarction!

And in the emergency department, there is no need to wait for the results of troponin.

With chest pain and ECG ST segment elevation, these two points can confirm the diagnosis of myocardial infarction.

However, the black man was still standing in front of Lu Chen.

The health is so healthy, and there is no downward trend.

Unless there is a bug in the system, it is impossible to have a heart attack at all!

Aside, Junior Sister Su Rui was also stunned, "Master... Brother, is this a heart attack?"

She was also puzzled.

Patients with extensive anterior wall myocardial infarction are not in such good condition as this black man.

"Not sure yet." Lu Chen shook his head slightly.

However, for the sake of safety, Lu Chen still let the black man stay on the bed and not move around.

"Junior sister, push the electrocardiogram machine over and give the patient another electrocardiogram."

"it is good."

The beautiful junior sister left, and Lu Chen began to ask the patient's condition carefully.

"When did the chest pains start?"

"Yesterday at noon."

"When the chest pain hit at noon yesterday, what were you doing?"

"Just finished a long run."

"Have you ever had an episode of this chest pain before?"

"Not at all, this is the first time."

"..."

This is a typical angina symptom of chest pain after exercise!
No matter how you look at it, except for the age of the patient, there are no risk factors. This looks like a patient with incipient angina.

Junior sister Su Rui pushed the electrocardiogram machine over and checked the electrocardiogram for the black man.

There is not much difference between the rechecked ECG and the patient's admission ECG.

Immediately afterwards, Lu Chen finished the black man's physical examination, but still found no abnormalities.

Lu Chen calmed down, and said to Su Rui who was beside him, "Let the nurse check the blood first, and check the troponin."

"Got it." Su Rui nodded, then ran back to the doctor's office to give the doctor's order.

Lu Chen stayed in the ward, continuing to talk to the black man, trying to find meaningful clues.

Although the system showed that there was no possibility of myocardial infarction, Lu Chen's preliminary diagnosis could not rule out myocardial infarction.

For the sake of safety, whether it is myocardial infarction or not, troponin must be urgently checked.

"Doctor, is my illness serious?" The black man could see the nervousness on the expressions of Lu Chen and Su Rui.

"How should I put it, if you just look at the electrocardiogram, it's very serious!" Lu Chen said in a deep voice.

The black man was slightly taken aback, "I heard from the doctor in the emergency department that I have a myocardial infarction?"

"This...not necessarily, we need further inspections to confirm."

Lu Chen was extremely cautious about the patient's diagnosis.

So far, there have been no problems with the life value and changing trend that the system has given him, and he doesn't want to cause panic in patients.

Suddenly, Lu Chen thought of a disease, and he quickly asked, "Do your parents or family members have any history of heart disease?"

"No." The black man shook his head. "My parents are both very healthy. They are both football players. I inherited their profession and became a football coach in Kyoto."

No?

Lu Chen originally thought it might be Brugada Syndrome.

Brugada syndrome is a syndrome caused by abnormal function of ion channels.

Clinically, this syndrome is characterized by ST-segment elevation in leads V1-V3 of the electrocardiogram, and sudden cardiac death, and generally has a family history.

There was no family history of sudden death, and no previous history of similar syncope or chest pain, so Brugada syndrome could basically be ruled out.

What will it be?
……

Lu Chen returned to the doctor's office with a puzzled expression on his face.

At this time, Su Rui immediately stepped forward and said to Lu Chen: "Senior brother, the results of the troponin in the department's initial screening have come out, and the troponin is negative!"

The patient had chest pain for more than one day, and the troponin was negative. In this way, acute myocardial infarction can basically be ruled out.

Lu Chen murmured in his heart: "If the system doesn't make mistakes, this patient really doesn't have a heart attack!"

At this moment, Su Rui frowned and asked, "Brother, is this patient aneurysm?"

The persistent elevation of the ST lead in the chest is another common situation, which is the complication of ventricular aneurysm after myocardial infarction.

Lu Chen rested his chin with his right hand, thought for a while, and shook his head: "It doesn't look like it, the patient has no history of chest pain, and this time, myocardial infarction was ruled out, so the possibility of myocardial infarction complicated by ventricular aneurysm is also extremely low. "

As the saying goes, three cobblers are better than Zhuge Liang.

Lu Chen shared this strange patient with other people in his heart.

What's more, this is Kyoto University School of Medicine, more than 99% of the cardiology department are academic masters, but there are no cobblers!

When other people in the heart area heard about Lu Chen's case, they were also very interested.

"Let's do an angiography first, whether it's a heart problem or not, you can see clearly with an angiography."

The more radical doctor directly suggested that Lu Chen pull the black man over for a coronary angiography.

Whether there is a myocardial infarction, whether it is a ventricular aneurysm, it is clear at a glance!
"I think it's better to do an ultrasound first. The patient has symptoms of chest pain after exercise, so it's not cardiomyopathy."

More conservative doctors still recommend an ultrasound first.

The Ultrasound Department of the First Affiliated Hospital of Kyoto University is powerful, and it can usually detect cardiomyopathy, valvular disease, and congenital heart disease.

……

Lu Chen listened to everyone's suggestions, but he never expressed his opinion.

Whether it is acute myocardial infarction, cardiomyopathy, valvular disease, or congenital heart disease, the life value displayed by the system will definitely not be the current 81!

Moreover, the change trend of health value has not declined.

What does this mean...

It shows that black people do not have fatal diseases, on the contrary they are extremely healthy!

However, in reality, black people have symptoms of chest pain, and the electrocardiogram shows a pattern of myocardial infarction.

No matter how you look at it, it looks like a "sick" person!

Lu Chen always felt that he seemed to overlook something...

"This strange black man with chest pain must have a breakthrough!"

At this time, Su Rui leaned over to Lu Chen's side and said softly, "Brother, that black man said that there is still something to do at school, can he leave the hospital for a while?"

Lu Chen shook his head, "We can't let him go back until he's diagnosed."

If something goes wrong with black people outside the hospital, apart from conflicts between doctors and patients, it may also cause diplomatic disputes!
Thinking of this, Lu Chen suddenly froze and slapped his head.

How could such an important "clue" be forgotten!
At present, everyone's thinking mode is based on the normal "yellow race".

However, the patient in front of him...he is a black man!

Lu Chen quickly took out his mobile phone and searched for relevant papers in the literature library.

……

In the doctor's office, everyone was chattering, uncertain about the diagnosis of the black man.

Suddenly, Lu Chen's voice sounded in the doctor's office.

"Teachers, have you ever thought about another possibility that black people may not have any diseases at all?"

(End of this chapter)