I Can See Health

   Chapter 103 The U wave behind the T wave!

  Lu Chen was still immersed in the joy of passing the assessment of the elite group.

   Suddenly, he received another email.

   is still sent by Jinghua Electrophysiology Association.

  Click to open the email, and you will see a line of bold bold small characters.

   "Congratulations to Mr. Lu Chen, who has officially become a member of the elite group of the Jinghua Electrophysiology Association. I hope that with the joint efforts of everyone, the Jinghua Electrophysiology Association will flourish in the future. The following describes the detailed responsibilities and rights of the elite group members."

   "Responsibilities of members of the elite group: responsible for the interpretation of difficult ECGs in a lower-level hospital..."

   "The rights and interests of elite group members: free participation in various electrophysiological conferences, free cutting-edge medical information, regular distribution of electrophysiological association benefits..."

   This pattern is quite a lot!

   After reading it, Lu Chen had a preliminary understanding of the responsibilities and rights of the elite members of the Jinghua Electrophysiology Association.

  Jinghua, as the provincial capital, undertakes the diagnosis and treatment of most difficult and difficult patients in the province.

  Jinghua Electrophysiology Association also undertakes the task of ECG interpretation in lower-level hospitals.

   For some critically ill or difficult ECGs, lower-level hospitals will send ECG photos through WeChat groups for professional doctors in higher-level hospitals to interpret.

   This not only saves medical resources, but also provides greater convenience for patients.

   At the same time, it can also promote multi-party exchanges and improve the medical level of lower-level hospitals.

   All members of the elite group of Jinghua Electrophysiology Association are assigned to lower-level areas.

   Then use the WeChat group to interpret the difficult ECG.

   Of course, members of the elite group can refuse to participate in this mode of assistance.

   But correspondingly, there are no various benefits.

   Lu Chen is very interested in this model.

   Remote interpretation of ECG should not be regarded as a diagnosis of disease.

   will not improve the completion of the system upgrade, but he may get a certain amount of thanks from it.

   Follow the contact information given in the email.

  Lu Chen contacted the vice president of Jinghua Electrophysiology Association.

   The vice president in charge is the deputy chief physician of the Cardiology Department of Jinghua First Hospital.

   He assigned Lu Chen the tasks of Pingshui County and Fengm County.

   After Lu Chen added the WeChat account of the vice president in charge, he was directly pulled into a WeChat group - Jinghua Electrophysiology Exchange Group 52 (Pingshui, Fengmei).

There are more than 200 people in the    group.

Members of the    group, most of the county-level hospitals, or doctors in township health centers.

  We usually have academic discussions on ECG.

   Occasionally there are difficult ECGs, which are interpreted by members of the Electrophysiology Society.

   The vice president in charge informed Lu Chen of the specific tasks.

   In each group, there are two to three elite group members who are responsible for the interpretation of difficult ECGs.

  According to the regulations, Lu Chen changed his group nickname to Lu Chen of Jinghua Electrophysiology Association.

   joined a WeChat group of several hundred people, but Lu Chen didn't attract everyone's attention.

   "In the near future, the association will send you some electrophysiology magazines and books, leave your contact address, and pay attention to check it."

   As soon as he joined the club, he had these benefits, and Lu Chen was still very happy.

   At present, he desperately hopes to be able to get in touch with more cutting-edge medical knowledge, but he always feels a little embarrassed to use it to inquire on the Internet.

   If you can get access to these cutting-edge knowledge from professional learning and formal platforms, it will be more reliable.

  …

   Within five minutes of Lu Chen joining the group, someone sent WeChat.

   The person who sent the message was a doctor at the Township Health Center in Pingshui County.

   Instead of welcoming Lu Chen, he sent an electrocardiogram.

   "Could any teacher in the class help me analyze this electrocardiogram, thank you!"

   Come to work!

   Lu Chen's eyes lit up, and he immediately clicked on the electrocardiogram in the group.

   glanced at the electrocardiogram, and his brows furrowed.

   Sinus rhythm, normal rhythm, p wave, QRS wave, T wave all normal.

   "Isn't this a normal ECG?"

   "Where am I negligent?"

  Lu Chen stared at the electrocardiogram in the group again.

   pondered back and forth several times, but still did not see any way out.

   At this time, the phone vibrated, and someone in the group sent a message.

   This is a doctor from the Cardiology Department of Pingshui County People's Hospital.

  He called the doctor at the township health center upstairs and replied, "Normal electrocardiogram."

   Then, the doctor at the township health center immediately replied "Thank you".

   Lu Chen, who was holding his phone, had the expression of an old subway grandpa looking at his phone.

"That's it?"

   Normal... ECG?

  Yes... Did he think too much?

  …

   Immediately afterwards, Lu Chen saw that an electrocardiogram would pop up one after another in the group.

   However, most of them are "ventricular premature", "atrial fibrillation", "myocardial ischemia" and so on.

   A slightly more difficult ECG is supraventricular tachycardia.

   These simple ECGs were interpreted by cardiologists in other hospitals.

  Lu Chen was about to close the group chat and take a good rest.

   Suddenly, another electrocardiogram popped up in the group.

   This electrocardiogram was issued by the emergency doctor of Fengm County People's Hospital.

   "Teachers, help the rivers and lakes!"

   "A male patient with a 1-day exacerbation of malaise, an electrocardiogram just arrived at the emergency department!"

   This picture was posted.

  The group was silent, and no one made a sound for a long time.

  …

   Feng M County People's Hospital, Emergency Department.

   Zhang Wulong looked anxiously at the patient in front of him.

   The patient's condition was extremely poor, with apathy and cyanosis of the lips.

  On the ECG monitor, the blood pressure is only 154/70mmHg, and the heart rate is only 49 beats/min.

   At this time, the head nurse of the emergency department ran to Zhang Wulong and said softly:

   "Dr. Zhang, this patient is a relative of a director in the county. The director has called just now, and he must do his best to rescue him!"

Zhang Wulong nodded helplessly: "Head nurse, the patient's condition is too serious, and I can't find any reason for the time being. I have already used all the medicines that should be used, and have invited multiple departments such as cardiology, ICU, and respiratory department for consultation. ."

   "Okay, I see, I have contacted the director, he will come right away." The head nurse said and left.

   Zhang Wulong stared at the electrocardiogram in front of him.

  Before the blood test results come out, the most important auxiliary examination is this electrocardiogram.

   Ask him to judge that some simple electrocardiograms are okay.

  If he encounters this kind of complicated electrocardiogram, he will start to be stretched and lose his head.

   "Isn't the cardiologist here yet?" Zhang Wulong asked the nurse beside him.

   "I called, the cardiologist is on the way." The nurse replied quickly.

   Zhang Wulong thought of the "electrophysiological communication group".

   He quickly took out his mobile phone and uploaded the electrocardiogram to the WeChat group.

  …

  Lu Chen lay on the bed and stared at the picture in the WeChat group.

  P waves were normal, sinus rhythm.

   The rhythm was normal, no premature beats, atrial fibrillation, etc.

   The ST segment in the anterior chest leads is shifted down, and the T wave is inverted.

  Lu Chen frowned. Could it be coronary heart disease or myocardial ischemia?

   At this time, someone in the group finally spoke.

  The nickname of the group is a cardiologist in a second-class hospital.

   "The patient has severe myocardial ischemia, does he have a history of coronary heart disease?"

   Zhang Wulong looked happy when he saw someone speaking, and immediately replied: "I don't have coronary heart disease, but I have a history of hypertension and diabetes in the past."

  The cardiologist from the second-class hospital continued to reply: "There are high-risk factors for coronary heart disease, and it may be angina pectoris or heart failure!"

   At this moment, Lu Chen frowned.

   In this electrocardiogram, the T wave is followed by a less obvious u wave!

   This may not be myocardial ischemia of coronary heart disease!

   Starting tomorrow, there is a small holiday, come on and update.

   (end of this chapter)