I Can See Health

  Chapter 430 Divergent Opinions

   The First Affiliated Hospital of Kyoto University.

  Lu Chen and Xiaofang soon came to the emergency department.

  Because Xiaofang is an employee of this hospital, he first found the doctor who was in the emergency department.

"Doctor Fang, your dad is fine now, blood routine, liver and kidney function, myocardial enzymes, and coagulation are all normal." The emergency admission doctor said, "We also invited an emergency cardiology consultation, considering it was early repolarization syndrome. , conscience, it shouldn't be a big problem."

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

   If he heard the news before, he was very happy.

   But now, he is really not happy.

   "Let's go see the patient first." Lu Chen flipped 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 Department observation room.

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

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

   "It's much better." A smile appeared on the man's pale face. "I'm just 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, take care of your illness first." Hearing this, Xiao Fang calmed down and looked at Lu Chen beside him.

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

   The health value on the patient's head shows 58 (--).

   Health is already below the critical 60, and there are still two minus signs.

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

   "Dad, this is a cardiologist. He has a lot of experience and came to see you." Xiaofang didn't care about his father's strange vision, and got straight to the point.

   But in the eyes of his father, the young man in front of him seems to be younger than his own son, how can he be experienced?

   But since his son said so, he didn't ask any more.

   Immediately afterwards, Lu Chen asked a few related questions.

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

   "Is there an electrocardiogram when I had the disease before? Let me compare it."

   "Uncle, you used to have a slow heart rate, but you feel your heart rate has become faster recently?"

  …

   Actually, Lu Chen didn't need to ask too much. The moment 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 obtrusive.

   After asking the question, Lu Chen gave the patient a simple heart auscultation and physical examination.

   Put down the stethoscope, Lu Chen didn't speak, his face was slightly serious.

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

  Lu Chen winked and motioned Xiaofang to go outside the ward.

  Xiaofang understood, talked 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 were very distressed and even wept softly.

   Some people have happy faces, it is the joy of the rest of their lives.

   "Doctor Lu..." Xiao Fang stared at Lu Chen, for fear of hearing bad news from his mouth.

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

   "Huh? Is this the diagnosis?" Xiao Fang was a little stunned.

   "Isn't there a big problem with my dad?"

  Lu Chen shook his head and said, "The diagnosis is correct, but not all early repolarization syndromes are benign!"

   "How do you say this?" Xiao Fang asked in confusion.

Lu Chen said: "In the past, the academic circles regarded early repolarization syndrome 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. "

Xiaofang frowned, full of puzzlement: "Doctor Lu, you are right, I have read a similar document before, but this is only a few cases, and it does not prove my father's early repolarization syndrome. Signs are vicious!"

   Early repolarization syndrome, more common in young people.

   used to be considered a benign disease, but now it is found that more and more young people die suddenly and this disease is related.

Lu Chen took out the patient's ECG again: "Of course there is evidence. First of all, you need to know that the higher the degree of J wave elevation, the higher the degree of malignancy. Your father's ECG is >0.2mv, which is considered high. vicious."

"Secondly, the more leads that J waves appear in, the higher the degree of malignancy. The common ones are the inferior and anterior leads. Look at your dad's picture, not only the inferior and anterior walls, but even the inferior and anterior leads. There are J waves in 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 are, it also indicates a high degree of malignancy!"

   Lu Chen's words reverberated in Xiaofang's heart, and he believed most of them.

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

   However, in the face of such a well-founded explanation, Xiao Fang had to believe it!

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

"Mr. Xiao also said it just now." Lu Chen said, "Heart ultrasound must be checked. In addition, you can check for genes. I remember that Jiangcheng University School of Medicine has done a lot of research in this area. For patients with high risk of sudden death, we advocate early implantation of ICD for prevention.”

   "ICD implantation, have you reached this stage?" Xiao Fang was shocked.

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

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

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

  Although Xiaofang is only a resident physician, the relationship here is complicated, and he will definitely be able to find several specialists in the Department of Cardiology.

   "Okay, anyway, thank you Dr. Lu today." Xiao Fang nodded slightly.

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

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

"Um."

  Looking at the back of Lu Chen leaving, Xiao Fang felt a little tangled in his heart.

  Xiao Shikang, as a qualified physician 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 have different opinions, who will they listen to?

   Originally, there were a few more chapters, but I was temporarily called by the director to work overtime.

   The overtime life is coming to an end this month.

   (end of this chapter)