I Can See Health

   Chapter 545 I'd 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.

  Hypertrophic heart muscle blocks blood flow through the heart when it contracts, causing a range of symptoms such as dizziness, palpitations and even chest pain.

  Hypertrophic cardiomyopathy, the most typical symptom is that the heart murmur will be weakened when you change your position and squat.

   This is also well understood. When a person is squatting, the distance between the lower limbs and the heart is shortened, thus increasing the blood flow back to the heart.

  Increase in return cardiac blood volume, expand the ventricular cavity, and increase the distance between the mitral valve leaflet and the interventricular septum, thereby reducing the stenosis of the outflow tract and weakening the murmur.

   However, no matter how obvious the symptoms are, in order to diagnose hypertrophic cardiomyopathy, it is still necessary to complete the cardiac ultrasound examination.

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

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

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

   "No?" Lu Chen was taken aback.

Just when Lu Chen was about to write 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, 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 seemed that he still had a genetic predisposition.

  The grandmother of the student probably also has hypertrophic cardiomyopathy.

  This disease mostly occurs in middle age, and it is also the cause of sudden and sudden death in some young people.

  Why sudden death?

   In fact, it is also very easy to explain, myocardial hypertrophy, 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 and said, "Actually, you should have some feelings yourself, right?"

   As long as the activity increases a little, he will feel chest tightness and shortness of breath. He should have a deep understanding of this uncomfortable symptom.

   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.

   However, in any case, the discomfort in his heart, which he knew personally, could not be concealed.

   "Be sure to ask your parents to take you to the hospital for a check-up." Lu Chen said, "You don't need to have psychological pressure. If you solve your problem, you can participate in physical exercise normally in the future."

   "Okay, thank you doctor."

   The form for this physical examination is directly submitted to the school, and the school will contact the parents at that time to solve each student's problems according to the opinions of the medical examination doctor.

   After the thin boy left, Lu Chen submitted the form to the director of the medical examination department.

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

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

   The previous physical examinations were basically going through the motions. To be able to find a student with arrhythmia would be considered extraordinary!

  How can we still find students with hypertrophic cardiomyopathy this year?

   This seems a bit outrageous, right? !

   "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 exercising. At the same time, a clear systolic murmur can be heard on the left edge of the sternum. weakened, symptoms lessened…”

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

   He himself came to be the director of the medical examination department after he retired from the Cardiology Department.

   He is no stranger to hypertrophic cardiomyopathy.

   But it is really not easy to diagnose this disease just through physical examination and consultation!

   Director Song knows that Lu Chen is only a graduate student now. Although he has obtained a medical practitioner certificate, he is considered a real doctor, but he is still a student after all!

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

   Lu Chen felt at ease when he saw this.

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

   On the other hand, Lu Chen returned to the medical examination room and continued to conduct medical examinations for the students.

  …

On the other side, Director Song immediately contacted the parents of the students by phone.

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

   "Yes, who are you?"

   "I'm a doctor from the Physical Examination Department of Jinghua No. 2 Hospital. This time I undertake the college entrance examination for Jinghua Experimental Middle School, and 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 that moment.

   Originally, the school said it was better, but the school was not 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, it is initially judged that there may be a heart disease, but if the diagnosis is confirmed, it may be necessary to go to the hospital for further examination."

  Jin Hua Fang said suspiciously: "I used to go to your hospital, and I had to do so many tests at the first stage to be able to confirm the diagnosis. Why do I take a stethoscope at school today and tell us that the child has a heart disease?"

   Jin Huafang was quite excited. Anyone who knew that his child had a heart attack would be unacceptable.

"Parents, don't get excited yet." Director Song said calmly and comforted: "We are only initially suspecting and have not confirmed the diagnosis. The reason why we called you here is to be responsible for your child and you. 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, but we can't let it go, don't you think?"

  Jin Huafang's heart please gradually calm down, he is also worried about his own children.

   "This child, who is usually uncomfortable, doesn't tell us why!"

   "It may be said, but your parents don't care about it?" Director Song said, "Now is not the time to talk about these things, let's take the child to check as soon as possible."

Holding the form written by Lu Chen in his hand, Jin Huafang said, "It is recommended to improve echocardiography and electrocardiogram to rule out hypertrophic cardiomyopathy." "

   (end of this chapter)