I Can See Health

   Chapter 591 Different races

   Chest pain, ST-segment elevation on the ECG, and one troponin difference. This is an acute myocardial infarction!

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

   With chest pain and ST-segment elevation on ECG, the diagnosis of myocardial infarction can be confirmed.

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

   Health is so healthy and has no tendency to drop.

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

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

   She was also puzzled.

  Patients with extensive anterior myocardial infarction do not think that this black man is in such a good condition.

   "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.

   "Sister, push the ECG machine over and give the patient another ECG."

"it is good."

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

   "When did the chest pain start?"

"Yesterday at noon."

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

   "Just finished a long run."

   "Have you had this type of chest pain before?"

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

  “…”

   This is a typical symptom of angina pectoris with chest pain after activity!

   Except for the patient's age, there are no risk factors, no matter how you look at it, this looks like a patient with first-time angina pectoris.

   Junior Sister Su Rui pushed the electrocardiograph over and reviewed the electrocardiogram for the black man.

   The ECG of the review is not much different from the ECG of the patient who was admitted to the hospital.

   Immediately afterwards, Lu Chen finished the physical examination of the black man, but still found nothing abnormal.

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

   "I got it." Su Rui nodded, then ran back to the doctor's office to make a doctor's order.

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

  Although the system shows that there is no possibility of myocardial infarction, Lu Chen's preliminary diagnosis cannot rule out myocardial infarction.

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

   "Doctor, am I seriously ill?" The black people could see the nervousness on Lu Chen and Su Rui's faces.

   "How do you say it, just looking at the electrocardiogram is very serious!" Lu Chen said in a deep voice.

   The black man was stunned for a moment, "I heard from the doctor in the emergency department, this is a myocardial infarction?"

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

   Lu Chen is extremely cautious about the diagnosis of the patient.

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

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

   "No." The black man shook his head. "My parents are 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 ion channel function.

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

   There is no family history of sudden death, and there is no history of similar syncope and chest pain, which can basically rule out Brugada syndrome.

   What will it be?

  …

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

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

   The patient had chest pain for more than a day and was negative for troponin, so acute myocardial infarction could basically be ruled out.

  Lu Chen murmured in his heart: "If there is no error in the system, this patient is really not a myocardial infarction!"

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

  Persistent elevation of the anterior ST lead, another common situation, is the complication of ventricular aneurysm after myocardial infarction.

Lu Chen rested his chin in his right hand, thought for a while, then shook his head: "Not so much, the patient has no history of chest pain, and this time he also ruled out myocardial infarction, so the possibility of myocardial infarction complicated by ventricular aneurysm is extremely low. "

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

  Lu Chen shared this strange patient with others in the first area of ​​his heart.

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

  Other people in the first district of the heart were also very interested when they heard about Lu Chen's case.

   "I think let's do an angiography first. Whether it's a heart problem or not, an angiography will make it clear."

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

  Is there any myocardial infarction, whether it is a ventricular aneurysm, 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 a cardiomyopathy."

  Conservative doctors still recommend doing an ultrasound first.

  The Ultrasound Department of the First Affiliated Hospital of Kyoto University is powerful, and you can generally see any cardiomyopathy, valvular disease, and congenital heart disease.

  …

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

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

   In addition, the trend of health value changes did not decrease.

   What does this mean…

   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 picture of myocardial infarction.

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

  Lu Chen always felt that he seemed to have overlooked 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, "Senior brother, that black man said that there is still something to do at the school. Can you leave the hospital first?"

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

  If something goes wrong with black people outside the hospital, in addition to the conflict between doctors and patients, it may also cause diplomatic disputes!

  Thinking of this, Lu Chen suddenly froze and patted his head.

  How could you forget such an important "clue"!

   At present, everyone's thinking mode is based on the normal "yellow race".

  But, 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 talking about the black people's diagnosis.

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

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

   (end of this chapter)