I Can See Health

   Chapter 635 Listen to Doctor Lu!

   Lu Chen was not surprised by this result.

   Supraventricular tachycardia, cardioversion with amiodarone, has a high success rate.

   The sensitivity of this patient to amiodarone was good, and within half an hour of the drug, the supraventricular tachycardia had been converted to sinus rhythm.

  Yan Shuming looked at Lu Chen in surprise.

   She thought it was a mistake by Lu Chen, but she didn't expect it to be a few of them!

  From diagnosis to treatment, everything is wrong!

   This new young doctor seems to have two brushes.

  Yan Shuming glanced at Lu Chen secretly, then lowered his head.

   in the doctor's office.

  Although everyone already knew about Lu Chen's diagnosis of "Suppressed Vessel Speed", their hearts were still shocked when they heard Yan Shuming's words.

   "Senior brother, you are amazing!" Ji Yingying smiled, "You need to teach me more about electrocardiography, I'm a noob in this field."

   The other two students also echoed the sentence.

  You can see the different treatment effects of different doctors.

   This patient was always on Yubin's bed before.

   has lived for almost a week, but no one has ever suspected the diagnosis of "ventricular tachycardia"!

   On the first day Lu Chen came, he was diagnosed at once!

   Yu Bin stood aside with a rather embarrassed expression on his face.

   This contrast...it seems a little too obvious!

   "Go, go see the patient." Lu Chen stood up.

   The three students and Yu Bin followed behind him.

  …

   in the ward.

   The patient was lying on the hospital bed with an excited smile on his face.

"I'm ready?"

   "Am I really okay?"

   "I'm really good!"

   The patient looked at the ECG monitor beside the bed, and the heart rate had changed from 160 beats/min to 85 beats/min.

   "Wife, your heart rate has really come down!" The patient's family members were also very excited, "You don't need to be electrocuted!"

   Seeing Lu Chen and his party walking in, the man immediately stepped forward and grabbed Lu Chen's hand, "Doctor, thank you, thank you so much!"

  Lu Chen couldn't stand the enthusiasm of the patient, so he quickly said, "Let me see the patient first."

   "Mmmm." The man nodded immediately and let Lu Chen go over.

  Lu Chen stepped forward and said to Ji Yingying, "Recheck the electrocardiogram."

"OK."

  Lu Chen came to the bedside and conducted a careful physical examination on the patient.

   "Anything uncomfortable?"

   "No." The patient shook his head with a smile, "There is no palpitation or chest tightness at all, I am just like a normal person now!"

   Looking at the smile on the patient's face, Lu Chen was also relieved.

   "Use this medicine for a while, and you can withdraw it later." Lu Chen said to Yan Shuming who was beside him.

   "Okay, I know."

  Yan Shuming nodded, she would not question Lu Chen at all now.

   But the patients and their family members became anxious when they heard this.

"Doctor Lu, look at this medicine... there's still so much left, do you want to finish it?" The man pointed at the "Amiodarone infusion pump" and asked in a low voice, "And my wife is just a little bit, and the medicine takes a long time. Come on, consolidate it?"

  Lu Chen shook his head, "It's not necessary, don't worry, we won't withdraw it when it's still in use, and when we don't need to continue using it, we'll also withdraw it as soon as possible!"

"this……"

   The man scratched his head and looked at the patient on the hospital bed.

   The patient smiled, "Just follow the doctor's advice and withdraw it when it's time to withdraw."

   "Okay." The man nodded and said to Lu Chen, "Trouble Dr. Lu."

   "What we should do." Lu Chen said with a smile, "Since the condition is stable now, I will also communicate with you about the next treatment plan."

   "Huh?" The man was stunned, "Do you need any more medicine?"

  Lu Chen smiled and shook his head, "It's not medicine, but surgery."

   "Surgery?" The patient and his family looked at each other.

  Lu Chen could see the doubt in their eyes.

   Originally, Yu Bin asked them to do ICD surgery, but they refused, so they kept putting it off.

  Lu Chen continued: "Actually, the disease of supraventricular tachycardia is one of the few diseases in our cardiology department that can be completely cured."

  There are many kinds of diseases in Cardiology Department, such as coronary heart disease, hypertension, heart failure, partial arrhythmia and so on.

   These diseases are almost all chronic diseases.

   As long as it is a disease, there is no turning back. With the current medical technology, there is no cure. It can only improve the symptoms and prolong the survival period.

  Supraventricular tachycardia, an arrhythmia, is a disease that can be cured by radiofrequency ablation, and the success rate is very high.

   "However, the doctor said something different from you before." The man wondered, "He said he was going to wear BCD, and now you are saying radiofrequency ablation..."

   If it wasn't for Lu Chen's medication to restore the patient's heart rhythm, the man might be making trouble again now.

   But even so, his face was still a little unsightly.

  Lu Chen didn't care and explained patiently: "Because it was suspected to be ventricular tachycardia before, I needed to install an ICD, but now it seems that the patient is not ventricular tachycardia, but supraventricular tachycardia..."

  Lu Chen also explained in detail the pathogenesis and treatment strategies of VT and SVT.

  The man was skeptical, but still looking forward to this result without the need for an expensive ICD.

   "Why did you diagnose wrong before?" the man said.

  Lu Chen smiled, "These two types of arrhythmias are difficult to distinguish, and many times, electrophysiological surgery is needed to distinguish them."

"The first time I saw the patient's electrocardiogram, I thought it was ventricular tachycardia... If it wasn't for the patient's previous examinations, and if it wasn't for the doctor's help, it would be very difficult for me to diagnose supraventricular tachycardia. of."

   Yu Bin glanced at Lu Chen gratefully when he heard Lu Chen's words.

   Anyway, this patient is his fault!

   After Lu Chen's communication, the man really didn't continue to struggle with this issue.

   "Doctor Lu, after the operation you mentioned, my wife's illness will no longer occur?" The man suddenly asked again.

   "There is a certain chance of recurrence." Lu Chen said, "There is no guarantee of complete success. In very few patients, supraventricular tachycardia may recur after surgery, requiring a second operation."

   "This..." The man couldn't help frowning.

   The family members on the hospital bed were also hesitant.

   Surgery is expensive, and there is no guarantee of 100% cure, and there is a possibility of recurrence.

   But without this surgery, there may be frequent attacks of supraventricular tachycardia.

   "I will tell you the pros and cons of surgery and conservative. The choice is yours." Lu Chen said.

   The patient and family members looked extremely hesitant.

   They have no medical background, and no one in the family studied medicine. The information obtained from the Internet is mixed and inaccurate.

   At this time, the patient on the hospital bed suddenly said: "Doctor Lu, give me a suggestion, conservative or surgical, whichever you say, I will choose which one!"

  Lu Chen was slightly startled.

   In fact, he was used to telling patients the pros and cons of all treatments and then leaving the choice to them.

   He paused and said solemnly, "If you can afford the cost of the surgery, I still recommend an ablation surgery."

   "If you don't do it, the next time you have a supraventricular tachycardia attack, every time you come to the hospital, the medical bill will be quite a lot!"

   The reason why patients and their families are hesitant is mostly because of medical expenses.

   But hearing Lu Chen say this, it seems to make sense.

   Every time you come to the hospital with an illness, you will accumulate a lot of medical expenses!

   "Then listen to Dr. Lu!" The patient gritted his teeth, "I'll do this ablation operation!"

   (end of this chapter)