I Can See Health

  Chapter 791 Four Ways of Writing Fennel Beans

  Lu Chen glanced at the health on the girl's head, it was 81(-).

   A minus sign, the health value is basically within the normal range.

   "You are the legendary Professor Lu Chen? This... so young?!"

As soon as    entered the door, the girl said this question.

  She was wearing a mask, Lu Chen couldn't see her face clearly, but he could imagine the shock after her mask.

   "If you find Lu Chen from the second district in the heart of Guanghai First Hospital, I think it should be me." Lu Chen smiled.

   "That's right, it's Lu Chen in the second district of the first hospital. The mother-in-law upstairs in my house was the one who performed the operation on her. Now she can walk on the ground."

  The girl walked up to Lu Chen and sat down, looking at Lu Chen carefully.

  Lu Chen was quite puzzled, "Are you here to see a doctor? Or..."

   He didn't believe it was his charisma, so he asked others to hang up a 300 yuan specialist outpatient number.

   The person in the mouth of a girl is most likely to be a previous TAVR patient.

   "Of course I'm seeing a doctor." The girl said, then shook her head again, "It's not a doctor's visit, I just want you to see an electrocardiogram."

   After saying this, the girl took out an electrocardiogram from her bag.

   "This is the electrocardiogram of my entry medical examination."

  Lu Chen took it over.

   "The hospital where I got the physical examination said there was something wrong with this electrocardiogram and there was any premature ventricular contractions. Let me check it out."

   "The company said that if I have structural heart disease, then I may not be able to enter the job, so I want to find a good cardiologist to see."

   "I've seen a lot of doctors, some say I'm sick, some say I'm not sick..."

  Girls keep thinking.

  Lu Chen didn't interrupt her and kept listening silently.

   For ECG interpretation, his proficiency is now close to 98%.

   It can be said that most of the electrocardiograms, Lu Chen can see the problem at a glance.

He looked at the electrocardiogram in front of him, and after the girl finished speaking, he said, "This electrocardiogram is a bit disturbing, but you can still see P waves, short PRs, wide QRSs, delta waves, ST-T changes... This is not a laboratory test. Premature contractions, which are intermittent pre-excitation."

  The girl was a little confused: "What? What fish, what chicken?"

   Hearing what Lu Chen said, it seemed more serious.

  Lu Chen smiled: "Don't worry, it would be better if there was a clearer electrocardiogram as evidence. Well, go and check another electrocardiogram."

   "Okay, I'll listen to you." The girl nodded, "This is about whether I can officially join the job. This work machine is too rare."

   "Professor Lu, you must help me take a good look."

   "If you give me a good look, I will invite you to dinner!"

  Lu Chen ignored the girl's thoughts and gave her an electrocardiogram checklist.

   After a while, Lu Chen got an undisturbed electrocardiogram.

  …

   in the consultation room.

  The girl looked at Lu Chen nervously.

  Because of the mother-in-law who lives upstairs in her house, she especially believes in Lu Chen's medical skills.

  At the beginning, everyone said that my mother-in-law was dying.

  My mother-in-law went to many hospitals in Guanghai and said that there was no chance of surgery. Finally, she went to Guanghai No. 1 Hospital and completed the operation miraculously.

  Now, the mother-in-law can even go out for a walk and chat with the neighbor next door.

   This surprised everyone in the community.

After    asked the reason, everyone knew Professor Lu Chen of Guanghai First Academy.

  Lu Chen took the electrocardiogram and smiled, "It can be confirmed now, it is intermittent pre-excitation, let me tell you the story of this fish and chicken."

  The girl suddenly interrupted Lu Chen, "Professor Lu, first tell me, is my illness serious?"

   "Don't worry." Lu Chen smiled, "You'll know after listening to me."

   "Oh." The girl could only nod her head and silently listen to Lu Chen's explanation.

   However, she still muttered in her heart, "This has changed me from one disease to another."

   At this time, Lu Chen started his preliminary explanation.

"Pre-excitation syndrome is a kind of arrhythmia, which essentially means that there are multiple conduction pathways, so that the atrial excitation can be 'shortcut' to the ventricle, and part of the ventricular myocardium is excited in advance, which can cause symptoms such as palpitations and chest tightness. induced tachycardia."

  The girl blinked, as if she understood something, "I see, but the heart is out of control, so excited in advance?"

   "The same can be said." Lu Chen nodded, took out the electrocardiogram she just had, and turned to face Zhong Hui next to him.

"Under sinus rhythm, the ECG characteristics of pre-excitation syndrome are PR interval 0.10s, and the initial part of the QRS wave is fuzzy and blunt, forming a delta wave, which is a 'pre-shock wave', which can be There are secondary ST-T changes, which are called typical pre-excitation ECGs."

  Zhong Hui nodded and immediately wrote down important notes.

   When encountering such a typical electrocardiogram, Lu Chen would take a few minutes to explain to Zhong Hui.

The **** the side of    heard it and said suspiciously: "Professor Lu, since there is a typical, then there is an atypical?"

  Lu Chen smiled and said, "Yes, it involves the classification of WPW syndrome, which is rather complicated."

   WPW syndrome can be classified into Kent tract type (typical WPW syndrome, WPW), james tract type (LGL syndrome), and Mahaim fibrous type (variant type) according to the different lesions.

  Typical WPW syndrome is further divided into A, B, and C types; special types of WPW include intermittent, latent, and latent types.

   "So many?" The girl blinked.

   She was trying to understand Lu Chen's words before.

  Lu Chen's explanation is relatively easy to understand.

   But hearing the professional terminology now, she is a little confused.

"This is still part of the classification." Lu Chen continued, "If there is a typical pre-excitation ECG and paroxysmal supraventricular tachycardia at the same time, it is called classic pre-excitation syndrome (WPW syndrome). ); if there is only a pre-excitation ECG and no paroxysmal ventricular tachycardia, it is called ventricular pre-excitation."

   The girl sighed: "My dear, I'm really sick, I'm a special type, what's it called... What is it called?"

  Lu Chen comforted: "Intermittent pre-excitation."

   "The severity of the disease does not depend on whether it is typical or not, but on whether there will be reentry, paroxysmal supraventricular tachycardia and other arrhythmias."

  The girl was taken aback, "Then have I ever had these arrhythmias? I don't know!"

  Lu Chen asked in return, "Then do you usually experience heart palpitations, chest tightness, or a fast heartbeat?"

   "No." The girl shook her head.

  Lu Chen smiled and comforted: "Then you have never had paroxysmal supraventricular tachycardia, and now it's just an abnormal electrocardiogram found in the physical examination. You don't need drug treatment for the time being, just review it regularly."

   "Really?" The girl stood up, her expression a little excited.

   This electrocardiogram is the key to whether she can enter the job!

   "Of course it's true." Lu Chen said, "If there are no symptoms, your ECG is considered a normal ECG."

   "Great!" The girl patted her chest, "I've been worried to death these days."

   After some explanation, the girl finally left with confidence.

   However, before leaving, she turned around and muttered to Lu Chen: "There are so many types of syndromes, you can really remember them. Can you also remember that there are four ways to write the word for fennel bean?"

  Lu Chen spread his hands helplessly, "Can't remember, I'm not Kong Yiji, my surname is Lu."

  The girl walked out of the consultation room, smiled and waved: "Goodbye then, Professor Lu."

   (end of this chapter)