I Can See Health

Remember [new] in one second!​ Two days on the weekend.

Under Ouyang Ming's guidance, Lu Chen continued to learn interventional knowledge about cardiac electrophysiology.

Although Lu Chen has a system virtual surgery space, there is a lot of clinical experience that the system cannot provide.

Ouyang Ming has more than 50 years of experience in the field of electrophysiology, and his clinical experience is definitely a valuable asset.

Since learning about the third stage of the assessment, Lu Chen has also worked harder.

In addition to being in the cath lab every day, I am also in the training room of the training class.

As Lu Chen's teacher, Xiao Shikang was also a little surprised.

No one can succeed easily. For Lu Chen to achieve his current achievements at such a young age, he will only have to pay more than others.

Department of Cardiology Catheterization Laboratory, Kyoto University First Affiliated Hospital.

"Lu Chen, I'll give you a day off tomorrow. Go and have a good rest." Xiao Shikang walked to Lu Chen's side, "Relax and balance work and rest, so that work efficiency is high."

Lu Chen was stunned for a moment, then smiled, "Teacher Xiao, no need. We sit most of the time in our job, unless there are patients or operations. Compared with other physical activity occupations, it is much easier."

"That's true, but I think you've been too tired recently." Xiao Shikang said.

Just when Xiao Shikang wanted to continue saying something, a doctor suddenly ran in outside the catheter room.

Everyone was stunned.

If a doctor runs around in the hospital, it means something big has happened.

"Xiao Fang, what's going on? Why are you so panicked?" Xiao Shikang knew this young man. He was a cardiology CCU doctor.

When Xiao Fang saw Xiao Shikang, the nervous expression on his face softened slightly, and he walked quickly towards Xiao Shikang.

"Teacher Xiao, help me read an electrocardiogram." Xiao Fang stepped forward, holding an electrocardiogram in his hand.

Although Xiaofang is also a cardiology doctor, in terms of his ability to judge images, electrophysiology doctors are the most professional.

Xiao Shikang frowned and picked up the electrocardiogram.

"This is my dad's electrocardiogram." Xiao Fang said while panting.

Lu Chen also came over. He was most interested in looking at pictures.

Now he still reviews pictures in the Jinghua Electrophysiology WeChat group from time to time.

"Is he feeling uncomfortable?" Xiao Shikang glanced at it and handed it to Lu Chen.

Xiao Fang thought for a while and said: "In the past year, he has suffered from repeated palpitations and chest tightness. He used to do manual labor and had long-term bradycardia, with a heartbeat of about 40-50 beats/min. Oh, by the way, an uncle of mine also has it. This history of slow heart rate.”

A normal person's heart rate is 60-100 beats/minute.

However, physically active people and athletes generally have very slow heart rates.

"But in the past week, I often feel tachycardia. Every time I have an attack, the symptoms of palpitations are more obvious, and I am weak and unable to stand. I had another attack an hour ago, so I asked him to come to the emergency department of the hospital. He is now lying in the emergency department. division."

After understanding the condition, Xiao Shikang nodded slightly and said: "Looking from the picture, there are obviously elevated J waves in II, III, and AVF. Have the myocardial enzymes been checked?"

"Checked, negative." Xiao Fang said.

"It shouldn't be a myocardial infarction. Check again in three hours." Xiao Shikang said.

If it is a myocardial infarction, myocardial enzymes will increase four hours after the onset.

"Teacher Xiao, I think this elevated J wave is early repolarization syndrome, right?" Xiao Fang whispered.

"Well, not bad." Xiao Shikang nodded slightly, "Just judging from the electrocardiogram you gave me, the heart rate is not particularly slow, 54 beats/min. There is no ST segment elevation, only the J wave in the inferior leads. Because I haven’t done a dynamic electrocardiogram, I don’t know the other conditions at the moment, but based on the family history, it is clear that it is early repolarization syndrome.”

"Early repolarization syndrome is a benign disease, so you don't have to worry too much. However, you still need to complete relevant examinations, including dynamic electrocardiography and cardiac ultrasound."

Hearing Xiao Shikang's words, Xiaofang felt a little relieved.

He just graduated and stayed at Kyoto University First Affiliated Hospital, and his future is bright.

Life is prosperous, but I am afraid that my parents will get sick.

"Thank you, Teacher Xiao. I feel relieved after hearing your words."

Xiao Shikang smiled and said, "Let's do the dynamic electrocardiogram and now the ultrasound first."

It was only after meeting his colleagues that Xiao Shikang dared to speak so frankly.

If he was facing a patient, Xiao Shikang would not dare to say this even if he had some courage.

Lu Chen had been listening to the conversation between the two. He held Xiao Fang's electrocardiogram in his hand and studied it carefully.

Just when Xiaofang took the electrocardiogram and wanted to leave, Lu Chen spoke up.

"Teacher Xiao, look at this picture again. There seems to be j-waves on the front wall?" Lu Chen said slowly.

Xiao Shikang smiled, "I also noticed that there are j-waves on the front wall, but it's not a big problem. Many young people have this phenomenon."

Lu Chen frowned deeply and said in a deep voice, "I think it might not be that simple."

Xiao Shikang was slightly startled when he saw Lu Chen's expression. Did he see something unusual?

"Lu Chen, if you have any other opinions, you can just say that this is Fang Ming, the resident doctor in the CCU ward of our Department of Cardiology." Xiao Shikang said.

Xiaofang doesn't come to the cath lab often and doesn't know Lu Chen. He quickly said: "Teacher Xiao, is this your training student? He looks so young!"

"He is not a student for further training." Xiao Shikang said with a smile, "If he were my student for further training, that would be really impressive. His name is Lu Chen, and he is a student in the electrophysiology training class. He will be taking assessments in our cath lab this month. "

"Oh. I know!" Xiao Fang suddenly realized, "Is it the epicardial ablation of dry pericardiocentesis some time ago?"

"Yes." Xiao Shikang smiled.

"That's awesome!" Xiao Fang gave Lu Chen a thumbs up. UU Reading www.uukanshu.net had a slightly improved impression of him. She originally thought that he was a training doctor, so he didn't need to care too much about his opinions.

But after finding out Lu Chen's identity, Xiao Fang became a little nervous again, "Doctor Lu, if you have any other diagnostic opinions, you can tell me."

"Let's take a look at the patient first," Lu Chen said.

It is very one-sided to judge the picture alone without the patient.

Although Xiao Fang's description of the medical history just now was very detailed, Lu Chen still wanted to see the patient in person.

Xiaofang was naturally very happy, but he didn't expect Lu Chen to be so enthusiastic and actually took the initiative to invite Ying to visit his father.

He quickly said: "That won't disturb your work, right?"

Then Xiao Fang also glanced at Xiao Shikang.

"It's okay. There is no operation this morning, but there is one operation in the afternoon." Xiao Shikang said, "Lu Chen, if you want to take a look, then you can go."

"Um."

Lu Chen nodded, and then left the cath lab with Xiao Fang and headed to the emergency department.