I Can See Health

Remember [new] in one second! Kyoto University First Affiliated Hospital.

Lu Chen and Xiao Fang quickly arrived at the emergency department.

Because he was an employee of our hospital, Xiao Fang first found the emergency room doctor.

"Dr. Fang, your dad is fine now. Blood routine, liver and kidney function, and myocardial enzymes are all normal." The emergency doctor said, "We asked the cardiology department for emergency consultation. We considered it to be early repolarization syndrome. It should be fine. Too big a problem.”

"Okay, thank you." Xiao Fang forced a smile. If he had heard this news before, he would have been very happy.

But now, he really couldn't be happy.

"Let's go meet the patient." Lu Chen looked through the patient's test sheets and found nothing abnormal.

"Okay." Xiao Fang nodded and brought Lu Chen to his father.

Emergency department observation room.

A man of about fifty years old was lying on the hospital bed. His face was a little pale and he looked weak.

"Dad, are you okay now?" Xiao Fang sat on the edge of the bed, handed his father a glass of water, and asked with concern.

"Much better." A smile appeared on the man's pale face, "I'm just a little weak now, but everything else is fine."

Hearing this, Xiao Fang calmed down and looked at Lu Chen aside.

But when Lu Chen saw the patient for the first time, his heart sank to the bottom.

The health value on the patient's head shows 58 (--).

The health value has been lower than the critical 60, and there are still two minus signs.

This is not a value that a benign disease should have.

"Dad, this is a doctor from the Department of Cardiology. He is quite experienced. He is here to see you." Xiao Fang didn't care about his father's weird eyes and said straight to the point.

To his father, the young man in front of him seemed to be younger than his own son. How could he be experienced?

But since his son had said so, he didn't ask any more questions.

Immediately afterwards, Lu Chen asked several related questions.

"Uncle, tell me what the specific situation is every time you have an attack."

"Do you have the electrocardiogram from when you got sick before? Let me compare it."

"Uncle, your heart rate used to be slow, but recently it feels like it's getting faster?"

…

In fact, Lu Chen didn't need to ask any more questions. The moment he saw the patient's health, he already made a judgment in his mind.

The reason why I asked a few more questions was just to make it less abrupt.

After asking the questions, Lu Chen performed a simple auscultation and physical examination on the patient.

Putting down the stethoscope, Lu Chen said nothing and looked slightly serious.

"Doctor Lu, how are you?" Xiao Fang said immediately.

Lu Chen winked and motioned for Xiao Fang to go outside the ward.

Xiaofang understood, said something to his father, and walked out of the ward with Lu Chen.

Outside the corridor of the emergency department, there were many family members of patients.

Some people looked very painful and even cried softly.

The joy on some people's faces is a sign of relief from the aftermath of the disaster.

"Doctor Lu..." Xiao Fang stared at Lu Chen closely, fearing that he would hear bad news from his mouth.

Lu Chen paused and said slowly: "Clear, the diagnosis is clear, early repolarization syndrome."

"Ah? Is this the diagnosis?" Xiao Fang was a little confused. After working on it for a long time, this was the diagnosis in the end?

"Then my dad doesn't have any big problems?"

Lu Chen shook his head and said, "The diagnosis is correct, but early repolarization syndrome is not necessarily benign!"

"How do you say this?" Xiao Fang asked doubtfully.

Lu Chen said: “In the past, the academic community regarded early repolarization syndrome as benign, but in recent years, with the deepening of ion channel research, many studies have shown that there are more and more malignant early repolarization syndromes. "

Xiao Fang frowned, full of confusion: "Dr. Lu, what you said makes sense. I have read a similar document before, but this is only a small number of cases and does not prove my father's early repolarization syndrome. Symptoms are vicious!”

Early repolarization syndrome is more common in young people.

Previously thought to be a benign disease, it is now found that more and more young people die suddenly due to this disease.

Lu Chen took out the patient's electrocardiogram again: "Of course there is evidence. First of all, you need to know that the higher the J-wave elevation, the higher the degree of malignancy. Your dad's electrocardiogram is \u003e0.2mv, which is considered high. Vicious."

"Secondly, the more leads that appear in the J wave, the higher the degree of malignancy. The common ones are the inferior wall leads and the anterior wall leads. Look at your dad's picture, not only the inferior wall and anterior wall, but also even the inferior wall leads. J waves appear on the high side walls! This is also called type 3 repolarization syndrome, which is extremely malignant!”

"In addition, the more obvious and exaggerated the J-wave shears and setbacks are, it also indicates a higher degree of malignancy!"

Lu Chen's words kept echoing in Xiaofang's heart, and he believed most of them.

If Lu Chen simply said that the degree of malignancy was high, he would still be suspicious.

However, in the face of such well-founded reasons, Xiao Fang had no choice but to believe it!

After a long while, Xiao Fang slowly said: "Dr. Lu, if according to what you said, it is suspected to be malignant early repolarization syndrome, what kind of examination should be done next?"

"Teacher Xiao also said just now." Lu Chen said, "The heart ultrasound must be checked. In addition, you can check the genes. I remember that Jiangcheng University School of Medicine has conducted relatively deep research in this area. Finally, at present, for this For patients who are at high risk of sudden death, it is recommended to implant ICU as early as possible for prevention. "

"ICD implantation, has it come to this stage?" Xiao Fang was shocked.

He never expected that his father's condition would be so serious.

Lu Chen nodded resolutely, "This is my opinion. You can also ask a few professors in the Department of Cardiology for their comprehensive opinions."

The Department of Cardiology at the First Affiliated Hospital of Kyoto University is one of the top disciplines in the country.

Although Xiao Fang is only a resident doctor, the relationship here is complicated, and he will definitely be able to find several experts in cardiology.

"Okay, no matter what, thank you Dr. Lu for today." Xiao Fang nodded slightly.

As for his next plan, he still had to find out more.

"Well, if nothing happens, I'll leave first." Lu Chen smiled and said before leaving, "If you decide to install an ICD, you should do it as soon as possible. This kind of sudden death from arrhythmia is very sudden."

"Um."

Seeing Lu Chen's leaving figure, Xiaofang felt a little tangled in his heart.

As a veteran cardiologist, Xiao Shikang's opinions are benign.

And Lu Chen, as a graduate student who has not yet graduated but has gained a good reputation, said that he might need to have an ICD implanted!

The two have different opinions. Who should you listen to?