I Can See Health

Remember [new] in one second! Hypertrophic cardiomyopathy? !

This hereditary heart disease immediately popped into Lu Chen's mind.

Hypertrophic cardiomyopathy, simply put, is the hypertrophy of cardiac muscle tissue in a certain part of the heart. . .

The hypertrophied myocardium blocks blood flow when the heart contracts, causing a series of symptoms such as dizziness, palpitations and even chest pain.

The most typical symptom of hypertrophic cardiomyopathy is that the heart murmur will weaken when you change your body position and squat.

This is also easy to understand. When a person squats, the distance between the lower limbs and the heart is shortened, thus increasing the return blood flow.

The increase in the amount of blood returned to the heart expands the ventricular cavity and increases the distance between the mitral valve leaflets and the interventricular septum accordingly, thereby reducing the stenosis of the outflow tract and weakening the murmur.

However, no matter how obvious the symptoms are, if you want to diagnose hypertrophic cardiomyopathy, you still need to complete the cardiac ultrasound examination.

"Classmate, do your parents have any history of heart disease?" Lu Chen asked.

Hypertrophic cardiomyopathy is a hereditary disease. Generally speaking, most patients have a family history of hereditary disease.

"No, there shouldn't be." The thin boy paused and said.

"No?" Lu Chen was stunned.

Just when Lu Chen was about to write down his test opinions on the form, the boy suddenly said: "But my grandma seems to have a heart disease. I don't know what the specific heart disease is, but I heard from my dad that this heart disease is in me." Grandma had it when she was young.”

Lu Chen nodded slightly, it seemed that he still had a genetic tendency.

Most of the students’ grandmothers also have hypertrophic cardiomyopathy.

This disease mostly occurs in middle age and is also the cause of sudden death in some young people.

Why sudden death?

In fact, it is easy to explain. Myocardial hypertrophy and blocked blood flow channels. Once the blood flow is completely blocked, the human brain and other parts will lack blood supply, leading to the possibility of sudden death.

"Doctor, what did you mean just now, is there something wrong with my heart?" the thin boy asked in a low voice.

While Lu Chen wrote down his opinions on how to deal with it, he said, "Actually, you should have some feelings yourself, right?"

As long as the amount of activity increases slightly, he will feel chest tightness and shortness of breath. He should be deeply aware of these uncomfortable symptoms.

The thin boy nodded slightly. He had always thought that he was malnourished and his body was weaker than others, so his activity tolerance was not as good as others.

However, no matter what, he felt the discomfort in his heart personally and could not hide it.

"You must ask your parents to take you to the hospital for a check-up." Lu Chen said, "There is no need to feel psychological pressure. Once you solve this problem of yours, you can participate in physical exercise normally in the future."

"Okay, thank you doctor."

The form for this physical examination is submitted directly to the school. At that time, the school will contact the parents and solve each student's problems according to the opinions of the medical examiner.

After the thin boy left, Lu Chen submitted the form to the director of the physical examination department.

"Director Song, I'm here to check on a student who is suspected of having hypertrophic cardiomyopathy." Lu Chen said.

"Ah?" Director Song shrugged the glasses on the tip of his nose and stared at Lu Chen in surprise, "You, are you not mistaken?"

In the past, physical examinations were basically just a formality. Finding a student with arrhythmia was considered a big deal!

How come we can still find students with hypertrophic cardiomyopathy this year?

This seems a bit outrageous, right? !

"There should be no mistake." Lu Chen said.

Director Song looked at Lu Chen suspiciously, "How did you diagnose it?"

Lu Chen said without any pause: "The part I am responsible for is mainly auscultation. The patient usually has chest pain and palpitations after activities. At the same time, an obvious systolic murmur can be heard on the left edge of the sternum. In addition, when he squats, the murmur Weakened, symptoms alleviated..."

Listening to Lu Chen's description of a series of symptoms and physical examination, Director Song of the Physical Examination Department was a little silent.

He himself came to be the director of the physical examination department after retiring from the cardiology department.

He is naturally no stranger to hypertrophic cardiomyopathy.

But it is not easy to diagnose this disease just through physical examination and consultation!

Director Song knew that Lu Chen was just a graduate student now. Although he had obtained a medical practitioner certificate and was considered a real doctor, he was still just a student after all!

"Okay, I trust your judgment." Director Song was silent for a while and then said slowly: "I will communicate with the student's parents and ask them to improve the heart ultrasound as much as possible to facilitate the diagnosis."

When Lu Chen saw this, he felt at ease.

Although the prognosis for most cases of hypertrophic cardiomyopathy is relatively good, a very small number of cases are at risk of sudden death. Therefore, it is best to find out what type of cardiomyopathy it is as soon as possible so that appropriate treatment can be prescribed.

Lu Chen returned to the physical examination room and continued to examine the students.

…

On the other side, Director Song immediately contacted the student's parents by phone.

"Hello, are you Jin Miao's parent?"

"Yes, you are?"

"I am a doctor from the Physical Examination Department of Jinghua Second Hospital. This time I am responsible for the college entrance examination physical examination of Jinghua Experimental Middle School. I found that your son Jin Miao may have some problems..."

Director Song handled the matter fairly efficiently, and parents came to the school immediately.

When it comes to their children, parents can't waste a moment.

Originally, it would have been better for the school to speak out about this matter, but since the school was not yet professional, the doctor from Jinghua Second Hospital came forward.

"Doctor, do you think my son may have a heart disease?" Jin Huafang looked at Director Song in front of him with some surprise.

Director Song nodded and said: "Through our examination this time, we have initially determined that he may have a heart disease. However, if confirmed, he may need to go to the hospital for further examination."

Jin Huafang said suspiciously: "I used to go to your hospital. UU Reading www.uｕｎshu.net You have to do so many tests before you can make a diagnosis. Why did you just take a stethoscope at school today and tell us that our child has heart disease? "

Jin Huafang looked very excited. It would be difficult for anyone to know that their child has heart disease.

"Parents, please don't get excited." Director Song remained steady and consoled: "We only have preliminary suspicions at the moment and have not confirmed the diagnosis. The reason why we called you here is to be responsible for your child and you. In the child's body In this regard, since we have undertaken the task of physical examination, we must be responsible, especially for heart disease. We would rather make a mistake, but we can't let it go, right?"

Jin Huafang's heart gradually calmed down, and he was also worried about his child.

"This child is usually uncomfortable, but why doesn't he tell us?"

"Maybe I said it, but your parents didn't care?" Director Song said, "Now is not the time to talk about these things. It's better to take the child for a checkup as soon as possible."

Jin Huafang held the form written by Lu Chen in his hand, which said, "It is recommended to complete the cardiac ultrasound and electrocardiogram to rule out hypertrophic cardiomyopathy." He thought for a long time, and then nodded slowly: "Okay, I will take him there now. "