I Can See Health

Lu Chen was not surprised at all by this result.

For supraventricular tachycardia, amiodarone cardioversion has a high success rate.

This patient was very sensitive to amiodarone, and within half an hour of taking the drug, the supraventricular tachycardia had already converted to sinus rhythm.

Yan Shuming looked at Lu Chen in surprise.

She originally thought it was Lu Chen's mistake, but she didn't expect that it was them who were wrong!

From diagnosis to treatment, everything is wrong!

This new young doctor seems to have two skills.

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 "supraventricular tachycardia", they were still shocked when they heard Yan Shuming's words.

"Senior brother, you are so awesome!" Ji Yingying smiled, "You have to teach me more about electrocardiogram. I'm a novice in this field."

The other two students also echoed.

You can see the different treatment effects of different doctors.

This patient had always been on Yu Bin's bed.

We have been living here for almost a week, but no one has ever doubted the diagnosis of "ventricular tachycardia"!

On Lu Chen's first day here, he was diagnosed right away!

Yu Bin stood aside, looking quite embarrassed.

This contrast... seems a bit too obvious!

"Let's go see the patient." Lu Chen stood up.

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 fine!"

The patient looked at the electrocardiogram monitor next to the bed. His heart rate had changed from 160 beats/min to 85 beats/min.

"Honey, your heart rate has really dropped!" The patient's family members also looked very excited, "You don't need to be electrocuted!"

Seeing Lu Chen and his group 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 patient's enthusiasm and said quickly: "Let me see the patient first."

"Yeah." The man nodded immediately and turned sideways to let Lu Chen pass.

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 of the patient.

"Is there anything uncomfortable?"

"No." The patient smiled and shook his head. "There is no panic or chest tightness at all. I am just like a normal person now!"

Seeing the smile on the patient's face, Lu Chen felt relieved.

"Use this medicine for a while, and it will be withdrawn later." Lu Chen said to Yan Shuming beside him.

"Okay, I get it."

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

But when the patients and their families heard this, they suddenly became anxious.

"Dr. Lu, look at this medicine... there is still so much left, why don't you finish it?" The man pointed to the "amiodarone infusion pump" and asked in a low voice, "And my wife is just a little bit, and the medicine is permanent. Son, consolidate it.”

Lu Chen shook his head, "It's not necessary. Don't worry, we won't withdraw it while you are still using it. Even if you don't need to continue using it, we will withdraw it as soon as possible!"

"this……"

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

Valley Tan

The patient smiled and said, "Just listen to the doctor and withdraw the medicine when it's time."

"Okay." The man nodded and said to Lu Chen, "Excuse me, Doctor Lu."

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

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

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

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

Lu Chen could see the suspicion 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, supraventricular tachycardia is one of the few diseases in our cardiology department that can be completely cured."

There are many types of diseases in cardiology, such as coronary heart disease, hypertension, heart failure, some arrhythmias, etc.

These diseases are almost all chronic diseases.

As long as you are sick, there is no way back. With current medical technology, there is no cure. It can only improve symptoms and prolong survival.

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

"But, what the doctor said before was different from what you said." The man said doubtfully, "He said he wanted to install some CDs, and now you say you want to do radiofrequency ablation..."

If Lu Chen hadn't used medicine to reverse the patient's heart rhythm, the man might have started to make trouble again now.

But despite this, his face still looked a little unsightly.

Lu Chen didn't pay attention and patiently explained: "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 differences in the pathogenesis and treatment strategies of VT and SVT.

The man was doubtful, but he still looked forward to the result of not needing to insert an expensive ICD.

"Why did you make the wrong diagnosis before?" the man asked.

Lu Chen smiled, "These two arrhythmias are difficult to identify. In many cases, electrophysiological surgery is required to identify them."

"When I first saw the patient's electrocardiogram, I thought it was ventricular tachycardia... If the patient hadn't done so many tests before, and if it hadn't been for the help of the doctor, it would have been very difficult for me to diagnose supraventricular tachycardia. of."

When Yu Bin heard Lu Chen's words, he looked at him gratefully.

In any case, this patient was his mistake!

Now after Lu Chen's communication, the man no longer struggled with this issue.

"Dr. Lu, after the operation you mentioned, my wife's illness will not relapse?" the man suddenly asked again.

"There is a certain chance of recurrence." Lu Chen said, "There is no guarantee of complete success. There are a very small number of patients who may suffer from recurrence of supraventricular tachycardia after surgery and require a second operation."

"This..." The man couldn't help but frowned.

The family members on the hospital bed were also hesitant.

Surgery is expensive and cannot guarantee a 100% cure, as there is a possibility of recurrence.

But if this surgery is not performed, supraventricular tachycardia may occur frequently in the future.

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

Patients and families are extremely hesitant.

They have no medical background, and no one in their family studies medicine. The information they get from the Internet is mixed and inaccurate. UU reading www. uukanshu.net

At this time, the patient on the bed suddenly said: "Dr. Lu, please give me a suggestion. Which method is better, conservative or surgical?"

Lu Chen was slightly startled.

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

He paused and said in a deep voice: "If you have the conditions and can afford the cost of the surgery, I still recommend an ablation surgery."

"If we don't do this, the next time we have an episode of supraventricular tachycardia, we will have to pay a lot of medical expenses every time we come to the hospital!"

The reason why patients and their families hesitate is mostly due to the issue of medical expenses.

But hearing what Lu Chen said, it seemed to make sense.

Every time I come to the hospital for illness, the medical expenses accumulate a lot!

"Then just listen to Dr. Lu!" The patient gritted his teeth, "I will perform this ablation surgery!" 16377/10304444