I Can See Health

Cardiology ccu.

Show classroom.

Lu Chen stood up and faced everyone in the classroom.

His eyes were firm and he did not care about other people's comments at all.

"Lu Chen, what did you just say?" Zhang Shuqing thought Lu Chen had asked the wrong question, so he asked again, giving him a chance to correct himself.

Lu Chen was unfazed and still insisted on what he said just now:

"Is this patient's electrocardiogram a bradyarrhythmia or a tachyarrhythmia?"

Zhang Shuqing's expression changed.

He felt that Lu Chen was not such a careless person.

It’s obviously an electrocardiogram showing 37 beats per minute, but you still have to ask that?

On the podium.

Liu Jun stared at Lu Chen closely, then seemed to think of something, and immediately lowered his head to look for something, "Shu Qing, where is the patient's electrocardiogram?"

Zhang Shuqing looked at Liu Jun strangely and whispered: "I have a copy here."

Liu Jun took the electrocardiogram and studied it carefully.

…

Under the podium.

The people's discussions can be heard endlessly.

Many people saw Lu Chen's face and thought he was a bit strange.

"Which ward is he a doctor from? Why haven't I seen him before?"

"I haven't seen it either. Isn't it an intern from somewhere messing around?"

"Hey, I heard that he is the doctoral student that Director Zhang Shuqing is accepting this year. You didn't hear that. Director Zhang just called out his name!"

"Hey, that's right! Called Lu or something..."

When Lu Chen saw that Liu Jun and Zhang Shuqing were silent on the stage, he paused and continued: "Some doctors may think that this is not just a simple sinus bradycardia, which can be perfectly solved by implanting a pacemaker. Question, but..."

He paused and looked around at everyone, "If we distract ourselves a little at this moment, pay attention to the sharp waveform on the T wave in lead V1 of this electrocardiogram..."

T wave in lead V1?

Everyone heard Lu Chen's voice and looked where he reminded them.

However, the graphics in the ppt on the podium are relatively blurry, and no one can see anything unusual.

Only those doctors who had copies of electrocardiograms in their hands gradually discovered the difference.

Director Qin suddenly stood up and looked back at Lu Chen in surprise, "Dr. Lu, you mean this T wave in lead v1, not T wave?"

"Yes, not T-wave!" Lu Chen smiled and nodded.

T wave, not T wave?

What does it mean?

Everyone's minds were in a state of confusion.

The call between Lu Chen and Director Qin seemed to be encrypted.

No one understands it!

…

On the podium.

Liu Jun heard the conversation between the two, and when he looked at the electrocardiogram again, a flash of surprise flashed in his eyes.

T wave, not T wave?

Such a small detail that is easily overlooked was discovered by the doctor in front of me? !

He whispered to Zhang Shuqing beside him: "Is he a doctor in that ward? New this year? Do you know him?"

Zhang Shuqing immediately replied: "Director, he is the doctoral student I just recruited this year, Lu Chen."

Liu Jun was stunned for a moment, then laughed, "Well done! Heroes really come out of young men! This big discussion within the department was really done right."

Zhang Shuqing didn't know why.

He took a look at the electrocardiogram and found nothing abnormal. Gu Zhao

But seeing Liu Jun's attitude change, it must be related to Lu Chen.

The doctors under the podium also saw the change in the expression of Chief Director Liu Jun.

Combined with Director Qin's words just now, everyone began to re-examine Lu Chen's words.

More and more people are looking for copies of electrocardiograms.

"Shuqing, can you enlarge the electrocardiogram on the ppt so that everyone can understand it better?"

The smile on Liu Jun's face was very bright. After Lu Chen's instructions just now, he had already seen the essence of this electrocardiogram clearly.

"Okay, Director."

Zhang Shuqing nodded slightly and immediately started operating on the stage.

…

The electrocardiogram on the ppt gradually enlarged, and all the doctors present could clearly see the T wave on lead V1.

Everyone started whispering.

"This T-wave shape is really different from the normal one! It's very sharp, it's really not a T-wave!"

"Yes, it's not T wave, it's not QRS wave, it's not U wave!"

"It's nothing. Could it be interference waves?"

"Have you ever seen this kind of interference wave? I don't think it's an interference wave..."

Everyone present here is the backbone of each ward. After Lu Chen's reminder, they all immediately discovered something was wrong with the T wave of the electrocardiogram.

On the stage, Zhang Shuqing was suddenly startled.

He understood immediately and murmured: "This is not a T wave, nor is it any other waveform."

"Then there's only one possibility left!" Zhang Shuqing looked at Lu Chen in surprise, "That's P wave!"

…

Most of the doctors present suddenly realized at this moment.

The way they looked at Lu Chen began to look different!

"Dr. Lu, please continue to explain to everyone."

On the stage, Liu Jun looked at Lu Chen, with a slight curve in the corner of his mouth.

"Okay, Director." Lu Chen responded, holding the electrocardiogram in his hand and speaking in a calm tone, "I believe all the teachers have discovered that judging from the T wave on lead V1, it is not a real t wave, but includes p wave!”

"And this P wave is different from the normal P wave, so it must be premature."

Following Lu Chen's voice, everyone began to re-examine the electrocardiogram in front of them.

As expected, everyone could find that this P wave shape was really different from the normal P wave!

Lu Chen continued: "There is no QRS wave after the Atrial Premature Ejaculation, which means that the Atrial Premature Ejaculation came very early and encountered the refractory period of the atrioventricular node, and it was not transmitted. The current heart rhythm is called sinus rhythm and atrial premature bigeminy, but the Atrial Premature Ejaculation has not been transmitted."

"The Atrial Premature Ejaculation has not been transmitted, but it has a compensatory interval."

"The appearance of the compensatory interval caused the heart rate to slow down and also caused the patient's symptoms of fatigue."

Lu Chen's explanation was very clear, and everyone present understood the essence of this electrocardiogram.

However, there are always people who have different opinions.

Jiao Jingqiu, who was standing aside, raised her hand.

Lu Chen was slightly stunned, but still handed the microphone to her.

"Doctor Lu, your analysis just now was correct. But after analyzing for such a long time, isn't the final conclusion still a slow heart rate? Is it different from our analysis? Why do you say this is a fast arrhythmia?"

"I can answer this question now."

Lu Chen was about to answer, but Director Qin in the front row suddenly stood up. He stared at Jiao Jingqiu and smiled.

Everyone's eyes were all focused on him again.

"If you look at it from the perspective of QRS or heart contraction, it is undoubtedly a slow arrhythmia."

"But from the perspective of P wave, frequent atrial premature beats, this should be a fast arrhythmia!"

"If we analyze it from the cause and effect relationship, the slow heart rate is the result, and the frequent atrial premature beats are the cause!"

At this point, Director Qin's tone paused slightly, and his eyes turned to Lu Chen, his eyes became soft, "I think this is what Doctor Lu just said, fast arrhythmia!" 16377/10312175