Chen Guangxu left with the checklist,
Lin Feng continued to see the next patient.
after an hour,
The patient returned to Lin Feng's clinic with the video data of CT imaging.
Live room audience:
"Come here~~~"
"Looking forward to the answer~~~"
"there is only one truth!"
Soon, Lin Feng opened the video material~.
The video starts with the injection of contrast agent into the coronary artery, and then the contrast agent enters the coronary artery section... and then exits the coronary-shaped artery...
"Six heartbeats..."
Lin Feng smiled suddenly.
confirmed!
Coronary blood flow is too slow!
In general,
In most patients, even those with severe cardiovascular stenosis, the time it takes for the contrast agent to go from start to finish during the radiography will generally not exceed "2 heartbeats", and it will disappear quickly.
According to the standard, more than three cardiac cycles is considered as slow blood flow.
Chen Guangxu’s radiography showed that the blood flow through the coronary arteries requires a total of 6 beats!
Slow blood flow!
Moreover, the absorption of the contrast agent in his blood vessels is also very slow, that is, the black part (contrast agent) completely disappears in more than a minute (a healthy heart disappears after a few heartbeats).
It is clear,
The patient, Chen Guangxu, had a problem with the capillaries in his heart.
This also explains why Chen Guangxu has symptoms of angina.
Because the blood cannot be effectively transported for a long time, the nutrients needed by the myocardium cannot be obtained in time, resulting in myocardial ischemia.
And what kind of disease is this disease called?
It's called "Syndrome X"!
It is also called "microvascular angina pectoris"!
It means that the coronary angiography is normal, the exercise test is positive, there is no other evidence of heart disease, and there is no organic coronary stenosis or spasm... angina!
Lin Feng informed the patient Chen Xuguang of this result.
"Syndrome X?!"
Chen Guangxu's heart is extremely pleasantly surprised!
Actually found the cause!
"From the current situation, this is indeed the case..." Lin Feng explained the principle of "Syndrome X".
Easy to understand.
Both Chen Guangxu and many viewers understood.
"You should take medicine for angina, right?"
"eat."
"What medicine?"
"Nitroglycerin..." (As I wrote earlier, nitroglycerin is the "most" classic angina pectoris medication!) (chapters 264-265)
"How is the effect?"
"Not so good..."
Lin Feng nodded.
One of the characteristics of "X syndrome" is that nitroglycerin has little effect.
Lin Feng: "Wait, I will do some checks for you..."
"Syndrome X" is more complicated, so the diagnosis will be more troublesome.
Positive ECG exercise test (ST-segment ischemic type moves down 0.1mm)
·One more coronary angiography (after taking specific vasodilators (persantin, nitroglycerin, papaverine)), compared with the previous coronary angiography results, there will be obvious changes, and the speed of the contrast agent through the coronary arteries will be greatly increased Several times!
·……
...
2 hours later...
Various inspection results have come out.
Confirmed!
"Syndrome X"! !
When the result was finally obtained, Chen Guangxu was so excited that he wept.
"Thank you Dr. Lin! Thank you Dr. Lin!"
Bowed again and again to thank you.
In the past 4 years, he has been beaten repeatedly, and he has also been diagnosed with a panic of ‘psychiatric’!
Since then,
His life will split the darkness and walk into the light.
...
Studio,
There have been many rewards.
"Doctor Lin, awesome!!" X10 million!
There are also many patients who empathize with each other and send out comments:
0 ········Find flowers·····
"My dad also suffered from uncomfortable heart symptoms for more than two years. He has been to the hospital for checkups several times, and he has also been hospitalized. He has done various checks and found no problems. After watching Dr. Lin's live broadcast, I feel that there is one more problem. Ideas. Thank you Dr. Lin!"
"Sometimes I really don't dare to go to the doctor. Many times I go to the hospital. I have not been diagnosed. I am still considered to be menopausal. I can't go to the psychology department. Alas, it's hard to say..."
"I have this symptom, and I can't find out the cause. Later, I said that it was neuralgia and there was no cure, but I understood it completely."
...
as predicted,
. ..... 0
3 hours later,
# Lin Feng,X Syndrome#
On the hot list of Douyin, quickly squeezed into the top ten...
It aroused the sympathy of many patients who were diagnosed as ‘mentally ill’ after seeing a doctor.
"Dr. Lin is a good doctor."
"Good responsible doctor, too few..."
"If it weren't for Doctor Lin, I'm afraid there will be one more mental patient..."
...
at this time,
A parent, Huang Meifeng, happened to see this hot topic about Lin Feng.
My heart moved.
She thought of her 3-year-old son, who had not been cured after seeking medical treatment for a year.
Huang Meifeng is an employee of a public institution who is busy at work. Sometimes, she still looks out the window, wanting to give herself a gap year and make her life have ups and downs.
Fate probably dislikes her hypocrisy...
A year ago, when disaster struck, my son suddenly got a nosebleed and suffered from a very difficult problem with major surgery!
Nasopharyngeal skull base rhabdomyosarcoma!
Get close to the brain!
This disaster put the hypocritical Chen Meifeng on the ground and rubbed vigorously.
Make you hypocritical!
Make you crave ups and downs!
Then, Chen Meifeng embarked on a long and difficult path of seeking medical treatment for a year...
. again.
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