I Can See Health

This was the first time Ke Yue heard this argument.

Clarithromycin can actually cause allergic reactions, but coronary artery spasm eventually leads to myocardial ischemia, elevated troponin, and chest pain!

These days, Ke Yue occasionally looks at He Xiaohui.

The bedside doctor never told her that He Xiaohui's illness was caused by drug allergy.

"Ke Yue, this is just a guess." Lu Chen smiled, "After all, I have never really cared about her."

"Yes, I understand." Ke Yue nodded.

She kept in mind that when u saw He Xiaohui later, she would definitely mention this matter to the bedside doctor.

…

The First Affiliated Hospital of Shanghai.

In my heart u.

He Xiaohui has been staying at U for almost a week, but the bedside doctor has not yet found the cause of the disease.

"Ke Yue, you came to see me again."

He Xiaohui watched Ke Yue come to the bed and said with a smile.

"In case you are bored alone." Ke Yue said, "The teacher of the graduate department gave me a task and allowed me to have time to accompany you."

Although the two met by chance, there were very few female doctors and they were all in the same department, so they quickly became familiar with each other.

"Well, I feel much better, but the cause of the disease has not been found yet..." He Xiaohui looked lonely.

The symptoms have improved, but the cause has not been found. What if it happens again?

"Don't worry, you will find it." Ke Yue thought about what Lu Chen said in the morning and said after thinking, "Xiaohui, what were you doing when you had chest pain before?"

"The first pain was when I just got up in the morning." He Xiaohui said immediately, "The second pain was when I came to sign up. You were also there."

"Did you take any medicine before the pain?"

"Take medicine?" He Xiaohui was stunned for a moment, then nodded, "Take it. I took the clarithromycin prescribed by the emergency doctor."

"What about before coming to the school to register?"

"I ate too. I ate what I left out."

really!

Ke Yue's heart trembled. Could it be that Lu Chen's diagnosis was correct?

Is He Xiaohui's chest pain caused by coronary vasospasm caused by clarithromycin allergy?

"Ke Yue, what's wrong?" He Xiaohui frowned, "Is my illness related to clarithromycin?"

"I just suspect this possibility for the time being." Ke Yue said slowly, "If we want to confirm the diagnosis, we need further confirmation."

"Clindamycin?" He Xiaohui thought about it carefully and realized that her chest pain symptoms only appeared after taking clarithromycin.

Ke Yue chatted with He Xiaohui for a while, and then went to find her bedside doctor.

"You said it was an allergy to clarithromycin that caused coronary spasm?"

He Xiaohui's bedside doctor is Cao Lei, who was a graduate student in the Department of Respiratory Medicine and was later transferred to the Intensive Care Unit of the Department of Cardiology.

"Well, myocarditis has been ruled out now. Xiaohui is so young, coronary heart disease is definitely not possible, and the angiography results are still normal." Ke Yue said slowly, "So could it be coronary spasm caused by drug allergy? Then she developed Symptoms of chest pain and elevated troponin?”

Cao Lei was a little silent.

He was also recalling He Xiaohui's illness in his mind.

They were very concerned about this doctor of cardiology.

"Let me ask Director Yang." Cao Lei thought for a while, "I have never seen coronary spasm caused by drug allergy."

"Well, thank you, Teacher Cao." Ke Yue smiled, "We are just suspicious now, so I'm sorry to trouble you."

"It's okay." Cao Lei said with a smile, "You young people are still smart. I really haven't thought about the cause of this disease."

Gu Xu

After saying that, Cao Lei took He Xiaohui's medical records and left.

Xin Nei Director's Office.

"Director Yang, do you think there is coronary spasm caused by drug allergy?" Cao Lei handed He Xiaohui's medical records to Director Yang Songlin.

"Is this patient the doctor that Director Liu recruited this year?" Yang Songlin picked up the medical record in his hand and looked at it carefully.

"Yeah." Cao Lei nodded, "I've been here for almost a week, and I still haven't found the cause. I just heard from Ke Yue that he was allergic to drugs. I haven't seen it before, so I came to ask for your opinion."

"Ke Yue told you?" Yang Songlin was startled.

Ke Yue is the doctor he recruited this year. He is a Kebo. He mainly does basic research in the laboratory. How come he knows so much about this kind of clinical knowledge?

"It's absolutely true. Just five minutes ago, she came to my office and said it." Cao Lei said.

Yang Songlin was quite surprised, and then explained: "Actually, this disease has a very professional term, called I-type Kounis syndrome."

Cao Lei smiled helplessly: "Director, what are you talking about? Another rare disease?"

"That's wrong." Yang Songlin smiled, "Kounis syndrome is not a rare disease. It is an allergic reaction that causes the activation of mast cells, macrophages and T lymphocytes, synthesis and release of inflammatory mediators, leading to the dilation of peripheral blood vessels. , lower blood pressure.”

"A syndrome of decreased coronary blood flow, arrhythmia, coronary spasm, coronary atheromatous plaque erosion, rupture, or coronary stent thrombosis, also known as allergic myocardial ischemia syndrome."

Only then did Cao Lei understand, "Director, how do you diagnose this disease?"

"If you want to clarify the relationship between clarithromycin and coronary spasm, you need to do the clarithromycin-induced lymphocyte stimulation test (DLST)." Yang Songlin said, "If the result is strongly positive, it can confirm the coronary artery spasm." Pulse spasm is an allergic reaction to clarithromycin.”

Cao Lei stood up immediately, "Director, I'll do it now!"

"Well, go ahead." Yang Songlin nodded slightly.

After Cao Lei left, Yang Songlin thought of his student Ke Yue again.

"With this kind of clinical thinking, it would be a pity to be a laboratory researcher!"

…

At this time, Lu Chen was on the phone with Li Yao.

Although Lu Chen graduated from Beijing Medical University, there are still many things to do next to his National Natural Science Project.

Since the publication of the top paper in "", AstraZeneca and Jinghua have begun to work, hoping to promote the heart failure indications treated with dapagliflozin and even include it in the clinical heart failure treatment guidelines. .

To this end, Li Yao has been busy recently, giving reports at major medical conferences across the country and even around the world to promote the diagnosis and treatment of dapagliflozin in heart failure after myocardial infarction.

After receiving the title of "Outstanding Youth", Li Yao's status in the academic circle is on the rise!

Whether she can take the title of "outstanding youth" a step further depends on her subsequent research results.

"Lu Chen, are you used to studying and living in Shanghai?" Li Yao's voice came from the microphone.

Lu Chen immediately felt very familiar and friendly, "It's okay, life here is quite convenient. By the way, teacher, I have met Director Liu Jun."

"Do you know his relationship with me?" Li Yao smiled.

"Director Liu took the initiative to tell me. UU Reading www.uukanshu.net" Lu Chen said.

"Well, sometimes you can ask him for things, but..." Li Yao paused, "For important things, you still have to rely on yourself."

"Yes, teacher, I remember it," Lu Chen said.

After all, Liu Jun is an outsider, and it is better to rely on yourself than to rely on others.

"I will come to Magic City to attend a meeting tomorrow. Do you have time tomorrow? Come with me to attend." Li Yao said again.

"Okay, teacher. I have a day off tomorrow," Lu Chen said.

"Okay, you wait for my notification."

Lu Chen was not very enthusiastic about participating in these conferences, but there were many conferences in the academic circle. Firstly, it was to promote himself and increase his influence in the academic circle. Secondly, he could make friends with other big names in the academic circle and find cooperation projects.

For him, this is a great opportunity to show his face.

.