I Can See Health

Lu Chen looked at the health value on the girl's head, which was 81 (-).

A minus sign, the health value is basically within the normal range.

"Are you the legendary Professor Lu Chen? Are you... so young?!"

As soon as she entered the door, the girl asked this question.

She was wearing a mask. Lu Chen couldn't see her face clearly, but he could imagine her shock behind the mask.

"If you find Lu Chen from the second district of Guanghai First Hospital, I think it should be me." Lu Chen smiled.

"That's right, that's Lu Chen from the second district of the first hospital. My mother-in-law upstairs, you performed the surgery on her and she can now walk."

The girl walked to Lu Chen and sat down, looking at Lu Chen carefully.

Lu Chen was quite confused, "Are you here to see a doctor? Or..."

He didn't believe that it was his own charisma that allowed others to register a specialist clinic number worth three hundred dollars.

The person the girl is talking about is most likely a previous TAVR surgery patient.

"Of course it's to see a doctor." The girl said, then shook her head, "It's not to see a doctor, I just want you to see an electrocardiogram."

After saying this, the girl took out an electrocardiogram from her bag.

"This is the electrocardiogram from my physical examination."

Lu Chen took it easily.

"The hospital where I had my physical examination said there was something wrong with the electrocardiogram. There were premature ventricular contractions. They asked me to come over and check."

"The company said that if I have structural heart disease, I might not be able to join the company, so I want to find a good cardiologist."

"I have seen many doctors. Some said I was sick, while others said I was not sick..."

The girl kept thinking silently.

Lu Chen didn't interrupt her and kept listening silently.

For electrocardiogram interpretation, his proficiency is now close to 98%.

It could be said that Lu Chen could see problems with most electrocardiograms at a glance.

He examined the electrocardiogram in front of him, and after the girl finished speaking, he said: "This electrocardiogram is a bit disturbing, but you can still see p waves, short pr, wide qrs, delta waves, and st-t changes... This is not intraventricular Premature contractions, which are intermittent preexcitations.”

The girl was a little confused: "What? What kind of fish or what kind of chicken?"

It felt like it was more serious after hearing what Lu Chen said.

Lu Chen smiled and said, "Don't worry yet. It would be better if we could have a clearer electrocardiogram as evidence. Let's go and check another electrocardiogram."

"Okay, I listen to you." The girl nodded, "This is about whether I can officially join the job. This job opportunity is too rare."

"Professor Lu, you must help me take a good look."

"If you keep an eye on me, I'll treat you to dinner then!"

Lu Chen ignored the girl's thoughts and prescribed an electrocardiogram for her.

After a while, Lu Chen got an electrocardiogram without interference.

…

In the clinic.

The girl looked at Lu Chen nervously.

Because of the mother-in-law who lives upstairs in her house, she particularly believes in Lu Chen's medical skills.

At first, everyone said that my mother-in-law was dying.

My mother-in-law went to many hospitals in Guanghai, but they all said there was no chance of surgery. Finally, she went to Guanghai No. 1 Hospital and miraculously completed the surgery.

Now, my mother-in-law can even go out for a walk and chat with the neighbors next door.

This shocked everyone in the community.

After asking about the reason, everyone found out about Professor Lu Chen from Guanghai No.1 Academy.

Lu Chen took the electrocardiogram and smiled, "Now we can confirm that it is intermittent pre-excitation. Let me tell you the story of fish and chicken."

The girl suddenly interrupted Lu Chen, "Professor Lu, please tell me first, is my illness serious?"

"Don't worry." Lu Chen smiled, "You will know after you listen to me."

"Oh." The girl could only nod and listen silently to Lu Chen's explanation.

However, she still muttered in her heart, "This is turning me from one disease to another."

At this time, Lu Chen began to give a preliminary explanation.

"Pre-excitation syndrome is a kind of arrhythmia. In essence, there is an extra conduction pathway, so that the atrial excitement can be transmitted to the ventricle in a 'shortcut', causing part of the ventricular myocardium to be excited in advance. Symptoms such as palpitations and chest tightness may occur. In severe cases, Induces tachycardia.”

The girl blinked her eyes, as if she understood something, "I know, it's just that your heart is out of control and you get excited in advance?"

"You can say that." Lu Chen nodded, took out the electrocardiogram she had just done, and turned back to Zhong Hui.

"In sinus rhythm, the electrocardiographic characteristics of pre-excitation syndrome are pr interval \u003c0.12s, qrs interval \u003e0.10s, and the initial part of the qrs wave is blurred and blunt, forming a delta wave, which is a 'pre-shock wave'. There are secondary st-t changes, which are called typical pre-excitation electrocardiogram."

Zhong Hui nodded and immediately wrote down the important notes.

Usually when encountering this kind of typical electrocardiogram, Lu Chen would take a few minutes to explain it to Zhong Hui.

The girl on the side heard this and asked doubtfully: "Professor Lu, since there is a typical one, then there is also an atypical one, right?"

Lu Chen smiled and said, "Yes, this involves the classification of pre-excitation syndrome, which is quite complicated."

The types of pre-excitation syndrome are divided into Kent bundle type (typical pre-excitation syndrome, wpw), James bundle type (lgl syndrome), and Mahaim fiber type (variant type) according to the location of the lesion.

Typical pre-excitation syndromes are divided into types a, b, and c; special types of pre-excitation include intermittent, latent, and latent types.

"So many?" The girl blinked.

She was trying to understand Lu Chen's words.

Lu Chen's explanation was relatively easy to understand.

But hearing the current, professional terminology, she was already a little confused.

"This is still a partial classification." Lu Chen continued, "If you have a typical pre-excitation electrocardiogram and paroxysmal supraventricular tachycardia at the same time, it is called classic pre-excitation syndrome (wpw syndrome). ); if there is only pre-excitation electrocardiogram without paroxysmal ventricular tachycardia, it is called ventricular pre-excitation.”

The girl sighed: "Good guy, my disease is really serious. It's a special type. It's called...what's it called?"

Lu Chen consoled him: "Intermittent pre-excitation."

"Whether the disease is serious does not depend on whether it is typical, but whether there will be reentry, paroxysmal supraventricular tachycardia and other arrhythmias."

The girl was stunned, "Then have I ever had these arrhythmias? I don't know either!"

Lu Chen asked back, "Do you usually have palpitations, chest tightness, or feel your heart beating fast?"

"No." The girl shook her head.

Lu Chen smiled and comforted: "Then you have never had paroxysmal supraventricular tachycardia. UU Reading www.uukanshu.net Now it's just the abnormal electrocardiogram found in the physical examination. No drug treatment is needed for the time being. Please review it regularly. "

"Really?" The girl stood up, her expression a little excited.

This electrocardiogram is the key to whether she can join the job!

"Of course it's true," Lu Chen said, "If there are no symptoms, your electrocardiogram would be considered a normal one."

"That's great!" The girl patted her chest, "It's made me worried to death these days."

After some explanation, the girl finally left with peace of mind.

However, before leaving, she turned back and muttered to Lu Chen: "There are so many types of this syndrome, you can really remember it. Can you also remember that there are four ways to write the word fennel for fennel beans?"

Lu Chen spread his hands helplessly, "I can't remember, I'm not Kong Yiji, my surname is Lu."

The girl walked out of the consulting room, smiled and waved: "Goodbye, Professor Lu." 16377/10539516