I Can See Health

Cardiology cath lab.

Lu Chen's operations are still continuing.

"Shut up the cold salt water!"

"First try ablation at 15 w and 55℃!"

After one second, the ventricular tachycardia ends.

"Gradually titrate the power to 30w and the temperature to 55°C."

Subsequently, Lu Chen's operation lasted for a total of 90 seconds.

During this period, no atrioventricular block or left bundle branch block occurred, and the ah interval and hv interval were both normal.

After the discharge is terminated, the tachycardia frequency is paced at the successfully ablated target, and the resulting 12-lead qrs wave pattern is exactly the same as ventricular tachycardia.

And the interval from the stimulation signal to the starting point of qrs wave is equal to the interval from pp to the starting point of qrs wave during ventricular tachycardia.

"it's over."

Lu Chen took off his gloves amid Xiao Shikang's surprised look.

He threw disposable gloves and hats into the yellow medical trash can.

"Teacher Xiao, please observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.

"Oh." Xiao Shikang was stunned for a moment, and then he came to his senses.

The end of ablation does not mean the end of surgery.

Postoperative observation is required for 30 minutes, and then intravenous infusion of isoprenaline is performed, followed by ventricular and atrial S1S1 stimulation to see if ventricular tachycardia can be induced.

Once ventricular tachycardia is induced, it means the failure of the entire ablation procedure.

…

Half an hour passed.

The audience in the live broadcast room was waiting with Xiao Shikang.

When the nurse hooked up isoproterenol to the patient, everyone stared intently at the ECG monitor next to the operation.

on the monitor.

The patient's heart rate suddenly increased!

Isoproterenol is one of the drugs that can clinically increase heart rate.

Its side effect is that it can induce malignant arrhythmia.

The audience in the live broadcast room also mentioned it in their hearts.

An increase in heart rate is very likely to be a precursor to malignant arrhythmia.

The patient's heart rate quickly increased from 70 beats/min to 120 beats/min in one minute.

Defibrillators and ambulances are also ready nearby.

Slowly, as the pump of isoproterenol completes, the patient's heart rate gradually slows down.

Ventricular tachycardia, which always affected this patient in the past, did not happen again this time!

"Okay, the operation is over!"

When Lu Chen finished saying this, everyone in the entire live broadcast room breathed a sigh of relief.

Someone accidentally glanced at the number of viewers and was shocked!

The number of viewers has more than doubled compared to when the operation first began.

Moreover, more and more viewers began to enter the live broadcast room.

They were introduced by other doctor friends and wanted to see this exciting surgery.

"The operation was a success!"

When Lu Chen said this to the patient on the stage, the corners of the young patient's eyes became moist.

Over the years, I have endured the pain of electric shocks for a long time. Others cannot empathize with me.

However, he couldn't remove the icd.

This is a life-saving thing!

He was still so young and didn't want to just leave like this.

For this reason, he inquired in many ways and found many connections, and finally got the spot for a Mayo cardiologist to perform the surgery.

"Thank you Professor Lu!"

The patient held Lu Chen's hand and kept saying words of thanks.

"The surgery will take some time to recover. Make sure you rest and don't overwork yourself." Lu Chen warned several times. Although this was a minimally invasive surgery, there were also some delayed complications, such as myocardial damage and cardiac perforation.

"Well, I listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in China. We have many patients here who are just like me. They suffer a lot of pain every day... …”

After saying this, the patient himself felt that his words were inappropriate and said quickly: "I'm sorry, Professor Lu, I don't mean anything else. I just thought it would be great if China could have a doctor as good as you."

Lu Chen smiled and said, "There will definitely be some. There will be many in the future."

"Really?" The patient also had a smile on his face, "Then I'm looking forward to that day."

at this time.

Lu Chen noticed the prompt that popped up on his system panel.

"Congratulations, I received a +5 thank you from Xiao Shikang!"

"Congratulations on receiving a thank you from...!"

"Congratulations……"

Lu Chen was pleasantly surprised by a series of thank you value reminders.

The number of spectators this time was at least tens of thousands.

Even if each person provides a small amount of gratitude, if a small amount adds up, the gratitude value is still considerable!

It won't be long before Lu Chen can redeem his second high-level skill card!

…

The patient was pushed to the CCU observation room.

The operation is officially over.

Lu Chen slowly walked out of the cath lab, picked up the mineral water and took a swig.

The overall time for this surgery is about two hours.

Standing for a long time made Lu Chen's waist a little sore.

At this moment.

Shen Wenguang and Yang Feng walked over.

"Director Yang, let me introduce to you. Today's surgeon is one of the best attending doctors in our Department of Cardiology at Mayo Clinic."

Before Yang Feng could reply, Lu Chen smiled, shrugged, and said to Shen Wenguang, "Director Shen, I have known Director Yang Feng from the Department of Cardiology at the First Affiliated Hospital of Kyoto University for a long time."

When Lu Chen spoke, there was a faint smile on his face.

But there was a hint of coldness in his words.

"Oh? Really? That's even better." Shen Wenguang smiled, "I hope we can communicate and cooperate in many fields of cardiology in the future."

Yang Feng looked at Lu Chen without a smile on his face, but when he turned to look at Shen Wenguang, he also showed a smile, "Okay, I will have a good communication with Dr. Lu in the future."

Lu Chen smiled and didn't pay much attention to Yang Feng's words.

Some things, once missed, may be irreversible.

Lu Chen didn't want to say anything more to these leaders, so he said: "Director Shen, I have another surgery next, so I'll prepare for it first."

"Okay, go ahead." Shen Wenguang nodded and patted Lu Chen on the shoulder, "Don't run away tonight, come and have dinner with me."

"Yeah." Lu Chen nodded slightly. He really had no reason not to participate in the group dinner.

…

Second electrophysiology surgery.

Xiao Shikang is the chief surgeon and Lu Chen is the assistant.

The difficulty of this surgery is one level less difficult than the previous ones. It is just a leadless pacemaker implantation.

Lu Chen had performed this type of surgery five years ago.

For him now, it is not difficult at all.

Under the guidance of Lu Chen, Xiao Shikang began the operation.

Once he encounters a more difficult place, Lu Chen will take the initiative to help. More often, Xiao Shikang completes the operation independently.

Because this live broadcast of the surgery is also an opportunity for Chinese doctors to showcase themselves.

It would be better for Lu Chen not to overshadow the others.

…

After an hour of operation, the operation was completed smoothly.

Lu Chen was the assistant during this surgery, and he didn't receive much gratitude.

But today’s harvest is enough.

night.

Lu Chen was dragged by kebed to the hotel where they had a group dinner. UU Reading www.uukanshu.net

The hospital leaders of Huaxia Hospital and Shen Wenguang sat at the same table.

The other doctors sat freely.

Kebed pulled Lu Chen's sleeve, "Hey, Lu, you forgot your promise to me!"

Lu Chen was about to take a bite of steamed pork with rice noodles. He was startled and looked back at kebed, "What promise?"

"Take me to eat something better than instant noodles." Kebed blinked and looked at Lu Chen expectantly.

Lu Chen was startled. He had really forgotten about this, so he smiled and said, "Okay, I'll take you for a midnight snack tonight."

"What to eat?" Kebed asked confused.

"Lu skewers..."

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