I can see health

Chapter 103 The U wave behind the T wave!
Lu Chen was still immersed in the joy of passing the elite group assessment.

Suddenly, he received another email.

It was still sent by Jinghua Electrophysiology Association.

When I clicked on the email, I saw a line of bold and small letters.

"Congratulations to Mr. Lu Chen, officially becoming a member of the elite group of the Jinghua Electrophysiology Association. I hope that with the joint efforts of everyone, the Jinghua Electrophysiology Association will flourish in the future. The following introduces the detailed responsibilities and rights of the elite group members."

"The responsibility of the members of the elite group: responsible for the difficult ECG interpretation of a lower-level hospital..."

"The rights and interests of members of the elite group: free participation in various electrophysiological conferences, free cutting-edge medical information, and regular distribution of electrophysiological association benefits..."

There are quite a lot of tricks!
After reading it, Lu Chen had a preliminary understanding of the responsibilities and rights of the members of the Jinghua Electrophysiology Association's elite group.

As the capital city of the province, Jinghua undertakes the diagnosis and treatment of most difficult and difficult patients in the province.

The Jinghua Electrophysiology Association also undertakes the task of ECG interpretation in lower-level hospitals.

For some critically ill or difficult electrocardiograms, lower-level hospitals will send photos of electrocardiograms through WeChat groups for interpretation by professional doctors in higher-level hospitals.

This will not only save medical resources, but also facilitate patients to a greater extent.

At the same time, it can also promote multi-party exchanges and improve the medical level of lower-level hospitals.

All members of the elite group of the Jinghua Electrophysiology Association were assigned lower-level areas.

Then through the WeChat group, interpret the difficult ECG.

Of course, members of the elite group can refuse to participate in this mode of assistance.

But correspondingly, there are no various benefits.

Lu Chen is very interested in this model.

Remote interpretation of ECG should not be regarded as diagnosing diseases.

It will not improve the completion of the system upgrade, but he may be able to get a certain amount of gratitude from it.

Follow the contact information given in the email.

Lu Chen contacted the vice president in charge of Jinghua Electrophysiology Association.

The vice president in charge is the deputy chief physician of the Cardiology Department of Jinghua No. [-] Hospital.

He assigned tasks to Lu Chen in Pingshui County and Fengm County.

After Lu Chen added the WeChat account of the vice president in charge, he was directly pulled into a WeChat group - Jinghua Electrophysiology Exchange Group 52 (Pingshui, Fengmei).

There are more than 200 people in the group.

Most of the members in the group are doctors from county-level hospitals or township health centers.

Usually everyone will have an academic discussion on the electrocardiogram.

Occasionally, difficult electrocardiograms are interpreted by members of the Electrophysiological Society.

The vice president in charge informed Lu Chen of the specific tasks.

In each group, there are two to three elite group members who are responsible for the interpretation of difficult electrocardiograms.

According to regulations, Lu Chen changed his group nickname to Jinghua Electrophysiology Association Lu Chen.

Joining a WeChat group with hundreds of people, Lu Chen didn't attract everyone's attention.

"Recently, the association will send you some electrophysiological magazines and books, leave your contact address, and pay attention to check."

Lu Chen was very happy to have these benefits when he just joined the club.

At present, he is eager to get in touch with more cutting-edge medical knowledge, but he always feels a bit awkward when searching on the Internet.

It would be more reliable if you can get in touch with these cutting-edge knowledge from professional learning and formal platforms.

……

Five minutes after Lu Chen joined the group, someone sent a WeChat message.

The person who sent the message was a doctor from the Township Health Center of Pingshui County.

He didn't welcome Lu Chen to join, but sent an electrocardiogram.

"Which teacher in class, please help me analyze this electrocardiogram, thank you!"

Come to work!

Lu Chen's eyes lit up, and he immediately clicked on the electrocardiogram in the group.

After glancing at the electrocardiogram, his brows furrowed.

Sinus rhythm, normal rhythm, p wave, QRS wave, T wave are all normal.

"Isn't this a normal electrocardiogram?"

"Where did I look negligent?"

Lu Chen stared at the electrocardiogram in the group again.

After pondering back and forth several times, I still didn't see any way out.

At this time, the phone vibrated, and someone in the group sent a message.

This is a doctor from the Cardiology Department of Pingshui County People's Hospital.

He called the doctor at the township health center upstairs, and replied: "Normal electrocardiogram."

Afterwards, the doctor in the township health center immediately replied with "thank you".

And Lu Chen, who was holding his mobile phone, had the expression of a subway grandfather looking at his mobile phone.

"That's it?"

Normal... EKG?

Is... is he thinking too much?

……

Immediately afterwards, Lu Chen saw an electrocardiogram popping up one after another in the group.

However, most of them are "ventricular premature", "atrial fibrillation", "myocardial ischemia" and so on.

A slightly difficult ECG is supraventricular tachycardia.

These simple ECGs were all interpreted by cardiologists from other hospitals.

Lu Chen was about to close the group chat and take a good rest.

Suddenly, another electrocardiogram popped up in the group.

This electrocardiogram was issued by the emergency doctor of Fengm County People's Hospital.

"Teachers, help the world!"

"An electrocardiogram was done in the emergency department of a male patient who had aggravated general fatigue for one day!"

Once this picture is posted.

The group fell silent, and no one made a sound for a long time.

……

Feng M County People's Hospital, Emergency Department.

Zhang Wulong looked anxiously at the patient in front of him.

The state of the patient is extremely poor, with apathetic nerves and cyanotic lips.

On ECG monitoring, the blood pressure is only 154/70mmHg, and the heart rate is only 49 beats/min.

At this time, the head nurse of the emergency department ran to Zhang Wulong and said softly:
"Doctor Zhang, this patient is a relative of a bureau chief in the county. The director has called just now, and we must try our best to rescue him!"

Zhang Wulong nodded helplessly: "Head nurse, the patient's condition is too serious, and I can't find the reason for it for the time being. I have already used all the medicines that should be used, and I have invited multiple departments such as the Cardiology Department, ICU, and Respiratory Department for consultation. .”

"Okay, I see. I have already contacted the director, and he will come right away." After the head nurse finished speaking, she left.

Zhang Wulong stared closely at the electrocardiogram in front of him.

Before the results of the blood test come out, the most important auxiliary examination is the electrocardiogram.

Ask him to judge some simple electrocardiograms.

If he encounters this kind of more complicated electrocardiogram, he will start to be stretched and confused.

"Has the cardiologist come yet?" Zhang Wulong asked the nurse beside him.

"I called. The cardiologist is on the way." The nurse quickly replied.

Zhang Wulong thought of the "electrophysiological communication group".

He quickly took out his mobile phone and uploaded the electrocardiogram to the WeChat group.

……

Lu Chen lay on the bed, staring intently at the picture in the WeChat group.

P wave normal, sinus rhythm.

Rhythm is normal, no premature beats, atrial fibrillation and so on.

ST-segment depression in the precordial leads and T-wave inversion.

Lu Chen frowned, could it be coronary heart disease, myocardial ischemia?

At this time, someone in the group finally spoke.

The nickname of the group is a cardiologist in a second-class hospital.

"The patient has severe myocardial ischemia. Do you have any history of coronary heart disease?"

Seeing someone speaking, Zhang Wulong looked happy, and immediately replied: "I don't have coronary heart disease, but I have a history of high blood pressure and diabetes."

The cardiologist at the second-level hospital continued to reply: "There are high-risk factors for coronary heart disease, and it may be angina pectoris or heart failure attack!"

At this moment, Lu Chen frowned.

In this ECG, the T wave is followed by a less obvious u wave!
This may not be myocardial ischemia in coronary heart disease!

　Starting tomorrow, there is a small holiday, come on and update.

　　
　
(End of this chapter)