I can see health

Chapter 649
It was the first time Ke Yue heard such an argument.

Clarithromycin can actually cause allergic reactions, causing coronary artery spasm, and finally lead to myocardial ischemia, elevated troponin, and chest pain symptoms!
Ke Yue also admired Lu Chen's reserve of knowledge, but he really didn't know where he got these weird medical knowledge.

These days, Ke Yue occasionally goes to CCU to visit He Xiaohui.

The doctor in charge of the bed never told her that He Xiaohui's disease was caused by drug allergy.

"Ke Yue, I'm just guessing." Lu Chen smiled, "After all, I haven't really cared about her."

"Well, I see." Ke Yue nodded.

She had to keep in mind that when she went to CCU to see He Xiaohui later, she must mention this matter to the doctor in charge of the bed.

……

The First Affiliated Hospital of Shanghai.

Cardiology CCU.

He Xiaohui has been admitted to the CCU for almost a week, but the doctor in charge of the bed has not yet found the cause.

"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're bored by yourself." Ke Yue said, "The teacher of the postgraduate department gave me a task and let me spend time with you."

Although the two met by chance, there were very few female doctors in the first place, and we all belonged to the same department, so we became acquainted quickly.

"Well, I feel much better, but I haven't found out the cause yet..." He Xiaohui looked lonely.

The symptoms are gone, but the cause of the disease has not been found out, what should I do if it happens again next time?

"Don't worry, you'll find it." Ke Yue thought about what Lu Chen said in the morning, thought for a while and said, "Xiaohui, what were you doing when your chest pain broke out?"

"The first time it hurt, I just woke up in the morning." He Xiaohui said immediately, "The second time it hurt, it was when I came to sign up, and you were there at that time."

"Did you take any medicine before you were in pain?"

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

"What about before you come to the school to register?"

"I ate it too, I ate it and went out."

really!

Ke Yue's heart trembled, could it be that Lu Chen's diagnosis was correct?

He Xiaohui's chest pain is coronary vasospasm caused by clarithromycin allergy?
"Ke Yue, what's wrong?" He Xiaohui frowned, "Is my illness related to clarithromycin?"

"For the time being, I just suspect that there is such a possibility." Ke Yue said slowly, "If you want to make a diagnosis, you need to go to further confirmation."

"Clarithromycin?" He Xiaohui thought about it carefully, and she did experience chest pain after taking clarithromycin.

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

"You said clarithromycin caused allergies, leading to coronary artery spasm?"

He Xiaohui's bed doctor is Cao Lei, who used to be 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. At such a young age, coronary heart disease is definitely not possible. The result of the angiography is still normal." Ke Yue said slowly, "So could there be coronary artery spasm caused by drug allergies? Then she appeared Chest pain symptoms, elevated troponin?"

Cao Lei was a little silent.

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

They are still 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 this kind of drug allergy."

"Well, thank you, Teacher Cao." Ke Yue smiled, "We are only suspicious now, so I will trouble you."

"It's nothing." Cao Lei smiled, "It's because you young people are quick-witted. I really didn't think about this kind of cause."

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

Office of the Director of Cardiology CCU.

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

"This patient is the doctor that Director Liu recruited this year?" Yang Songlin picked up the medical records in his hand and looked at them carefully.

"Yeah." Cao Lei nodded, "It's been almost a week since I lived here, and I haven't found the cause yet. I just heard from Ke Yue that I'm allergic to the medicine. I haven't seen it yet, so I'm here to ask your opinion."

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

Ke Yue is the doctor he recruited this year, and he is Kebo.

Mainly doing basic research in the laboratory, how do you know this kind of clinical knowledge so well?
"It's absolutely true, she came to my office and said it just 5 minutes ago," Cao Lei said.

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

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

"Then you are wrong." Yang Songlin smiled, "Kounis syndrome is not a rare disease, it is an allergic reaction that causes mast cells, macrophages and T lymphocytes to activate, synthesize and release inflammatory mediators, and cause peripheral blood vessels to dilate , lower blood pressure."

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

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

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

Cao Lei immediately stood up, "Director, then I will do it now!"

"Well, let's go." Yang Songlin nodded slightly.

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

"With this kind of clinical thinking, it's a pity to only be an experimental researcher!"

……

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

Although Lu Chen graduated from Jinghua Medical University, there are still many things to do in the follow-up of his National Nature Project.

Since the top-level paper was published on "Circulation", both AstraZeneca and Jinghua have started to operate, intending to promote the heart failure indications of Dapagliflozin treatment, and even write it into the guidelines for clinical heart failure treatment middle.

For this reason, 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 heart failure after myocardial infarction with dapagliflozin.

After receiving the title of "Outstanding Youth", Li Yao's status in the academic circle has a further upward trend!

Whether she can make further progress in the name of "Jie Qing" depends on her follow-up research results.

"Lu Chen, are you still 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 very convenient. By the way, teacher, I met Director Liu Jun."

"You know his relationship with me?" Li Yao smiled.

"Director Liu took the initiative to tell me." Lu Chen said.

"Well, sometimes things can come to him, but..." Li Yao paused, "I still have to rely on myself for important things."

"Well, teacher, I remember." Lu Chen said.

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

"I will come to Shanghai to attend a meeting tomorrow, do you have time tomorrow? Come with me to attend." Li Yao said again.

"Okay, teacher. I just have a rest tomorrow." Lu Chen said.

"That's fine, you wait for my notice."

Lu Chen is not very keen on participating in these conferences, but there are many conferences in the academic circle, one is to promote himself and increase the influence of the academic circle, and the other is to make friends with other academic circles and find cooperation projects.

For him, this is a very good opportunity to brush his face.

(End of this chapter)