I can see health

Chapter 791 Four Ways of Writing Fennel Beans
Lu Chen glanced at the HP on the girl's head, it was 81 (-).

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

"You are the legendary Professor Lu Chen? This... so young?!"

As soon as he entered the door, the girl uttered this doubt.

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

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

"Yes, that's right, it's Lu Chen from the second district in the heart of the first hospital. The mother-in-law upstairs in my house, you performed an operation on her, and now she can walk on the ground."

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

Lu Chen was quite puzzled, "May I ask if you came to see a doctor? Or..."

He didn't believe it was his own charisma, so he asked others to sign up for a 300 yuan expert clinic number.

The person in the girl's mouth is most likely a previous TAVR patient.

"Of course I'm seeing a doctor." The girl said, then shook her head, "It's not about seeing a doctor, but I just want you to take an electrocardiogram."

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

"This is the electrocardiogram of my entry medical examination."

Lu Chen took it over.

"The hospital where I had my physical examination said that there is something wrong with this electrocardiogram. There is some premature ventricular contraction. Let me come over and check it out."

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

"I have seen many doctors, some doctors said I was sick, some said I was not sick..."

The girls kept thinking about it.

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

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

It can be said that for most of the electrocardiograms, Lu Chen can see the problem at a glance.

He looked at the electrocardiogram in front of him, and after the girl finished speaking, he said: "This electrocardiogram is a little disturbed, but you can still see P waves, short PRs, wide QRSs, delta waves, ST-T changes... this is not a room. Premature beats, it's intermittent pre-excitation."

The girl was a little confused: "What? What fish, what chicken?"

Hearing what Lu Chen said, it seemed more serious.

Lu Chen smiled: "Don't worry, it would be better if you can have a clearer electrocardiogram as evidence. How about it, you go to check another electrocardiogram."

"Okay, I'll 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 give me a good look, I will treat you to dinner then!"

Lu Chen ignored the girl's thoughts and gave her an electrocardiogram checklist.

After a while, Lu Chen got an undisturbed electrocardiogram.

……

In the consulting room.

The girl looked at Lu Chen nervously.

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

At the beginning, everyone said that the mother-in-law was dying.

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

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

This surprised everyone in the community.

After asking the reason, everyone knew Professor Lu Chen from Guanghai No. [-] Hospital.

Lu Chen held the electrocardiogram and smiled, "Now we can be sure, it's intermittent pre-excitation, let me tell you the story of the fish and the chicken."

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

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

"Oh." The girl could only nod her head, silently listening to Lu Chen's explanation.

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

At this time, Lu Chen started the preliminary explanation.

"WP-WP 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 by a 'shortcut', so that part of the myocardium of the ventricle is excited in advance, and symptoms such as palpitations and chest tightness may occur. induced tachycardia."

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

"You can also say that." Lu Chen nodded, took out the electrocardiogram she had just made, and turned to Zhong Hui who was beside him.

"Under sinus rhythm, the ECG characteristics of pre-excitation syndrome are PR interval < 0.12s, QRS interval > 0.10s, and the beginning part of QRS wave is blurred and blunt, forming a delta wave, which is the 'pre-excitation wave', which can be There are secondary ST-T changes, which are called typical pre-excitation ECG."

Zhong Hui nodded and immediately took down the important notes.

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

The girl on the side heard it, and asked suspiciously: "Professor Lu, since there are typical ones, then there are atypical ones, right?"

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

The types of WPW syndrome can be divided into Kent bundle type (typical WPW syndrome, WPW), James bundle type (LGL type syndrome), and Mahaim fiber type (variant type) according to the lesion site.

Typical pre-excitation syndromes are further divided into types A, B, and C; special types of pre-excitation include intermittent, insidious, and latent types.

"So many?" The girl blinked.

She was trying to understand Lu Chen's words.

Lu Chen's explanation is relatively easy to understand.

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

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

The girl sighed: "Good guy, I'm really sick. I came up with a special type. It's called... what is it called?"

Lu Chen comforted: "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 taken aback, "Then have I ever had these arrhythmias? I don't know either!"

Lu Chen asked back, "Then do you usually have heart palpitations, chest tightness, or when your heart beats fast?"

"No." The girl shook her head.

Lu Chen comforted him with a smile: "Then you have never had paroxysmal supraventricular tachycardia, and now it's just an abnormal electrocardiogram found in the physical examination. For the time being, you don't need drug treatment, and you should have regular checkups."

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

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

"Of course it's true." Lu Chen said, "If there are no symptoms, your ECG is considered normal."

"Great!" The girl patted her chest, "I'm so worried these days."

After some explanations, the girl finally felt relieved and left.

However, before leaving, she turned her head and muttered to Lu Chen: "There are so many types of this syndrome, you can really remember it. Can you also remember the four ways to write the word fen in 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 consultation room, smiled and waved: "Then goodbye, Professor Lu."

(End of this chapter)