I can see health

Chapter 916 Strange Heart Failure
Come to the ward.

Lu Chen found this place very familiar.

It wasn't until he saw Jiao Jingqiu that he realized that this was the department of his tutor Zhang Shuqing.

"Lu Chen, why are you here?"

Jiao Jingqiu looked at Lu Chen in surprise.

"To see a patient." Lu Chen smiled.

Jiao Jingqiu nodded, and then saw Du Fu beside him.

"Mr. Du, did you invite Director Lu here?"

Jiao Jingqiu happened to be President Du's father's bed doctor.

Du Fu nodded slightly, "My father's illness, ask more people, there are many ways out."

"We can understand." Jiao Jingqiu then turned to look at Lu Chen, "Director Lu, why don't you see the patient first?"

"it is good."

From the conversation with Jiao Jingqiu, Lu Chen already had a little understanding of Du Fu's father's condition.

This is a very stubborn old man.

……

Come to the ward.

Lu Chen saw Mr. Du's father.

He is a 74-year-old "veteran" coronary patient and very talkative.

"Why are you here again? The company is not busy?" The uncle looked at Du Fu who had come and frowned slightly.

"Dad, I found a cardiology expert to help you." Du Fu smiled and introduced Lu Chen, "This is the director of the Cardiology Department of the Fifth Hospital of Shanghai, Professor Lu Chenlu."

The uncle turned his head to look at Lu Chen, stunned, "So young? Your age is probably not as long as my coronary heart disease, right?"

Lu Chen was stunned, then smiled and said, "Master, you are growing stronger and stronger, we can't compare."

While speaking, Lu Chen was also paying attention to the patient.

The HP on his head is 58(——)!

The trend of two minus signs shows that his condition is not too optimistic.

The uncle laughed loudly when he heard the words, "Such a young man can actually be a director. It seems that you have some skills. Show me."

Lu Chen smiled, and began to ask the uncle some relevant medical history.

The uncle said: "I did coronary angiography 20 years ago. At that time, we just started this operation here. The director's surname was Zhao..."

A bunch of crap.

Lu Chen was a little helpless, but he listened patiently before continuing, "Do you remember the result of the angiography?"

The uncle immediately said: "It's 'coronary heart disease', the kind that doesn't need a stent, but needs to take medicine. Do you know Director Zhao?"

Lu Chen smiled slightly, and immediately responded: "Well, I heard that, what kind of medicine did you use?"

Afterwards, the uncle took out various medicines from the bag.

Including aspirin, rosuvastatin, metoprolol, sacubitril valsartan, isosorbide mononitrate, nitroglycerin, etc.

Then the uncle continued: "I come here several times a year, all transferred by Director Zhao. This is in the morning, this is in the evening, and it is for temporary use. Director Zhao has a son, you know..."

Lu Chen was helpless.

Director Zhao doesn't know him, and his son doesn't even know him.

But before he came, he heard that the uncle was long-winded, talkative, and had a stubborn temper.

Lu Chen still listened carefully according to the uncle's wishes.

After the uncle finished speaking, Lu Chen immediately asked, "Why did you come to the hospital because of this discomfort?"

The uncle finally got the topic back on track: "In the past week, I often have chest tightness and breathlessness, and I can wake up at night when I sleep with suffocation."

"How do you feel better? Have you taken any medicine?"

The uncle hurriedly said: "Take this 'nitroglycerin' or 'isosorbide mononitrate' and it will work quickly. If you don't eat it, you will continue to commit crimes."

Lu Chen frowned.

Sounds like a typical symptom of a heart failure attack.

However, the medicines he took did not directly relieve the symptoms of heart failure.

"Now every time I'm going to get sick, I have a sign. Once at 10 o'clock in the evening, I felt that I was going to get sick. Fortunately, I took the medicine in advance and I didn't feel uncomfortable. Another time was at 12 o'clock in the evening, and I couldn't sleep..."

Hearing this, Lu Chen nodded slightly.

He already had an idea in his mind.

Coronary heart disease, myocardial ischemia, heart failure, etc. all need to be considered.

"Okay, I roughly understand."

Lu Chen looked at Jiao Jingqiu and Du Fu, "Go back and see the test results."

"Okay." Jiao Jingqiu said.

Just as everyone was about to leave, the uncle grabbed Lu Chen's sleeve, "Don't, I haven't finished yet, do you know that Director Zhao has a daughter..."

Lu Chen: "..."

In desperation, Lu Chen responded with a few words.

Only then did the uncle let him go.

"Professor Lu, I'm sorry, my father is more talkative, but there is no malicious intention." Du Fu said quickly.

Lu Chen smiled, "It's nothing, the old man is so talkative, but he is actually looking for a sense of presence, I can understand."

"Thank you." Du Fu smiled.

Looking at the conversation between Lu Chen and his parents just now, Du Fu has already made up his mind.

Regardless of whether Lu Chen can solve his father's problem, he will try his best to persuade the board of directors to cooperate with the Fifth Hospital of Shanghai in the research and development of the tricuspid valve repair system.

……

Go back to the cardiologist's office.

Lu Chen also met some acquaintances, the attending doctors in the department when he was studying for a Ph.D.

Until now, they are still attending physicians.

And Lu Chen has become the chief director of the Cardiology Department of the Fifth Hospital of Shanghai!

The huge disparity in the identities of the people is beyond embarrassing.

"Is Teacher Zhang not here?" Lu Chen asked.

"He's been busy with laboratory work recently, so he rarely comes to the department." Jiao Jingqiu said.

"Okay, let's start then." Lu Chen said.

Jiao Jingqiu sorted out the medical records and handed them to Lu Chen.

in the medical records.

肌钙蛋白T（cTnT）：17.9 ng/L（0-14ng/L）、脑钠肽（BNP）：392.5 pg/ml（0-100pg/ml）。

Blood routine, biochemistry, thyroid function, coagulation function, etc. showed no obvious abnormalities.

Cardiac ultrasound: ejection fraction (EF): 38%, segmental wall motion abnormalities in the middle of the interventricular septum and apex, bicuspid and tricuspid regurgitation, abnormal left ventricular filling, and decreased cardiac function.

Electrocardiogram: sinus bradycardia, V1, V2 leads were QS type, ST-T changes.

After reading all the results, Lu Chen was even more convinced that his diagnosis was correct.

Old anteroseptal myocardial infarction, ischemic cardiomyopathy, and now heart failure, the EF value is significantly reduced, but the BNP increase is not obvious.

Lu Chen thought of how the old man was chattering, vowing to repeat the omens before the onset, there may be some exaggerated elements in his illness.

"What medications are you currently taking?"

"It's mainly some drugs for dilating the tube and diuresis." Jiao Jingqiu handed the doctor's order to Lu Chen.

Lu Chen opened it and took a look.

In the doctor's order, the application of diuretics is relatively sufficient.

"How's the effect?" Lu Chen continued.

"Not very good." Jiao Jingqiu shook her head, "The patient still has symptoms of chest tightness and dyspnea repeatedly, and the attacks mostly occur at night."

"For example, at 10 o'clock the night before yesterday, my uncle had dyspnea, and there were obvious rales in his lungs on auscultation. Neither furosemide nor lanatoside was effective."

Lu Chen's eyes froze, which was strange.

Typical heart failure symptoms, just now the system also suggested that the diagnosis of coronary heart disease and heart failure is correct.

Why is the drug not working now?

(End of this chapter)