Chapter 273 Lu Chen's "Small Classroom"

Fengm County People's Hospital, Department of Cardiology.

The attending doctor Wang Zhi took five electrocardiograms of patients with "cardiac arrest" and began to figure it out again.

For patients with cardiac arrest, arrhythmia is a common cause after excluding organic heart diseases such as myocardial infarction and cardiomyopathy.

However, he has read the patient's five electrocardiograms many times and has not found anything abnormal so far.

At this time, his mobile phone WeChat suddenly rang.

Wang Zhi picked up his phone and saw that it was a WeChat message sent to him by Fan Zhiping, deputy director of Corey.

"Has Professor Li Yao come to our department?"

Wang Zhi was a little confused, but he replied immediately.

"Director Fan, Professor Li Yao has come to the department."

"Oh, is there a doctor named Lu Chen with her?"

"Yes, hey, Director Fan, how did you know this?" Wang Zhi was a little confused.

"Because I'm currently studying in Professor Li Yao's group! If you have any difficult cases this time, I'm too embarrassed to bother Professor Li. You can go directly to Dr. Lu Chen, especially about electrocardiograms."

Fan Zhiping was far away in Beijing, but he was still worried about the department.

He knows very well that in county-level hospitals, electrocardiography and electrophysiology are very weak areas.

Because this not only requires hard study, but also requires someone to teach you.

Wang Zhi suddenly felt puzzled, "Isn't he just a graduate student? Director Fan, is it useful for me to ask him?"

"Haha, don't you know? Let me tell you this, Dr. Lu Chen has been shortlisted for the third round of the China Electrocardiogram Competition!"

"What?" Wang Zhi's expression was in disbelief.

As a cardiology doctor, he is very aware of this electrocardiogram competition.

He also participated in this competition, and he was not even qualified to rank in the department.

Those who can enter the third round will be among the top ten in the province!

These people are all very powerful doctors in the field of electrocardiography in the province.

Wang Zhi looked up at Lu Chen and swallowed silently.

It's hard to imagine that a first-year graduate student could be so awesome.

No wonder he only took one look at these five electrocardiograms and immediately saw the problem!

…

At this moment, Lu Chen also began to answer the five electrocardiograms.

Wang Zhi, who was still a little unconcerned, now pricked up his ears to listen.

"Compared with the admission ECG, the patient's electrocardiogram showed sinus rhythm, right axis deviation, J-point elevation in the inferior leads, up to 2.5 mm, and qrs wave notch."

"In the later follow-up electrocardiogram, from the leads v1 and v2, the end of the qrs wave is a broken qrs wave complex! From the inferior leads il, lii, and avf, it looks like a j wave! It needs to be diagnosed with Brugada syndrome, arvc, Differentiation of old myocardial infarction.”

"The patient's cardiac ultrasound and cardiac angiography did not find any abnormalities, so these diseases can be temporarily ruled out."

Lu Chen's explanation was very organized, and he marked abnormal areas on the electrocardiogram.

At this time, not only Wang Zhi listened carefully without saying a word, but even other deputy chief doctors also came over to listen carefully to Lu Chen's explanation.

Just listen to Lu Chen continue: "But whether it is a broken QRS wave or a J wave, in this specific situation, it is a high-risk warning sign of sudden cardiac death due to ventricular fibrillation! Studies have confirmed that early repolarization is the cause of cardiac arrest. Signs, the risk of ventricular fibrillation is twice that of the normal population!”

"Dr. Lu, can you explain this broken QRS wave in more detail? I don't quite understand it."

Wang Zhi scratched his head. His question represented the voice of all the cardiologists at Fengm County People's Hospital. "Hey, I still don't seem to understand..."

Lu Chen was extremely patient and took out a blank A4 paper again and started writing on the paper while explaining.

"The broken QRS wave represents the conduction delay in myocardial scar and fibrosis, which leads to conduction anisotropy in the myocardium. It can be used as a symptom of sudden death in patients with coronary heart disease, heart failure, hypertrophic cardiomyopathy, ARVC, dilated cardiomyopathy, and congenital heart disease. Risk prediction indicators!”

"This electrocardiogram represents the presence of qrs waves in right ventricular v1 and v2, which end in broken qrs wave complexes. They are also called epsilon waves in ARVC..."

…

This teaching round turned into Lu Chen's little church.

Although some of them did not quite understand Lu Chen's explanation, in general, they all understood the cause of the patient's cardiac arrest.

That’s early repolarization syndrome (ion channel disease)!

"Congratulations, the system upgrade completion rate has increased!"

"Congratulations, I received a thank you value +1 from Wang Zhi!"

"Congratulations, I received a +1 thank you from Ke Shuwen!"

"Congratulations, I received a +1 thank you from Cheng Lin!"

"..."

Lu Chen didn't expect that he would get so many benefits from participating in a teaching round.

It’s really a worthwhile trip!

Director Yin Chao looked at Lu Chen who was talking eloquently and couldn't help but sigh, it was really the waves behind the Yangtze River that pushed the waves ahead, and the waves in front were beaten to death on the beach!

He saw Lu Chen's heart itching. It would be great if he could have such a young man in his department!

Comparing Dr. Xiao Lin and Lu Chen, the gap is huge!

"Director Yin, are you satisfied with Dr. Lu's explanation?" Li Yao looked at Yin Chao.

"That's great!" Yin Chao smiled, "I finally know why Professor Li brought Dr. Lu here. He's much better than all of us old guys."

Lu Chen hurriedly said, "Director Yin, you're too kind. I got this result based on your previous examination results. Without your previous efforts in diagnosis and treatment, I wouldn't have been able to diagnose it all at once."

Lu Chen's modesty also made Yin Chao feel better.

"Congratulations, I received a +5 gratitude value from Yin Chao!"

Seeing the system prompt, Lu Chen was slightly stunned.

Given 5 gratitude points at once?

Director Yin Chao didn't give him any banners!

Lu Chen frowned. Could it be because of Yin Chao's identity as a department director?

Most of the gratitude points he had received before came from patients or their families, and then from his junior brothers and sisters.

Today was the first time that Lu Chen received gratitude points from a department director!

...

After Lu Chen finished his explanation, Li Yao also gave a summary of this teaching round.

Based on Lu Chen's explanation, Li Yao gave his own diagnosis, and there were also possibilities such as J-wave syndrome.

Doctors including Wang Zhi were quite satisfied with this teaching round.

In this county-level hospital, everyone's level is uneven, and it is extremely rare to have a doctor teaching hand in hand.

At this time, Dr. Xiaolin returned to the doctor's office.

He held a color ultrasound report in his hand, and his face looked a little bad.

"Director, Professor Li, the gynecological ultrasound results of the patient in bed 31 are out."

7017k