MTL - I Can See Health-v3 Chapter 916 strange heart failure

   Chapter 916 Strange Heart Failure

   came 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 mentor 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, only to see Du Fu next to him.

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

   Jiao Jingqiu happens to be the doctor in charge of Mr. Du's father.

  Du Fu nodded slightly, "My father's illness, ask more people, there are multiple 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 had a little understanding of Du Fu's father's condition.

  This is a very stubborn old man.

  …

   came to the ward.

  Lu Chen saw President Du's father.

   He is a 74-year-old “senior” CHD patient and very talkative.

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

   "Dad, I found a cardiologist to help you take a look." Du Fu introduced Lu Chen with a smile, "This is the director of the Cardiology Department of the Fifth Academy of Magic Capital, Professor Lu Chen Lu."

Uncle    turned his head to look at Lu Chen, stunned, "You're so young? Your age probably doesn't have a long course of coronary heart disease, right?"

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

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

   The HP on his head is 58 (—)!

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

   Uncle heard the words and laughed, "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.

   Uncle said: "I did coronary angiography 20 years ago, when we just started this operation here, the director's surname was Zhao..."

   A bunch of crap.

  Lu Chen was a little helpless, but after listening patiently, he continued: "Do you remember the results of the angiography?"

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

  Lu Chen smiled and responded immediately: "Well, I heard, what medicine do you use?"

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

   Includes aspirin, rosuvastatin, metoprolol, sacubitril valsartan, isosorbide mononitrate, nitroglycerin, and more.

   Then the uncle continued: "I come here several times a year, and it is arranged 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, even more so.

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

  Lu Chen still listened attentively according to what the uncle said.

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

  Uncle finally put the topic back on track: "In the past week, I have often suffered from chest tightness and suffocation, and I can wake up at night when I sleep."

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

  The uncle said quickly: "Eating this 'nitroglycerin' or 'isosorbide mononitrate' will work very quickly, if you don't eat it, you will keep committing crimes."

  Lu Chen frowned.

   sounds like a classic 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 warning. Once at 10 o'clock in the evening, I felt like I was going to fall ill. Fortunately, I took the medicine in advance, so I didn't feel uncomfortable. Another time at 12 o'clock in the evening, I couldn't sleep..."

   Lu Chen nodded slightly when he heard the words.

   He already had an idea in his mind.

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

   "Okay, I get the general idea."

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

   "Okay." Jiao Jingqiu said.

   Just as everyone wanted 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 two sentences.

  Uncle was willing to let him go.

   "Professor Lu, I'm sorry, my dad is quite talkative, but he's not malicious." Du Fu said quickly.

  Lu Chen smiled, "It's nothing, the old man is so talkative, he is actually looking for a sense of existence, 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 matter or not, he will try his best to persuade the board of directors to cooperate with the Fifth Academy of Magic Capital in the development of the tricuspid valve repair system.

  …

   Back to the cardiologist's office.

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

   Up to now, they are still attending physicians.

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

  The disparity in the identities of the people is so big that people can't help but sigh.

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

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

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

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

   in the medical records.

   Troponin T (cTnT): 17.9ng/L (0-14ng/L), Brain Natriuretic Peptide (BNP): 392.5pg/ml (0-100pg/ml).

   Blood routine, biochemistry, three items of thyroid function, and coagulation function were not found to be abnormal.

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

   ECG: sinus bradycardia, QS pattern in leads V1 and V2, ST-T changes.

   After reading all the results, Lu Chen was even more convinced that there was nothing wrong with his diagnosis.

  Old anterior septal myocardial infarction, ischemic cardiomyopathy, heart failure now occurs, EF value is significantly reduced, but BNP increase is not obvious.

  Lu Chen thought of the uncle's chattering appearance, and vowed to repeat the omens before the disease, which may be some exaggeration in his disease.

   "What medications are you currently taking?"

   "Mainly some medicines for tube expansion 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 his head, "The patient still has repeated symptoms of chest tightness and difficulty breathing, most of which occur at night."

   "For example, at 10 o'clock the night before yesterday, the uncle had difficulty breathing, and there were obvious rales on auscultation of the lungs. The intravenous push of furosemide and deacetylated elastin were not very effective."

  Lu Chen's eyes narrowed, which was strange.

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

  Why is the drug not working now?

   (end of this chapter)