I Can See Health: Chapter 94 Angina pectoris?

   Chapter 94 Angina?

  Open the medical record system, there are 5 empty beds.

  Lu Chen sent a WeChat message to Wang Zihao.

   "There are still empty beds."

   After a while, Wang Zihao returned to WeChat.

   "Okay, come here at nine in the morning."

  …

  After the early shift, Sun Guoguo led everyone to round the room.

   Of the four hospital beds under Lu Chen's charge, one was vacant.

  The condition of the other three patients is relatively stable, and they are all ready to be discharged on schedule.

   "The 13-bed patient was transferred back from the CCU."

  The crowd came to the 13th bed.

  Lu Chen saw a little girl lying on the hospital bed.

   The little girl with familial hypercholesterolemia.

  The surrounding beds are all elderly people over 60 or 70 years old, and she looks out of place.

   "Children, does your chest still hurt?"

  Sun Guoguo leaned down and touched the little girl's head.

  The little girl timidly looked at the group of doctors in front of her, then buried her head in the quilt, daring to speak.

   "She feels much better." The little girl's mother laughed aside, "After the heart surgery that day, her chest pain has eased a lot, thank you doctors."

   "Well, that's fine." Sun Guoguo stood up, "I will continue to take blood lipid-lowering drugs in the future. She must control her blood lipids for this disease, otherwise she will get sick in the future."

   "Okay." The girl's mother nodded.

   "You don't have to be under too much psychological pressure." Seeing that the little girl had been silent, Sun Guoguo continued to comfort her, "Now that the cause has been found, it will get better and better with symptomatic treatment in the future."

   Seems to have heard Sun Guoguo's words, the little girl slowly stuck her head out of the quilt, her eyes fixed on Sun Guoguo.

   "Don't worry, it will gradually get better. In the future, you can eat delicious food and play in the amusement park like other children." Sun Guoguo smiled and looked at the little girl.

   There was a glimmer of hope in the eyes of the little girl.

   However, Lu Chen frowned.

   He glanced at the HP on the little girl's head, it was 65!

   For the time being, there is no danger to life.

   But there is one thing about this little girl that he still doesn't understand.

  According to her terrible vascular condition, why did the surgeon in the catheterization lab downstairs only perform PTCA instead of primary PCI?

   If it is because the patient is young, she is afraid of affecting her future life.

   But in case, her blood vessels are narrowed again in the future, it will affect her even more!

   This question, I am afraid I can only ask the surgeon face to face in the future.

  …

   Just finished checking the room.

   Before Lu Chen returned to the doctor's office, he saw Wang Zihao wearing a white coat and walking into the eight districts of his heart.

   Behind him was a middle-aged woman of about fifty years old.

   "Hey, Lu Chen, I brought my great aunt here." Wang Zihao held a hospitalization certificate in his hand and handed it to Lu Chen, "I have asked Mr. Li Yao to issue a hospitalization certificate at the outpatient clinic."

  Lu Chen took the hospitalization certificate and glanced at Wang Zihao's aunt.

  She is bloated, her face is a little fat, and she wears a necklace around her neck. She smiles, her eyes narrowed into slits.

   "Zihao, you have a hospitalization certificate and ask the nurse to arrange a bed for you first."

   "Okay." Wang Zihao nodded, turned around and said, "Auntie, sit and rest for a while, I'll go to the nurse's desk."

   "Well, hurry up and come back."

After    Wang Zihao left, Lu Chen began to ask about the relevant medical history.

   "Aunt Fu, what's your usual discomfort?"

   "I, it's my chest pain, in this position." Fu Fengqin pointed at the place on his left chest.

  Lu Chen started a brief record while asking.

   "Then when did your chest pain come on, when you were active, or when you were inactive and when you were resting?"

   "This..." Fu Fengqin paused, "Let me think about it, it hurts when I am active, and it also hurts when I am not active. The pain is irregular."

  Lu Chen wanted to continue asking, but was interrupted by Fu Fengqin.

"Oh, Xiao Lu, I came to your hospital this time to do a cardiac angiography. You don't need to ask so many things." Fu Fengqin waved her hand gently, revealing the big gold bracelet on her wrist again. .

   "Auntie, our consultation is a normal procedure for seeing a doctor." Lu Chen smiled helplessly, "And no one can say that you are 100% heart problem?"

   Fu Fengqin hurriedly shook his head.

   "I just have a problem with my heart! Don't say no to this. I know my own body very well."

   "Then what examination did you do at the local county hospital? Did you do a CTA of the cardiovascular system?" Lu Chen continued.

   "No CTA, but several ECGs."

  Fu Fengqin dug for a long time in her small bag to find three ECGs full of folds.

  Lu Chen picked it up and took a look.

   The three ECGs are similar, all of which are caused by T waves in leads V4-V6 of the chest.

  Only looking at the ECG, the T wave in the chest leads is inverted.

   is indeed a change in myocardial ischemia, combined with the patient's symptoms, there is the possibility of coronary heart disease.

   At this time, Wang Zihao came back from the front desk of the nurse station.

   "Lu Chen, the beds are lined up, bed 11."

  11 beds, which happened to be the beds under Lu Chen's control.

   "Okay, you take your aunt to the ward first, I'll come over immediately with the electrocardiograph." Lu Chen said.

  Fu Fengqin interrupted Lu Chen immediately, "Hey, Xiao Lu, didn't I give you so many electrocardiograms? Why do you still need an electrocardiogram?"

Before Lu Chen could speak, Wang Zihao immediately said, "Auntie, the electrocardiogram may change every moment, and this is the department's regulations. New patients must have an electrocardiogram. Don't worry about the treatment. Just let the doctor handle it."

   "Zihao, it's very valuable to do an electrocardiogram, it seems to be fifty or sixty, I don't want to waste this money!" Fu Fengqin muttered and walked towards the 11th bed.

  Lu Chen's expression was a little helpless, but he pushed the electrocardiograph and followed behind the two of them.

   Came to bed number 11.

  Under Wang Zihao's care, Lu Chen took Fu Fengqin's electrocardiogram, which showed that the results were not much different from before.

  …

   Outside the ward corridor.

   "Lu Chen, my aunt is in a hurry, don't worry about it." Wang Zihao scratched his head embarrassedly.

   "It's fine." Lu Chen smiled.

   "When can we arrange a cardiac angiography?" Wang Zihao said, "She is here for this operation."

  Lu Chen frowned and said, "Actually, I just asked a few simple questions, your aunt really doesn't necessarily have coronary heart disease!"

   "Isn't it a heart problem?" Wang Zihao was taken aback, "Her electrocardiogram seems to be a change in myocardial ischemia."

   "The EKG can't represent everything."

   "But she also has chest pain, which is more like angina."

   "The angina pectoris of coronary heart disease is mainly chest pain after exertion." Lu Chen said, "Your aunt's chest pain is not very typical coronary heart disease angina pectoris."

   Wang Zihao wondered: "That's not coronary heart disease, what kind of disease could it be?"

   (end of this chapter)