I Can See Health

Remember [new] in one second! Chest pain, ECG st-segment elevation, and one troponin difference are definitely acute myocardial infarction!

And in the emergency room, there is no need to wait for the troponin results.

The diagnosis of myocardial infarction can be made clearly based on chest pain and st-segment elevation on the electrocardiogram.

However, this black man was still standing in front of Lu Chen.

Health is so healthy and has no tendency to decrease.

Unless there is a bug in the system, it cannot be a heart attack!

On the side, Junior Sister Su Rui was also stunned, "Senior...Senior Brother, is this a heart attack?"

She was also puzzled.

A patient with extensive anterior wall myocardial infarction would not expect this black man to be in such good condition.

"Not sure yet." Lu Chen shook his head slightly.

However, for safety reasons, Lu Chen still asked the black man to stay on the bed and not move around at will.

"Junior sister, push the electrocardiogram machine over and review the patient's electrocardiogram."

"good."

The beautiful junior sister left, and Lu Chen began to carefully inquire about the patient's condition.

"When did you start having chest pain?"

"Yesterday at noon."

"What were you doing when you had chest pain at noon yesterday?"

"Just finished a long run."

"Have you ever had chest pain like this before?"

"Not at all, this is the first time."

"..."

This is a typical angina symptom of chest pain after activity!

Apart from the patient's age, there are no risk factors. No matter how you look at it, this looks like a patient with initial angina pectoris.

Junior Sister Su Rui pushed over the electrocardiogram machine and reviewed the black man's electrocardiogram.

There was not much difference between the reexamination ECG and the patient's admission ECG.

After the physical examination of the black man, no abnormalities were found.

Lu Chen calmed down, this black man was really strange, and said to Su Rui on the side: "Let the nurse do an urgent blood test first, and check the troponin."

"Copy that." Su Rui nodded, then ran back to the doctor's office to give the order.

Lu Chen stayed in the ward and continued talking to the black people, trying to find meaningful clues.

Although the system showed that there was no possibility of myocardial infarction, Lu Chen's preliminary diagnosis could not rule out myocardial infarction.

For safety reasons, whether it is a myocardial infarction or not, troponin must be checked urgently.

"Doctor, is my illness serious?" The black man could see that Lu Chen and Su Rui were nervous.

"How should I put it? If you just look at the electrocardiogram, it's very serious!" Lu Chen said in a deep voice.

The black man was slightly startled, "I heard the doctor in the emergency department told me that I had a myocardial infarction?"

"It's not certain yet, we need further inspection to confirm."

Lu Chen was extremely cautious when diagnosing patients.

So far, there have been no problems with the health points and changing trends that the system has given him, and he doesn't want to cause panic among patients.

Suddenly, Lu Chen thought of a disease, and he quickly asked: "Do your parents or your family have a history of heart disease?"

"No." The black man shook his head, "My parents are both in good health. They are both football players. I inherited their profession and became a football coach in Kyoto."

Not really?

Lu Chen originally thought it might be Brugada syndrome.

Brugada syndrome is a syndrome caused by ion channel dysfunction.

Clinically, this syndrome is characterized by ST-segment elevation in leads v1 to v3 of the electrocardiogram and sudden cardiac death, usually with a family history.

There is no family history of sudden death, and there is no previous history of syncope or chest pain, so Brugada syndrome can basically be ruled out.

…

Lu Chen returned to the doctor's office with a look of confusion on his face.

At this time, Su Rui immediately stepped forward and said to Lu Chen: "Senior brother, the results of the troponin screening in the department are negative!"

The patient's chest pain lasts for more than one day and the troponin is negative. In this way, acute myocardial infarction can basically be ruled out.

Lu Chen thought to himself: "If there is no error in the system, this patient really does not have a myocardial infarction."

At this time, Su Rui frowned and asked, "Brother, is this patient a ventricular aneurysm?"

Another common condition caused by persistent elevation of the st lead in the chest is the complication of ventricular aneurysm after myocardial infarction.

Lu Chen held his chin with his right hand, thought for a while, and shook his head: "It doesn't seem like it. The patient has no history of chest pain in the past, and myocardial infarction has been ruled out this time, so the possibility of myocardial infarction complicated by ventricular aneurysm is extremely low. "

As the saying goes, three cobblers are better than Zhuge Liang.

Lu Chen shared this strange patient with other people in his heart.

What's more, this is Kyoto University School of Medicine, and more than 99% of the cardiology departments are top academics, but there are no cobblers!

Everyone else in the heart area was also very interested when they heard about Lu Chen's case.

"I think we should do an angiogram first. Whether it's a heart problem or not, we can understand it clearly with an angiogram."

The more radical doctor directly suggested that Lu Chen pull the black man over to do a coronary angiogram.

Whether there is a myocardial infarction or ventricular aneurysm can be determined at a glance!

"I think it's better to do an ultrasound first. The patient has symptoms of chest pain after activity, so it's not cardiomyopathy."

More conservative doctors still recommend doing an ultrasound first.

The Ultrasound Department of Kyoto University First Affiliated Hospital is very powerful and can detect cardiomyopathy, valvular disease, and congenital heart disease.

…

Listening to everyone's suggestions, Lu Chen never expressed his opinions easily.

Whether it is acute myocardial infarction, cardiomyopathy, valvular disease, or congenital heart disease, the health value displayed by the system will definitely not be the current 81!

Moreover, the trend of changes in health values ​​has not declined.

What does this mean...

It shows that black people do not have fatal diseases, on the contrary, they are extremely healthy!

However, in reality, black people have symptoms of chest pain, and their electrocardiogram shows signs of myocardial infarction.

No matter how you look at it, he looks like a "sick" person!

Lu Chen always felt that he seemed to have overlooked something.

There must be a breakthrough for this weird black guy with chest pain.

At this time, Su Rui came close to Lu Chen and said softly: "Brother, UU Reading www.uukanshu.net The black man said that there is something else at school. Can you please leave the hospital first?"

Lu Chen shook his head, "We can't let him go back until he's diagnosed."

If black people have problems in and out of the hospital, in addition to conflicts between doctors and patients, it may also cause diplomatic disputes!

Thinking of this, Lu Chen suddenly froze and slapped his head.

How could you forget such an important "clue"!

At present, everyone's thinking model is based on the normal "yellow race".

However, the patient in front of me is a black man!

Lu Chen quickly took out his mobile phone and searched for relevant papers and information in the literature library.

…

In the doctor's office, everyone was talking about it, and they couldn't make up their mind about the black man's diagnosis.

Suddenly, Lu Chen's voice rang in the doctor's office.

"Teachers, have you ever thought about another possibility, that black people may not have any diseases at all?"