Chapter 2720: 【2720】Reconsider
The temporary return of the patient's heartbeat does not mean everything is fine. Recurrence of emergencies cannot be ruled out, and it is necessary to quickly find a clear cause for targeted treatment. The examinations that can be done in the ward are done immediately, blood tests are drawn, 12-lead ECGs are drawn, and the b-ultrasound room is pushed over to prepare an echocardiogram.
When Dr. Cheng Yuchen took the ECG for the patient, a group of teachers surrounded the ECG machine. All stared at the screen display of the electrocardiograph and the drawings spit out.
Someone remembered what Xie said before.
"It is estimated that additional cardiac MRI is required."
Cao Zhao, who said this, put his left hand on his forehead and sighed, his heart full of regret. I had known that when the students came to look for them, they had been forced to be checked. Maybe it's too late, but at least you can try to intercept the heart that is about to stop suddenly.
Some of the other people present heard his suggestion and couldn't help thinking: Is it necessary to do a cardiac MRI?
Cardiac MRI is a rare examination in the cardiac examination program. The main reason is that cardiac MRI mainly examines the structure of the heart and the myocardium. If there is a problem with this condition, it is usually reflected on an echocardiogram as well as an electrocardiogram and blood tests. Cardiac MRI is expensive, and clinicians can definitely save this cost for patients.
I heard that Wei's family is not short of money. Now it's not because of money issues, but because doctors need to consider the high risk of transferring patients to the MRI room for examinations. Under the condition that the patient's vital signs cannot ensure the stability during the examination, if there is no special need, such as measures related to saving the patient's life and death, we will definitely not rush to send the patient to take risks.
Cao Dong also remembered the conversation between his brother and her at that time. Now it seems that the second brother has a reason to bring up her suggestion again.
Some leads of the ECG initially showed that the patient had outflow tract problems.
After the b-ultrasound machine is pushed over to check, it may be revealed one after another. If you want to accurately verify the specific part of the heart, you may need to do an MRI. Only magnetic resonance imaging can reveal some subtle structural problems in the heart, and echocardiography is not accurate enough for this.
emphasizes precision, because the patient's heart suddenly stops too strangely. Referring to Dr. Mu Yongxian, he suspected polymorphic ventricular tachycardia before. In addition to hereditary diseases, the cause of sudden death of many patients with polymorphic ventricular tachycardia has always been a mystery. Xie believes that bidirectional ventricular tachycardia accompanied by hemodynamic instability is also very rare, and there are very few clinical case reports, so it is difficult to provide specific reference for current doctors.
Cao Yong, who was standing on the opposite side of the bed, checked the patient's conscious response and received a call from his old classmate Ren Chongda.
To say that this counselor has only been working for a few years, Ren Chongda deeply felt that he was 70 or 80 years old, and that his gray hair had grown out of nowhere.
In Cao Yong's opinion, he asked for it by himself. Speaking of him, he said, "You don't know that he has had heart surgery before."
He Cao Yong really didn't know that this younger brother had this problem before, otherwise he would have come forward and said it.
I know, I know, the problem was cured early, and I passed the college entrance examination. Ren Chongda retorted unhappily: "I am a doctor, can I take the lead in discriminating against a patient who has been cured for how many years?"
(end of this chapter)