Chapter 541 It’s Better to Miss It than to Let It Go!

Remember [New] in one second!     Hypertrophic cardiomyopathy? !

This hereditary heart disease immediately popped up in Lu Chen's mind.

Hypertrophic cardiomyopathy, in simple terms, is the hypertrophy of the cardiac muscle tissue in a certain part of the heart. . .

Hypertrophic myocardium hinders the blood flow when the heart contracts, causing a series of symptoms, such as dizziness, palpitations and even chest pain.

The most typical symptom of hypertrophic cardiomyopathy is that when you change your body position and squat, the heart murmur will decrease.

This is also easy to understand. When people squat, the distance between their lower limbs and the heart is shortened, so the return blood flow increases.

The increase in the return blood volume expands the ventricular cavity, and the distance between the mitral valve leaflet and the ventricular septum increases accordingly, thereby reducing the narrowing of the outflow tract and the murmur.

However, no matter how obvious the symptoms are, if you want to diagnose hypertrophic cardiomyopathy, you still need to complete the cardiac ultrasound examination.

"Classmate, do your parents have any history of heart disease?" Lu Chen asked.

Hypertrophic cardiomyopathy is a hereditary disease. Generally speaking, most patients have a family history of hereditary diseases.

"No, there shouldn't be." The thin boy paused and said.

"No?" Lu Chen was stunned.

Just as Lu Chen was about to write his own examination opinion on the form, the boy suddenly said: "But my grandmother seems to have heart disease. I don't know what kind of heart disease it is, but I heard from my father that this heart disease existed when my grandmother was young."

Lu Chen nodded slightly, it seems that there is still a genetic tendency.

Most of the students' grandmothers also have hypertrophic cardiomyopathy.

This disease mostly occurs in middle age and is also the reason for some young people to die suddenly.

Why does it die suddenly?

In fact, it is also easy to explain. Myocardial hypertrophy and blocked blood flow channels. Once the blood flow is completely blocked, the human brain and other parts will lack blood supply, leading to the possibility of sudden death.

"Doctor, what do you mean just now, is there something wrong with my heart?" The thin boy asked in a low voice.

While writing down his own opinions, Lu Chen said, "Actually, you should have some feelings yourself, right?"

As long as the amount of activity increases slightly, you will feel chest tightness and shortness of breath. He should have a deep understanding of this uncomfortable symptom.

The thin boy nodded slightly. He always thought that he was malnourished and weaker than others, so his activity tolerance was not as good as others.

But no matter what, he has a personal experience of the discomfort in his heart, and it cannot be covered up.

"You must ask your parents to take you to the hospital for a check-up." Lu Chen said, "You don't need to have psychological pressure. If you solve this problem, you will be able to participate in physical exercise normally in the future."

"Okay, thank you doctor."

The form for this physical examination will be submitted directly to the school. At that time, the school will contact the parents and solve each student's problem according to the opinions of the physical examination doctor.

After the thin boy left, Lu Chen handed the form to the director of the physical examination department.

"Director Song, I am checking a student suspected of hypertrophic cardiomyopathy here." Lu Chen said.

"Ah?" Director Song shrugged his glasses on the tip of his nose and stared at Lu Chen in surprise, "You, you are not mistaken, are you?"

Previously, physical examinations were basically just formalities. It was considered a big deal to find a student with arrhythmia!

How can we find a student with hypertrophic cardiomyopathy this year?

This seems a bit outrageous? !

"I should be right." Lu Chen said.

Director Song looked at Lu Chen suspiciously, "How did you diagnose it?"

Lu Chen said without any pause, "The part I am responsible for is mainly auscultation. The patient usually has chest pain and palpitations after activities. At the same time, an obvious systolic murmur can be heard on the left edge of the sternum. In addition, when he squats, the murmur weakens and the symptoms are alleviated..."

Listening to the series of symptoms and physical examinations mentioned by Lu Chen, Director Song of the Physical Examination Department was silent.

He himself came to the Physical Examination Department as the director after retiring from the Department of Cardiology.

He is naturally familiar with hypertrophic cardiomyopathy.

But it is not easy to diagnose this disease just through physical examination and questioning!

Director Song knew that Lu Chen was only a graduate student. Although he had obtained a medical practitioner certificate and was considered a real doctor, he was still only a student after all!

"Okay, I believe in your judgment." Director Song was silent for a while, and slowly said: "I will communicate with the student's parents and ask him to try his best to complete the cardiac ultrasound for diagnosis."

Seeing this, Lu Chen felt relieved.

Although most cases of hypertrophic cardiomyopathy have a relatively good prognosis, a very small number of cases are at risk of sudden death, so it is best to find out what type of cardiomyopathy it is as soon as possible so as to prescribe the right medicine.

Lu Chen returned to the physical examination room and continued to give students physical examinations.

...

On the other side, Director Song immediately called the student's parents.

"Hello, are you Jin Miao's parent?"

"Yes, you are?"

"I am a doctor from the physical examination department of Jinghua Second Hospital. This time I am responsible for the college entrance examination physical examination of Jinghua Experimental Middle School. I found that your son Jin Miao may have some problems..."

Director Song handled things quite efficiently, and the parents came to the school immediately.

When it comes to their own children, parents can't delay for a moment.

Originally, it would have been better for the school to speak out on this matter, but the school was not professional enough, so a doctor from Jinghua Second Hospital came forward.

"Doctor, you said my son may have heart disease?" Jin Huafang looked at Director Song in front of him with some surprise.

Director Song nodded and said: "Through our examination this time, we preliminarily judged that he may have heart disease, but if it is confirmed, we may need to go to the hospital for further examination."

Jin Huafang said suspiciously: "I went to your hospital before, and I had to do so many examinations before I could confirm the diagnosis. Why did you use a stethoscope to check at school today and then tell us that our child has heart disease?"

Jin Huafang looked quite excited. Anyone who knew that their child had heart disease would find it difficult to accept.

"Parent, don't get excited first." Director Song was always steady and comforted: "We are only initially suspicious at present, and have not confirmed it. The reason why we asked you to come is also responsible for your child and you. In terms of the child's health, since we have undertaken the task of physical examination, we will definitely be responsible. Especially for heart disease, we would rather make a mistake ourselves, but we can't let it go, don't you think?"

Jin Huafang's heart gradually calmed down, and he was also worried about his child in his heart.

"This child, if he is not feeling well, why didn't he tell us?"

"Maybe he did, but you parents didn't care?" Director Song said, "Now is not the time to talk about these things, so we should take the child to check as soon as possible."

Jin Huafang held the form written by Lu Chen, which said "It is recommended to complete cardiac ultrasound and electrocardiogram to rule out hypertrophic cardiomyopathy". He pondered for a while, then nodded slowly: "Okay, I'll take him there now."