Chapter 912: Strange Heart Failure

Arrived at the ward.

Lu Chen found this place very familiar.

It was not 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 with surprise.

"I came to see a patient." Lu Chen smiled.

Jiao Jingqiu nodded, and then saw Du Fu on the side.

"Mr. Du, did you invite Director Lu to come?"

Jiao Jingqiu happened to be the attending physician of Mr. Du's father.

Du Fu nodded slightly, "My father's condition, ask more people, more ways out."

"We can understand." Jiao Jingqiu then turned to look at Lu Chen on the side, "Director Lu, how about seeing the patient first?"

"Okay."

From the conversation with Jiao Jingqiu, Lu Chen had already understood a little about Du Fu's father's condition.

This is a very stubborn old man.

...

Arrived at the ward.

Lu Chen saw Mr. Du's father.

He is a 74-year-old "senior" coronary heart disease patient, and he is very talkative.

"Why are you here again? Isn't the company busy?" The old man frowned slightly as he looked at Du Fu who came over.

"Dad, I found a cardiologist to help you." Du Fu introduced Lu Chen with a smile, "This is the director of the cardiology department of the Fifth Hospital of Magic City, Professor Lu Chen."

The old man turned his head to look at Lu Chen, and was stunned, "So young? Your age is probably not as long as my coronary heart disease, right?"

Lu Chen was stunned, and then smiled: "Uncle, you are still strong at an old age, we can't compare."

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

The life value on his head is 58 (——)!

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

The old man laughed when he heard this, "You are so young, but you can be the director. It seems that you have some skills. Show me."

Lu Chen smiled and began to ask the old man about some relevant medical history.

The old man said: "I did coronary angiography 20 years ago. At that time, we just started this operation here. The director's surname was Zhao..."

A bunch of nonsense.

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

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

Lu Chen smiled slightly and immediately responded: "Well, I've heard of it. What medicine do you use?"

Then, the old man took out various medicines from the bag.

Including aspirin, rosuvastatin, metoprolol, sacubitril valsartan, isosorbide mononitrate, nitroglycerin, etc.

Then the old man continued: "I come here several times a year, and Director Zhao arranges them for me. This is for the morning, this is for the evening, and that is for temporary use. Director Zhao has a son, you know..."

Lu Chen was helpless.

He didn't know Director Zhao, and he didn't know his son even more.

But before he came, he heard that the old man was long-winded, talkative, and had a stubborn temper.

Lu Chen still followed the old man's instructions and listened carefully.

After the old man finished speaking, Lu Chen immediately asked: "What discomfort made you come to the hospital this time?"

The old man finally got the topic back on track: "In the past week, I often feel chest tightness and shortness of breath, and I can wake up when I sleep at night."

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

The old man hurriedly said: "Take this 'nitroglycerin' or 'isosorbide mononitrate' and it will work quickly. If you don't take it, it will keep happening."

Lu Chen frowned.

It sounds like a typical manifestation of heart failure.

However, the medicine he took did not directly relieve the symptoms of heart failure.

"Now every time I have an attack, I have a sign. Once at 10 o'clock in the evening, I felt that I was going to have an attack. Fortunately, I took medicine in advance and I didn't feel uncomfortable. Another time was at 12 o'clock in the evening, and I couldn't sleep..."

Lu Chen heard this and nodded slightly.

He already had an idea in his mind.

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

"Okay, I roughly understand."

Lu Chen looked at Jiao Jingqiu and Du Fu on the side, "Let's go back and check the test results."

"Okay." Jiao Jingqiu said.

Just as everyone wanted to leave, the old man 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 dealt with it for a few words.

The old man was willing to let him go.

"Professor Lu, I'm sorry, my father is a talkative person, but he doesn't have any bad intentions." Du Fu said hurriedly.

Lu Chen smiled, "It's nothing, the old man is so talkative, in fact, he is also seeking a sense of existence, I can understand."

"Thank you." Du Fu smiled.

Watching the conversation between Lu Chen and his parents just now, Du Fu had already made up his mind.

No matter whether Lu Chen can solve the problem of his father, he will try his best to convince the board of directors to cooperate with the Fifth Hospital of Magic City to develop the tricuspid valve repair system.

...

Back to the cardiologist's office.

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

Until now, they are still attending doctors.

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

The huge gap in their status is really sad.

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

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

"Okay, let's get started." Lu Chen said.

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

In the medical records.

Troponin T (T): 17.9  ng/l (0-14ng/l), brain natriuretic peptide (BNP): 3100pg/ml).

Routine blood tests, biochemistry, three thyroid function tests, coagulation function, etc. showed no obvious abnormalities.

Cardiac ultrasound: ejection fraction (EF): 38%, segmental ventricular wall motion abnormalities in the middle and apical ventricular septum, mitral and tricuspid regurgitation, abnormal left ventricular filling, and decreased cardiac function.

Electrocardiogram: sinus bradycardia, QS type in leads V1 and V2, ST-T changes.

After reading all the results, Lu Chen was more convinced that his diagnosis was correct.

Old anterior septal myocardial infarction, ischemic cardiomyopathy, and currently heart failure has occurred. The EF value has been significantly reduced, but the increase in BNP is not obvious.

Lu Chen thought of the old man's endless chatter, repeating the signs before the onset of the disease with confidence, and there might be some exaggeration in his disease.

"What drugs are you currently using for treatment?"

"Mainly some drugs for vasodilating and diuresis. UU reading www.uｕkanshｕ.net "Jiao Jingqiu handed the doctor's order to Lu Chen.

Lu Chen flipped it open.

In the doctor's order, diuretics were used more fully.

"How is the effect?" Lu Chen continued.

"Not very good." Jiao Jingqiu shook his head, "The patient still has repeated symptoms of chest tightness and dyspnea, and they often occur at night."

"For example, at 10 o'clock the night before yesterday, the old man had dyspnea, and there were obvious rales in the lungs when auscultating. Intravenous furosemide and deacetyl lanolin were not very effective."

Lu Chen's eyes froze, this is strange.

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

Why are the drugs ineffective now?

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