Chapter 2102

Zheng Ren took the echocardiography probe and carefully looked at the beating shape of the heart.

The morphology of left ventricular systole was abnormal. Zheng Ren looked at it roughly, and then focused on the morphology of left ventricular systole.

After 3 ′ 22 ", Zheng Ren finished the inspection.

When he walked out of the ward, Zhou Litao asked, "boss Zheng, what medicine do you give?"

"No, she's heartbroken syndrome caused by excessive sadness." Zheng Rendao.

Director Zhang Lin hesitated. She knew about heartbreak syndrome, but when she saw the change of ECG, she always had to give some drugs for prevention and treatment.

Heartbreak syndrome does not use drugs, but takes time to heal wounds. Director Zhang Lin understood, but did not dare to be careless.

"Boss Zheng, what is heartbreak syndrome?" Asked Zhou Litao.

"Heartbreak syndrome, also known as Takotsubo cardiomyopathy, is a heart disease found by doctors in island countries. There is no further research." Zheng Rendao, "it is more common in female patients aged 30-50. Echocardiography will find transient left ventricular apical balloon dilatation, which is named because the systolic morphology of the patient's left ventricle is similar to takotsubo."

“Takotsubo？”

"Takotsubo refers to the basket for catching octopus in Japanese. I haven't seen it either, but I've seen relevant imaging images in the case report of the journal." Zheng Rendao.

"Boss, you see things very miscellaneous." Su Yun's black hair was floating in front of his forehead. He didn't know what he was thinking.

"Remember when you see a strange diagnosis." Zheng Ren said casually.

He walked aimlessly in the corridor. Zhou Litao glanced at boss Zheng and director Zhang Lin of circulatory medicine behind him. He quickly opened his duty room and let the party enter the room to have a rest.

His duty room is about to become boss Zheng's office, but Zhou Litao has no complaints, but is a little happy.

I can learn a lot from boss Zheng, which I can't learn if I want to learn at ordinary times. For example, in front of patients, if they usually see similar patients directly diagnose myocardial infarction and start to use relevant drugs.

Just the patient's situation, we usually see that the diagnosis of suspected myocardial infarction will not lead to life-threatening due to misdiagnosis, but the correct diagnosis is still very important.

And heartbreak syndrome seems to be more professional.

Zhou Litao continued to ask, "boss Zheng, tell me about it."

"The medical community has not fully understood Takotsubo cardiomyopathy. Older women are often at higher risk, and the cause of the disease is not completely clear." Zheng Ren said faintly, absent-minded.

"There is a theory that menopause will change the heart's response to hormones. What do you think?" Director Zhang Lin asked.

"It's possible, but it doesn't need special treatment. The disease is usually not fatal, and most people can recover without special treatment."

"Not necessarily." Su yundao, "the data of 30-50 years old is not rigorous."

"Huh?" Director Zhang Lin was a little surprised.

"The latest research results show that the most common situation is lovelorn, mainly women and occasionally men." Su Yun said, "in fact, I think it's more accurate to call it lovelorn syndrome."

Is it the legendary heartbreak? Lin Yuan thought that love is really a troublesome thing. Lovelorn will lead to organic diseases.

Although boss Zheng said there was no need for treatment, it sounded scary.

"Almost." Zheng Ren said while thinking.

"Heartbreak syndrome was first discovered on the island in 1990. After analysis, it was found that the etiology of this kind of disease is shock or severe emotional blow, excessive emotional fluctuation, excessive sympathetic excitement and rapid increase of adrenaline level."

"Adrenaline levels are 30 times higher than normal, and even 4 to 5 times higher than in myocardial infarction.

Adrenaline and other chemicals can affect the normal activity of myocardial muscles, or make capillaries contract, resulting in sudden contraction of the upper half of the heart, that is, spherical changes in the apex of the heart. "

"Because the beating ability of the heart suddenly weakens, causing symptoms similar to heart disease - severe chest pain or dyspnea."

"Adrenaline can soar so high? No wonder you can smell adrenaline and dopamine in the emergency." Su Yun took a breath and began to fight Zheng Ren.

Zheng Ren's thoughts were pulled back. He thought that when he was the general manager of the hospital, he would have palpitations when he heard the phone, and there would be shortness of breath occasionally.

It is estimated that it is the result of adrenaline surge, which is a bit like heartbreak syndrome. If you study it carefully, will there be the disease of general inpatient syndrome?

Later, as you get older and older, you really need to do less emergency rescue, otherwise your body can't accept it and your heart will be broken.

Zheng Ren bowed his head and meditated. Instead of thinking about heartbreak syndrome, he turned back and thought about the little patient called Chen Li.

"This is too sad." Director Zhang Lin sighed.

"The seven emotions mentioned in ancient books of traditional Chinese Medicine - joy, anger, worry, thought, sadness, fear and shock are seven normal emotional reactions. If the emotional response is too strong or lasting due to sudden, severe or long-term mental stimulation, the excessive seven emotions will affect the visceral function and cause disease due to the disorder of Qi and blood regulation function." Su Yun said, "it can also be explained by traditional Chinese medicine."

"Boss Zheng, I'm still not at ease." Director Zhang Lin did not taboo anything, but said bluntly: "I suggest you check the myocardial enzyme."

"Yes." Zheng Ren said calmly, "the change of myocardial enzyme in heartbreak syndrome is not obvious. Just check it."

Zhou Litao immediately stood up and recorded several examinations that director Zhang Lin wanted to do, and then went to the doctor's order to take blood for examination.

This is just a small matter. Zheng Ren doesn't care even if his diagnosis is questioned by director Zhang Lin. Clinically, if it is decided in one word and no one raises objections, that is the rhythm of big things.

"If the patient dies, she doesn't know..." Lin Yuan was also a little depressed. He said half a sentence and immediately found that he had said the wrong thing.

If it were in the middle ages, such a prophecy would be burned as a witch.

"Boss Zheng, you don't have any good methods for the patient with liver failure?" Director Zhang Lin turned and asked.

"Well, unless there is a liver source for liver transplantation."

"There are not many sources of liver in China. Generally, we have to wait at least a few months."

"Why don't I contact my mentor?" Lin Yuan asked in a low voice.

She's just a doctoral student. She's just thinking about contacting the liver source.

But it's better than doing nothing.

Seeing that Chen Li's mother was devastated, like a walking corpse, Lin Yuan was also flustered.

But this sentence struck boss Zheng like lightning. Lin Yuan, tutor, Harvard.

He suddenly patted his thigh and said, "MD! I think wrong from the beginning!"

Su Yun was surprised that his boss rarely swears. He thought... The idea flashed, and Su Yun also understood what Zheng Ren thought.