"If you think about it carefully, pathological things are originally out of the normal and healthy order, just like a tumor growing blindly."
"Well. What you said makes sense."
"Teacher, you should know pulmonary vein atrial fibrillation. The ectopic pacemaker area of pulmonary veins that cause atrial fibrillation is also very disordered. We can't get it right. Therefore, an isolation zone is established to cut it off to drive the electrical activity of the left atrium. During the period, if a three-dimensional Target monitoring can be more accurate in determining whether ablation is successful. We can learn from this method."
Atrial fibrillation caused by pulmonary veins is similar to a scar area, and the ablation effect of a single pacemaker is not good with ordinary methods. Surgical improvement performed ablation and blockage on all four pulmonary vein ostia, and the effect was doubled. Abnormal areas during ablation are detected with a three-dimensional voltage mapping system. Specifically, each catheter placed in the heart cavity is detected and then a three-dimensional image is synthesized with special software to help doctors identify and guide doctors to ablate in areas with abnormal potentials. The ablated pulmonary vein area will change from high voltage to low voltage, which proves that the ablation is effective.
"I understand the steps you mentioned. But in pulmonary vein isolation, we first use electrophysiological examination to confirm that the ectopic pacing originates from the abnormal area of the pulmonary vein muscle sleeve before performing ablation. During the period of three-dimensional marking to verify the ablation effect, the patient is always in the During the attack period. You can’t get around the stimuli. Are you still trying to bet on the area you’re thinking about?”
Others at the scene could tell that the chief surgeon was that the more academic discussions he had with Xie, the more motivated he became.
The people in Pinghuai looked at Dr. Che, and only remembered that this guy didn't seem to like to talk non-stop on weekdays. Besides, this was talking to a young junior. At the beginning, Dr. Che questioned him arrogantly. Well now, maybe he didn't notice it himself. Unknowingly, I didn't see the other party as a junior but as a peer, and the academic words were blunt.
The discussion at the scene quickly turned into a situation where the two big bosses argued. — This is the only thought that can flash in everyone's mind.
Later, it was confirmed that the taste was true.
Xie Wanying said: "Teacher, you can say that I gamble. According to what I said before, I speculate based on the patient's cardiac MRI results and the first attack scene of the patient I observed. What I speculate is not the lesion area, but the Normal area. Because as I said, the lesion area is disordered, and it is meaningless to entangle it. What I want to analyze is the orderly normal area.”
"You are not stimulated and you can tell what is normal and what is abnormal?"
"According to the structure of the heart, the places where the scars grow blindly must be disordered, and the places where the scars don't grow blindly are orderly. There are scars that grow blindly and some that don't grow blindly. For example, what I observed in today's operation, there is a certain amount of compensatory thickening. There are also those who grow blindly. For the compensatory thickening that does not grow blindly, doctors have always had a more accurate prediction of it and can deal with it, don't they?"
Doctor Che's throat got stuck.
The other people at the scene heard this, and it was obvious that Dr. Che showed signs of defeat in the first round of this debate similar to a big boss dialogue.
There is nothing to be surprised about in an academic debate, and there are many in the academic circle. One time is not all.
What surprised the seniors and teachers at the scene, including those who knew Mr. Xie and Mr. Xie, was the following.
Think about what young medical students generally think at this stage