Zheng Ren held the ultrasound probe and carefully looked at the beating pattern of the heart.
The shape of the left ventricle during systole was somewhat abnormal. Zheng Ren took a general look at it, and then focused on observing the shape of the left ventricle during systole.
3′22″ later, Zheng Ren ended the inspection.
As he walked out of the ward, Zhou Litao asked, "Boss Zheng, what medicine should I give you?"
"No, it's heartbreak syndrome caused by excessive sadness." Zheng Ren said.
Director Zhang Lin hesitated for a moment. She knew about broken heart syndrome, but when she saw changes in the electrocardiogram, she always had to give her some medication to prevent and treat it.
Broken Heart Syndrome does not use medicine, but uses time to heal the trauma. Director Zhang Lin understands, but doesn't dare to be careless.
"Boss Zheng, what is broken heart syndrome?" Zhou Litao asked.
"Broken heart syndrome, also called takotsubo cardiomyopathy, is a heart disease discovered by doctors in island countries. There is no further research on it." Zheng Rendao, "It is more common in female patients aged 30-50. Ultrasound echocardiography will reveal transient left left Ventricular apical ballooning is named after the patient’s left ventricular systolic shape, which is similar to Takotsubo.”
"Takotsubo?"
"Takotsubo refers to a basket for catching octopus in Japanese. I have never seen it, but I have seen related imaging images in case reports in journals." Zheng Rendao.
"Boss, what you see is quite complicated." Su Yun's black hair was floating in front of his forehead, and he didn't know what he was thinking.
"I remember the weird diagnosis when I saw it." Zheng Ren said casually.
He was walking aimlessly in the corridor. Zhou Litao glanced at Boss Zheng and Director Zhang Lin of the Department of Circulation Medicine behind him. He quickly opened his duty room and let the group of people go in and take a rest.
His duty room has almost turned into Boss Zheng's office, but Zhou Litao has no complaints and is actually a little happy.
I can learn a lot of things from Boss Zheng, which I would never be able to learn at ordinary times. For example, if the patient in front of me is usually diagnosed with myocardial infarction, he will start to be treated with related drugs.
As you can see from the situation of the patient just now, a diagnosis of suspected myocardial infarction will not lead to life danger due to misdiagnosis, but the correct diagnosis is still very important.
And when I talk about broken heart syndrome, I look so professional.
Zhou Litao continued to ask: "Boss Zheng, please tell me."
"The medical community has not fully understood takotsubo cardiomyopathy. Older women are often at higher risk of the disease, and the cause of the disease is not completely clear." Zheng Ren said lightly, absentmindedly.
"There is a theory that menopause will change the heart's response to hormones. What do you think?" Director Zhang Lin asked.
"It is possible, but no special treatment is required. The disease is usually not fatal and most people recover without specialized treatment."
"Not necessarily." Su Yundao said, "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 condition is lovelorn syndrome, mainly in women and occasionally in men." Su Yundao, "Actually, I think it is more accurate to call it lovelorn syndrome."
Is this the legendary heartbreak? Lin Yuan thought that love is really a troublesome thing, and falling out of love will lead to organic diseases.
Although Boss Zheng said no treatment was needed, it sounded quite scary.
"That's almost it." Zheng Ren said while thinking.
"Broken Heart Syndrome was first discovered in the island country in 1990. After analysis, it was found that the cause of this disease is fright or severe emotional shock, excessive mood swings, excessive sympathetic nerve excitement, and rapid increase in adrenaline levels."
"Adrenaline levels are 30 times higher than normal, and even 4 to 5 times higher than during a myocardial infarction.
Adrenaline and other chemicals can affect the normal activity of myocardial muscles or cause capillaries to constrict, causing sudden contraction of the upper half of the heart, which is a spherical change in the apex of the heart. "
"Because the heart's ability to beat suddenly weakens, it causes symptoms similar to a heart attack—severe chest pain or difficulty breathing."
"Can adrenaline surge so high? No wonder I could smell adrenaline and dopamine on you during the emergency rescue." Su Yun took a breath and started to quarrel with Zheng Ren.
Zheng Ren was pulled back from his thoughts, thinking that when he was the hospital manager, he would have palpitations whenever he heard the phone call, and would occasionally suffer from shortness of breath.
It's probably the result of a surge of adrenaline, which is a bit like broken heart syndrome. If we study it carefully, is there such a disease as hospitalization syndrome
In the future, as I get older, I really need to do less emergency rescue, otherwise my body won’t be able to handle it and my heart will break.
Zheng Ren lowered his head and pondered. He no longer thought about broken heart syndrome, but turned back to think about the little patient named Chen Li.
"This is too sad." Director Zhang Lin sighed.
“The seven emotions mentioned in ancient Chinese medicine books—joy, anger, worry, thoughts, sadness, fear, and surprise—are seven normal emotional reactions. Such as sudden, severe or long-term mental stimulation, excessively strong or prolonged emotional reactions, If the seven emotions are excessive, it will affect the function of the internal organs, and the regulation function of qi and blood will be disordered, leading to disease." Su Yundao said, "It can also be explained by traditional Chinese medicine."
"Boss Zheng, I'm still worried." Director Zhang Lin didn't taboo anything, but said bluntly: "I suggest you check the cardiac enzymes."
"It should be." Zheng Ren said calmly, "The changes in myocardial enzymes in heartbreak syndrome are not obvious. You will know after checking."
Zhou Litao immediately stood up and wrote down all the tests that Director Zhang Lin wanted to do. Then he went to give the doctor's orders and collect blood for testing.
This was just a trivial matter. Even if his diagnosis was questioned by Director Zhang Lin, Zheng Ren didn't care. Clinically, if the decision is made with one word and no one raises objections, that is the time when big things will happen.
"If the patient dies, she doesn't know..." Lin Yuan was also a little depressed. After half a sentence, he immediately realized that he had said the wrong thing.
If this were the Middle Ages, someone would have burned her as a witch if she made such a prediction.
"Boss Zheng, what can you do for the patient with liver failure?" Director Zhang Lin turned around and asked.
"Well, unless there is a liver source for liver transplantation."
"There are not many liver sources in China, so we usually have to wait at least several months."
"How about I contact my mentor?" Lin Yuan asked in a low voice.
She is just a doctoral student, and the matter of contacting liver sources... just think about it.
But it’s better than doing nothing.
Seeing Chen Li's mother heartbroken and like a zombie, Lin Yuan was also filled with panic.
But these words struck Boss Zheng's heart like lightning. Lin Yuan, mentor, Harvard.
He slapped his thigh suddenly and said, "MD! I was wrong from the beginning!"
Su Yun was surprised. It was rare to see his boss say bad words. He thought... With a flash of thought, Su Yun also understood what Zheng Ren was thinking of.