I Can See Health

Five electrocardiograms were circulated to each other.

Lu Chen is very interested in electrocardiograms.

During his internship, he taught himself electrocardiography for a long time.

However, it is easy to get started with electrocardiogram knowledge, but it is extremely difficult to master it.

An electrocardiogram, a small piece of paper, records the changes in the electrical vectors of the human body's surface.

Its magic is that through this insignificant image, it can give everyone insight into various heart-related diseases, including arrhythmia, coronary heart disease, myocarditis, pericarditis, etc.

Even a small change corresponds to the occurrence of a certain disease.

Be careful with the electrical diagram, it contains the great universe!

Lu Chen has studied on his own and thinks he has only scratched the surface.

Everyone was whispering and discussing the diagnosis of the electrocardiogram.

Lu Chen flipped through these five electrocardiograms.

Two of them.

It is an electrocardiogram showing common arrhythmias in cardiology, namely frequent premature ventricular contractions and atrial fibrillation.

Another one is an electrocardiogram of acute inferior wall myocardial infarction.

As for the other two, Lu Chen didn't see the diagnosis at the first time.

When the circulation time was over, the five electrocardiograms returned to Lin Cui's hands.

She lined up the five electrocardiograms and placed them on the table.

"Okay, then I'll start testing everyone."

Lin Cui looked around at everyone and picked out the first electrocardiogram.

"This student, please answer first, what is the diagnosis of this electrocardiogram? The reason must also be given."

The person named by Lin Cui was a quiet boy. He was a training student in Lin Cui's group. This was his second year of training.

"The QRS wave in this electrocardiogram is wide and malformed, which should be a premature ventricular contraction. Because there are four premature beat waves with the same shape, it should be a frequent single-source premature ventricular contraction."

Lin Cui nodded with a smile and said: "Well, it seems that you study seriously. This picture indeed shows frequent premature ventricular contractions. Then I will ask the next question, also about this electrocardiogram."

"Now that you know that premature ventricular contractions occur frequently, let's talk about the origin of premature ventricular contractions in this picture."

As soon as he finished speaking, there were whispers all around.

Where does premature ventricular contractions originate?

This relates to the anatomical location of the heart.

But the students here are all students who have just entered clinical practice, and few of them pay attention to the anatomical position of the heart.

This question is beyond the scope!

The male standard Pearson scratched his head, showing an embarrassed look.

"Director Lin, I, I can't."

Lin Cui smiled and then turned to look at the other intern.

"how about you?"

The intern was shocked and waved his hand quickly, "Director, I can't do it either."

Everyone was talking, but no one answered to the point.

"Teacher Lin, this should be a premature beat originating from the apex of the heart."

Suddenly, He Sirong on the side slowly spoke.

Lin Cui smiled, placed the electrocardiogram in front of He Sirong, and said, "Why?"

"I have recited a similar formula. The main QRS waves in leads II, III, and aVF are downward, and the main waves in leads aVL and aVR are upward. They are premature beats originating from the apex of the heart." He Sirong smiled.

"Yeah, not bad." Lin Cui nodded with satisfaction, "The deeper reason is because of the electrocardiogram vector, but you can answer this, which is already very good."

He Sirong is Lin Cui’s graduate student.

She could answer this question, which made Lin Cui's face light up.

"Okay, let's look at the next one."

As soon as this electrocardiogram was taken out, everyone had a smile of "I know" on their faces.

This is an electrocardiogram of acute inferior wall myocardial infarction, with typical ST-segment elevation in leads II, III, and aVF.

Lin Cui selected a graduate student who was rotating in the Department of Cardiology.

"Excuse me, which is the culprit blood vessel in this electrocardiogram of acute inferior wall myocardial infarction?"

What? Criminal blood vessels?

As soon as Lin Cui's question came out, everyone was confused.

She directly gave the diagnosis of acute inferior wall myocardial infarction, but instead asked about the location of the culprit's blood vessels.

Good guy, he doesn't play by the rules at all.

Director Lin Cui is really "insidious" and "cunning"!

"This..." the boy scratched his head, "right crown or circumflex branch?"

Lin Cui smiled softly, "You little guy, you have mentioned both possibilities. I just want you to judge which one of the above is specific?"

"Director Lin, I don't know how to..." The boy curled his lips. He was not a graduate student in the Department of Cardiology. Why did he know so much?

"Does anyone know?"

Lin Cui looked at everyone.

When no one answered, she glanced at He Sirong.

He Sirong understood, cleared his throat, and said: "Teacher Lin, in this picture, the ST segment elevation STⅢ\u003eSTⅡ should be due to right coronary occlusion."

Everyone looked at Lin Cui's expression and found that she was smiling.

It seems that He Sirong is right again!

Lu Chen looked at He Sirong. Unexpectedly, this girl was quite powerful. Her electrocardiogram level should have surpassed that of most people present.

It is not easy to achieve such a level in the first year of graduate school.

"Okay, let's take a look at the third electrocardiogram."

Lin Cui took out the third electrocardiogram.

This time, no one dared to comment easily.

Just in case, Lin Cui asks another "weird" question...

Lu Chen looked at this electrocardiogram.

Very simple, it is a common electrocardiogram of atrial fibrillation.

In cardiology, the ECG of atrial fibrillation and premature beats should be the most common and easiest to identify.

"You answer."

Lin Cui raised her hand and pointed at Ke Yue beside Lu Chen.

Ke Yue was startled and slowly stepped forward.

"What is the diagnosis of this EKG?"

This time, UUReading www.uukanshu.net is a normal question.

But Ke Yue lowered her head and looked at the electrocardiogram at a loss.

I didn't hold back a word for a long time.

A long while.

The smile on Lin Cui's face disappeared, replaced by a serious look.

"Can't you tell what this is on an electrocardiogram?"

Ke Yue's face turned red, reaching the roots of her ears.

But still not a word was said.

Lu Chen frowned. He was standing next to Ke Yue. Although he wanted to help, he couldn't remind him so openly.

"I remember, you seem to be Director Li's student, right?"

Ke Yue nodded silently.

"But can't you even see such a simple electrocardiogram?"

"Look carefully again! See if there are any P waves!"

Lin Cui's volume increased a bit, and the office suddenly became silent.

"Can't you see it yet? Then tell me, what is this electrocardiogram?"

As soon as Lin Cui finished speaking, everyone present looked at each other, and then unanimously said the word "atrial fibrillation".

…

In the ward, Sun Guoguo had already finished checking the room.

Lu Chen and Ke Yue haven't come back yet, and Dong Hao, who was sent out, hasn't come back either!

Sun Guoguo led everyone back to the doctor's office and suddenly realized when he saw everyone gathered around and Director Lin was giving a lecture.

"Dr. Sun, you came back just in time."

As soon as Sun Guoguo walked into the doctor's office, she was stopped by Lin Cui.

"You have to teach this kid a lesson!"

Sun Guoguo looked in the direction Lin Cui pointed, and it was Ke Yue who was lowering his head.

"This kid can't even recognize an electrocardiogram of atrial fibrillation!"