How to determine which category of ventricular tachycardia it is?
At this stage, the patient cannot be moved for other examinations during the rescue process.
You can rely on an electrocardiogram.
For example, if you look at the V1 lead, if the R wave is dominant, the ventricular tachycardia may originate from the left ventricle, and if the Q wave is dominant, it may originate from the right ventricle. If the II, III, and aVR main waves are upward, they may be located in the upper outflow tract abnormality, and if the II, III, and aVR main waves are downward, they may be located in the apex abnormality. These quick judgments cannot be said to be 100% accurate, but they may give doctors a general direction of suspicion.
Damn it, the situation was too urgent to stop cardiac compression, and it was impossible to do a twelve-lead scan on the patient.
The last approach, as Xie thought, was to rely on clinical experience and intuition.
A large number of people looked at her again: First aid can best reflect the ceiling of a doctor's talent. No matter how well she does in routine treatment in the ward and operating room, she is just an excellent student who takes the exam after reviewing her lessons. Only the first aid scene is a surprise exam.
Student Xie was tested and reacted faster than the boss.
An electrocardiogram cannot be performed. Judging purely from clinical experience, it is very rare that cases where defibrillation is ineffective, excluding problems with the machine itself and improper operation, can be found clinically in some cases of bidirectional ventricular tachycardia.
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What Xie said is well-founded.
Mu Yongxian decisively put down the electrode plate in his hand.
The difficulty comes again. What to do with bidirectional ventricular tachycardia?
"I'm worried that he has polymorphic ventricular tachycardia." Mu Yongxian further said, "He's young."
It seemed that Mr. Mu's inspiration was ignited by classmate Xie's words.
Polymorphic ventricular tachycardia is also rare, and happens to be more common in young people. Most of these patients have no signs before the onset of the disease, and some patients even have no effect on medication. The state of the attack is exactly the same as that of student Wei, syncope, and sudden death. The cause of this disease is commonly found in the genetic electrocardiopathy Bmgada syndrome, a genetic disease with abnormal myocardial electrical activity. The hemodynamics of ordinary bidirectional ventricular tachycardia are relatively stable, unlike the shock of the current patient.
"He doesn't have this genetic disease."
All the big guys took every minute to participate in the rescue discussion, but Cao Zhao denied it outright.
"Do you know what happened to him in the past?" Mu Yongxian asked, his tone revealing that he had already noticed this.
The opponent knows the opponent best. He observed that his opponent Cao Zhao was in a godly state, and all his students were handed over to his subordinates.
Cao Zhao teaches students in person unless the students are excellent or have special circumstances. Student Wei is just average in talent, what do you think could be the case?
At this point, Cao Zhao admitted: "He had surgery for congenital heart disease before."
The answer is revealed.
Mu Yongxian asked, "Is it cured?"
"What do you think?"
We are both pediatric surgeons, so we know best.
Congenital heart disease can be cured if it can be cured. If it could not be cured completely, how could Wei study medicine in college?
The accident happened again 20 years after treatment, and it is hard to say whether it is related to the previous congenital heart disease.
All we can say is that all heart disease patients are fine, but it is hard to say what the specific situation will be after surgery. For patients who have congenital heart disease, as a pediatric cardiac surgeon, I will sympathize with the fact that a heart that is born with defects and has been repaired will always have some residual weakness.
When he found out that Wei might have caught a cold, he informed his father, hoping to persuade the patient's family to let Wei know his medical history. The surgical work that Wei was going to do required a lot of physical and mental strength, and he needed to be fully prepared.
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