The teachers gathered in the ward, surrounding the patient's bed, discussing and examining the patient continuously.
The temporary return of the patient's heartbeat does not mean that everything is fine. It is possible that sudden events will occur again, and the cause must be found and targeted treatment must be given as soon as possible. The tests that can be done in the ward were immediately done first, blood tests were drawn, a 12-lead electrocardiogram was taken, and the ultrasound room was asked to push the ultrasound machine over to prepare for an echocardiogram.
When Dr. Cheng Yuchen was doing an electrocardiogram on a patient, a group of teachers gathered around the electrocardiogram machine, staring at the screen display and the graphs it produced.
Someone remembered what Xie had said before.
"I think we need to do a cardiac MRI."
Cao Zhao said this, put his left hand on his forehead and sighed, his heart full of regret. If he had known that when the student came to find him, he would have forced him to go for examination. Maybe it was too late, but at least he could try to stop the heart from suddenly stopping.
When some other people present heard his suggestion, they couldn't help but wonder: Is it necessary to do a cardiac MRI?
Cardiac MRI is a rarely performed test in cardiac examinations. The main reason is that it mainly examines the structure and myocardium of the heart. If there are such problems, they can generally be reflected in echocardiograms, electrocardiograms, and blood tests. Cardiac MRI is expensive, and clinicians will definitely save this cost for patients if they can save it.
I heard that Wei's family is not short of money. Now it is not a matter of money, but the doctor needs to consider the high risk of transferring the patient to the MRI room for examination. If the patient's vital signs cannot be guaranteed to be stable during the examination, unless it is particularly necessary, such as measures related to saving the patient's life, he will definitely not rush to send the patient to take risks.
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Cao Dong also remembered the conversation between her and her younger brother at that time. Now it seems that her younger brother had a reason to bring up her suggestion again.
The partial lead electrocardiogram initially showed that the patient had outflow tract problems.
The ultrasound machine may reveal something later. If you want to more accurately verify the specific parts of the heart, you may need to do an MRI. Only MRI can show some subtle structural problems in the heart, and echocardiography is not accurate enough for this.
The emphasis on accuracy is because the patient's heart suddenly stopped so strangely. Dr. Mu Yongxian previously suspected polymorphic ventricular tachycardia. In addition to genetic diseases, the cause of sudden death of many patients with polymorphic ventricular tachycardia has always been a mystery. The bidirectional ventricular tachycardia that Xie believes is also very rare if accompanied by hemodynamic instability. There are very few clinical case reports of this kind, and it is difficult to provide specific reference for current doctors.
Cao Yong, who was standing at the opposite bedside, was checking the patient's consciousness response while receiving a call from his old classmate Ren Chongda.
Although he had only been a counselor for a few years, Ren Chongda felt like he was in his seventies or eighties, and he had no idea how many white hairs he had grown.
In Cao Yong's opinion, he asked for it. He said, "You know he had heart surgery before."
Cao Yong really didn't know that his junior fellow apprentice had this problem before, otherwise he would have spoken out long ago.
I know, but the problem is that the patient had been cured long ago and passed the college entrance examination physical examination. Ren Chongda retorted unhappily: "I am a doctor, how can I take the lead in discriminating against a patient who has been cured for many years?"
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