N-A-A Chapter 507
Chapter 507
Chen Guangxu left with the checklist,
Lin Feng continued to see the next patient.
An hour later,
The patient returned to Lin Feng's clinic with the video data of the CT angiography.
Audience in the live broadcast room:
"It's coming~~~"
"Looking forward to the answer being revealed ~~~"
"There is only one truth!"
Soon, Lin Feng opened the video material.
The video starts with the coronary artery injecting into the contrast agent, and then the contrast agent entering the coronary artery section... And then out the coronary arteries ...
"6 heartbeats..."
Lin Feng suddenly smiled.
Sure!
Coronary blood flow is too slow!
In general,
Most patients, even those with severe cardiovascular stenosis, when doing angiography, the time taken from the beginning to the end of the contrast agent generally does not exceed "2 heartbeats", and it will disappear quickly.
By standard, more than three cardiac cycles are considered slow blood flow.
Chen Guangxu's contrast showed that blood flow through the coronary arteries required a total of 6 beats!
Slow blood flow!
And the contrast agent in his blood vessels is also very slow to absorb, that is, the black part (contrast agent), it takes more than a minute to completely disappear (a healthy heart disappears in a few heartbeats).
It is clear that
The patient Chen Guangxu had a problem with the microvascular vessels in his heart.
This also explains why Chen Guangxu has symptoms of angina.
Because blood is not effectively delivered, the nutrients needed by the myocardium cannot be obtained in time, resulting in myocardial ischemia.
And this disease, what is it called?
It's called "Syndrome X"!
It is also called "microvascular angina"!
It means that the coronary angiography is normal, the exercise test is positive, there is no evidence of heart disease, there is no organic coronary stenosis or spasm... Angina!
Lin Feng informed the patient Chen Xuguang of this result.
"Syndrome X?!"
Chen Guangxu's heart was extremely surprised!
I really found the cause!
"Judging from the current situation, this is indeed the case..." Lin Feng explained the principle of "X syndrome".
Easy to understand.
Both Chen Guangxu and many viewers understood.
"You should take angina medicine, right?"
"Eat."
"What medicine?"
"Nitroglycerin..." (As I wrote earlier, nitroglycerin is the "most" classic angina drug!) (Chapters 264-265)
"How's it going?"
"Not quite..."
Lin Feng nodded.
One of the characteristics of "Syndrome X" is that nitroglycerin has little effect.
Lin Feng: "Wait a minute, I'll do some checks for you..."
"Syndrome X" is more complicated, so it will be more troublesome to check and confirm the diagnosis.
Positive ECG exercise test (ST-segment ischemic type shifted down 0.1 mm)
Coronary angiography again (after taking specific vasodilators (diphenylbutine, nitroglycerin, papaverine)), compared with the previous coronary angiography effect, there will be obvious changes, and the speed of contrast agent through the coronary arteries will be greatly increased several times!
·......
......
2 hours later...
The results of various examinations came out.
Diagnosed!
"Syndrome X"!!
When he finally got this result, Chen Guangxu cried with excitement.
"Thank you Dr. Lin! Thank you Dr Lim! "
Bowed again and again to thank you.
Vent the panic of being repeatedly hit and diagnosed with 'psychosis' in the past 4 years!
from now on
His life will split the darkness and walk into the light.
......
Live broadcast room,
There are a lot of tips.
"Doctor Lin, awesome!!" X10 million!
There are also many empathetic patients who have commented:
"My father also has uncomfortable heart symptoms for more than two years, he has been to the hospital for several examinations, and he has been hospitalized, and he has done various examinations, but he has not found any problems, and after watching Dr. Lin's live broadcast, I feel that I have an extra idea. Thanks Dr Lam! "
"Sometimes I really dare not go to the doctor, many times I go to the hospital, the disease is not found, it is still considered menopause, I can't go to the psychology department to see, alas, it's hard to say a word..."
"I was this symptom, I couldn't find out the cause, and later said that I was neuralgia, there was no rule of law, but I could understand it."
......
Not surprisingly,
After 3 hours,
#林风, Syndrome X #
On the hot spot ranking of Douyin, quickly squeezed into the top ten...
It resonated with many patients who were diagnosed with 'mental illness'.
"Dr. Lin is a good doctor."
"A good doctor who is responsible, there are too few..."
"If it weren't for Dr. Lin, I'm afraid there would be one more mentally ill..."
......
At this point,
A parent, Huang Meifeng, happened to see this hot spot about Lin Feng.
The heart moved.
She thought of her 3-year-old son, who had not been cured for 1 year.
Huang Meifeng is an employee of a public institution with a busy life. Sometimes, she still looks out the window and wants to give herself a gap year and let her life have ups and downs.
Fate probably dislikes her hypocrisy...
One year ago, disaster struck, and my son suddenly had a nosebleed and suffered from a very difficult major surgical problem!
Rhabdomyosarcoma of nasopharyngeal skull base!
Close to the brain!
This disaster pressed the pretentious Chen Meifeng to the ground and rubbed hard.
Let you be pretentious!
Make you crave ups and downs!
Then, Chen Meifeng began the difficult road of seeking medical treatment for a long year...
。