The Surgeon's Studio

Zheng Ren held the ultrasound probe and carefully observed the beating form of the heart.

The shape of the left ventricular contractions was a little abnormal. Zheng Ren looked through it and then focused on observing the shape of the left ventricular contractions.

Zheng Ren finished the examination after 3 ′ 22 ".

He walked out of the ward and Zhou Litao asked,""Boss Zheng, do you need any medicine?"

"No need. She's just too heartbroken and that's why she's so heartbroken." Zheng Ren said.

Director Zhang Lin hesitated for a moment. She knew about the heartbreak syndrome, but when she saw changes in the electrocardiogram, she had to give some medicine to prevent and treat it.

Shattered heart syndrome didn't require medication. Instead, it required time to heal the wound. Director Zhang Lin understood, but she didn't dare to be careless.

"Boss Zheng, what is heartbreak syndrome?" Zhou Litao asked.

"Heartbreak syndrome is also known as Takotsubo cardiac disease. It's a heart disease discovered by doctors in Japan, but there hasn't been any in-depth research on it." Zheng Ren said,"it's more common in female patients between 30 and 50 years old. Ultrasound scans can discover a temporary balloon-like expansion of the left atrium. It got its name because the patient's left ventricular contraction form is similar to Takotsubo."

“Takotsubo？”

"Takotsubo refers to octopuses in Japanese. I've never seen it before, but I've seen the relevant medical imaging images in the case reports in the journals." Zheng Ren said.

"Boss, look at the mess." Su Yun's Black hair fluttered in the wind, and no one knew what she was thinking.

"I'll remember the strange diagnosis when I see it. " Zheng Ren said casually.

He walked aimlessly in the corridor. Zhou Litao glanced at boss Zheng and director Zhang Lin from the circulatory Internal Medicine Department behind him. He quickly opened his on-call room and let the group in to rest for a while.

His own on-call room was about to become boss Zheng's office, but Zhou Litao had no complaints. Instead, he was a little happy.

He could learn many things from boss Zheng, which he couldn't learn normally even if he wanted to. For example, the patient in front of him. If he had seen similar patients, he would have diagnosed them with myocardial infarction and started to treat them with the relevant drugs.

Based on the patient's condition just now, even if he was diagnosed with suspected myocardial infarction, it would not cause a misdiagnosis that would lead to life-threatening danger. However, the correct diagnosis was still very important.

Besides, it would make him look like a professional if he told others about the heartbreak syndrome.

"Boss Zheng, please tell us," Zhou Litao continued to ask.

"The medical world has yet to fully understand Takotsubo cardiovascular disease. Older women are often at a higher risk of getting the disease, and the cause of the disease is not completely clear. " Zheng Ren said indifferently, his mind elsewhere.

"There's a theory that menopause will change the heart's reaction to hormones. What do you think?" Director Zhang Lin asked.

"It's possible, but there's no need for special treatment. This kind of disease is usually not fatal, and most people can recover without special treatment. "

"Not necessarily." Su Yun said,"the number between 30 to 50 years old isn't accurate."

"What?" Director Zhang Lin was a little surprised.

"The latest research results show that the most common situation is heartbreak, which is mainly female and occasionally male." Su Yun said,"actually, I think it's more accurate to call it lovelorn syndrome."

Was this the legendary heartbreak? Lin Yuan thought that love was really a troublesome thing. Even breaking up could cause a qualitative change.

Although boss Zheng said that he didn't need treatment, it still sounded quite scary.

"Something like that." Zheng Ren said as he pondered.

"The heartbreak syndrome was first discovered in Japan in 1990. After analysis, it was found that the cause of this disease is shock or intense emotional blow, excessive emotional fluctuations, excessive stimulation of the sympathetic nerves, and rapid increase in adrenaline levels. "

"The adrenaline level is 30 times higher than normal, and it's even four to five times higher than when you had a myocardial infarction.

Epinephrine and other chemicals will affect the normal activity of the cardiac muscles, or cause the capillaries to contract, causing the upper part of the heart to contract suddenly, which is the spherical change in the tip of the heart. "

"Because the heart's beating ability suddenly weakened, it causes symptoms similar to heart disease, such as severe chest pain or breathing difficulties."

"How can the adrenaline level be so high? No wonder I could smell the smell of adrenaline and dopamine on you during the emergency treatment. " Su Yun blew a breath of air and started to diss Zheng Ren.

Zheng Ren's thoughts were pulled back to reality. He recalled that when he was a chief resident, his heart would palpitate whenever he heard the phone ring, and he would occasionally feel short of breath.

It was probably the result of a sudden spike in adrenaline, which was a bit similar to the heartbreak syndrome. If he studied it carefully, would there be a disease called chief resident syndrome?

In the future, as he got older, he really had to do less emergency treatment. Otherwise, his body would not be able to take it, and he would be heartbroken.

Zheng Ren lowered his head in deep thought. He no longer thought about the heartbreak syndrome. Instead, he turned his head back and thought about the young patient named Chen Li.

"She's just too sad. " Director Zhang Lin sighed.

"The ancient Chinese medicine books mentioned that the seven emotions tadpole-joy, anger, worry, thought, sorrow, fear, and shock-are seven normal emotional reactions. For example, sudden, intense, or long-term mental stimulation. If one's emotional reaction is too strong or long-lasting, then the seven emotions will be excessive, affecting the function of the internal organs and causing disorder in the regulation of qi and blood. " Su Yun replied,"it can be explained by Chinese medicine."

"Boss Zheng, I'm still worried." Director Zhang Lin didn't care about anything, but said bluntly,""I suggest that we check on your cardiac enzyme."

"I should." Zheng Ren said indifferently,"the change in heart enzyme for heartbreak syndrome is not obvious. We'll know after a check."

Zhou Litao immediately stood up and recorded the various examinations that Department Director Zhang Lin wanted to do. Then, he went to give medical advice and drew blood for the test.

This was just a small matter. Even if his diagnosis was doubted by Department Director Zhang Lin, Zheng Ren did not care. If a decision was made in clinical medicine and no one raised any objections, that would be the rhythm of a major problem.

"If the patient passes away and she doesn't know ..." Lin Yuan was a little depressed. He realized that he had said the wrong thing halfway through his sentence.

If this was the Middle Ages, such a prophecy would have been treated as a witch and burned to death.

"Boss Zheng, you don't have any good ideas for the patient with liver failure?" Director Zhang Lin turned around and asked.

"Well, unless there's a liver source for liver transplantation."

"There aren't many sources of liver in the country. Usually, you have to wait for at least a few months."

"Do you want me to contact my mentor?" Lin Yuan asked in a low voice.

She was only a PhD student, and contacting a liver source ... Was just a passing thought.

But it was better than doing nothing.

Seeing Chen Li's mother heartbroken like a walking corpse, Lin Yuan's heart was filled with panic.

However, this sentence struck boss Zheng's heart like a bolt of lightning. Lin Yuan, mentor, Harvard.

He suddenly slapped his thigh and said,"MD!" I was wrong from the beginning!"

Su Yun was shocked. She rarely saw her boss swear. He thought of ... With a flash of thought, Su Yun understood what Zheng Ren was thinking.