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2102 Heartbreak (Part 2)

Zheng Ren held the echocardiac probe and looked carefully at the pulsation shape of the heart.

The morphology of the left ventricle systolic period was somewhat abnormal. Zheng Ren looked at it roughly and then focused on observing the morphology of the left ventricle systolic period.

After 3′22″, Zheng Ren finished the inspection.

He walked out of the ward and Zhou Litao asked, "Boss Zheng, what medicine should I use?"

"No, the heartbreak syndrome caused by excessive sadness." Zheng Ren said.

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

Heartbreak syndrome does not require medicine, but uses time to heal the trauma. Director Zhang Lin understands it, but dares not be careless.

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

"Heartbreak syndrome, also known as takotsubo cardiomyopathy, is a heart disease discovered by doctors in the island country. There is no further research." Zheng Ren said, "It is more common in female patients aged 30-50. Echocardiac will detect transient left ventricular apical balloon-like dilation, which is named because the patient's left ventricular systolic morphology is similar to takotsubo."

“takotsubo?”

"I have never seen takotsubo refer to the basket of octopus in Japanese, but I have seen related imaging images in case reports in journals." Zheng Ren said.

"Boss, you see a lot of things." Su Yun's black hair was floating in front of his forehead, and he didn't know what he was thinking.

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

He walked aimlessly in the corridor. Zhou Litao glanced at Boss Zheng and Director Zhang Lin of the Circulatory Internal Medicine Department behind him, and quickly opened his duty room and let the group enter the house for a while.

His duty room was almost turned into Boss Zheng's office, but Zhou Litao had no complaints and was a little happy instead.

I can learn a lot from Boss Zheng, which is something I can’t learn even if I want to. For example, if the patient in front of me is diagnosed with myocardial infarction, I will start to treat it with related drugs.

I usually see the patient's condition just now. If I diagnosed with suspected myocardial infarction, it will not cause life danger due to misdiagnosis, but the correct diagnosis is still very important.

And it seems that you are so professional when you talk about heartbreak syndrome.

Zhou Litao continued to ask, "Boss Zheng, tell me."

"The medical community has not yet fully understood takotsubo cardiomyopathy. Older women often have a higher risk of disease, and the cause of the disease is not fully understood." Zheng Ren said lightly, absent-minded.

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

"It's possible, but it doesn't require special treatment. The disease is usually not fatal and most people can recover without specialized treatment."

"It's not certain." Su Yun said, "The data for those aged 30-50 is not rigorous."

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

"The latest research results show that the most common situation is love breakup, mainly women, and men occasionally." Su Yun said, "In fact, I think it is more accurate to call love breakup syndrome."

Is it just the legendary heartbreak? Lin Yuan thought that love is really a troublesome thing, and breaking up love will lead to organic lesions.

Although Boss Zheng said there was no need for treatment, it sounded quite scary.

"It's almost the case." Zheng Ren said while thinking.

"Heartbreak syndrome was first discovered in an island country in 1990. After analysis, it was found that the cause of this type of disease was frightened or severe emotional blows, excessive mood swings, excessive sympathetic nerves, and rapid increase in adrenaline levels."

“The adrenaline level is 30 times higher than normal, and even 4 to 5 times higher than when myocardial infarction.

Adrenaline and other chemicals can affect the normal activity of the myocardial muscles, or cause capillaries to contract, causing sudden contraction of the upper half of the heart, which means spherical changes in the apex of the heart."

"Because the sudden decrease in the ability of the heart to beat, it causes symptoms similar to heart attacks - severe chest pain or difficulty breathing."

"Can adrenaline soar to such a high? No wonder you can smell adrenaline and dopamine on your body during emergency rescue." Su Yun blew a breath and began to criticize Zheng Ren.

Zheng Ren's thoughts were pulled back, thinking that when he was a hospitalized person, he would feel palpitations when he heard the phone call, and occasionally he would have shortness of breath.

It is probably the result of the thunder of adrenaline, but it is a bit like heartbreak syndrome. If you study it carefully, will there be a disease like hospitalized syndrome?

In the future, as you get older, you really need to do less emergency rescue, otherwise your body will not accept it and you will be heartbroken.

Zheng Ren lowered his head and thought, no longer thinking about Heartbreak Syndrome, but turned around to think about the little patient named Chen Li.

"This is too sad." Director Zhang Lin sighed.

"The seven emotions mentioned in ancient Chinese medicine books - joy, anger, sorrow, thought, sadness, fear, and shock are seven normal emotional reactions. If sudden, severe or long-term mental stimulation, excessive emotional reactions are excessive, strong or lasting, then excessive emotions will affect internal organ function, and qi and blood regulation function disorders and cause disease." Su Yun said, "It can be explained by traditional Chinese medicine."

"Boss Zheng, I'm still worried." Director Zhang Lin was not afraid of anything, but said bluntly: "I suggest you check myocardial enzymes."

"It should be." Zheng Ren said calmly, "The myocardial enzyme changes in heartbreak syndrome are not obvious, just check it out."

Zhou Litao immediately stood up and recorded all the examinations Director Zhang Lin wanted to do, then went to the doctor's order to collect blood and send it to the test.

This is just a small matter. Even if Director Zhang Lin questioned his diagnosis, Zheng Ren would not care. If he decides in clinical practice and no one raises objections, it is the rhythm of a big incident.

"If the patient dies, she doesn't know..." Lin Yuan was also a little depressed. After saying a little, he immediately realized that he had said the wrong thing.

If this were in the Middle Ages, such a prophecy would have been burned to death by someone as a witch.

"Boss Zheng, you have no good idea for that patient with liver failure?" Director Zhang Lin turned his head and asked.

"Well, unless there is a liver source for liver transplantation."

"There are not many liver sources in China, and you usually have to wait at least a few months."

"Why should I contact my supervisor?" Lin Yuan asked in a low voice.

She is just a doctoral student, and she is related to the liver source...that is, she just thinks about it.

But it's better than doing nothing.

Seeing Chen Li's mother heartbroken, Lin Yuan was also panicked.

But this sentence slashed in Boss Zheng's heart like lightning. Lin Yuan, mentor, Harvard.

He slapped his thigh suddenly and said, "md! I thought it wrong from the beginning!"
Chapter completed!
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