Chapter 2101 Broken Heart (Part 2)

Zheng Ren held the echocardiography probe and carefully watched the beating pattern of the heart.

The shape of the left ventricle during systole was somewhat abnormal. Zheng Ren took a general look at it, and then focused on observing the shape of the left ventricle during systole.

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

When he walked out of the ward, Zhou Litao asked, "Boss Zheng, what medicine are you taking?"

"No, she has heartbreak syndrome caused by excessive grief," Zheng Ren said.

Director Zhang Lin hesitated for a moment. She knew about the broken heart syndrome, but when she saw changes in the electrocardiogram, she always had to be prescribed medication for prevention and treatment.

Broken Heart Syndrome takes time to heal the trauma rather than medicine. Director Zhang Lin understands, but dare not be careless.

"Boss Zheng, what is Broken Heart Syndrome?" Zhou Litao asked.

"Broken heart syndrome is also called takotsubo cardiomyopathy. It is a heart disease discovered by doctors in island countries. There is no further research." Zheng Ren said, "It is more common in female patients aged 30-50. Echocardiography will reveal transient left Balloon-like dilatation of the apex of the ventricle, so named because the systolic shape of the patient's left ventricle resembles that of Takotsubo."

"Takotsubo?"

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

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

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

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

His duty room was almost becoming Boss Zheng's office, but Zhou Litao didn't complain, instead he was a little happy.

I can learn a lot from Boss Zheng, which I can't learn even if I want to. For example, the patient in front of me, if he usually sees similar patients, he will directly diagnose myocardial infarction and start to use relevant drugs for treatment.

I have seen the patient's condition just now, and the diagnosis of suspected myocardial infarction will not lead to life-threatening due to misdiagnosis, but the correct diagnosis is still very important.

And it seems that I am so professional when I talk about the broken heart syndrome.

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

"The medical community has not yet fully understood takotsubo cardiomyopathy. Older women are often at a higher risk of developing the 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 response of the heart to hormones. What do you think?" Director Zhang Lin asked.

"It is possible, but does not require specific management. The disease is usually not fatal, and most people recover without specialized treatment."

"Not necessarily." Su Yundao, "The data of 30-50 years old is not rigorous."

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

"The latest research results show that lovelorn is the most common occurrence, mainly in women, and occasionally in men." Su Yundao, "Actually, I think it is more accurate to call it lovelorn syndrome."

Is it the legendary heartbreak? Lin Yuan thought that love is really a troublesome thing, and losing love will lead to organic diseases.

Although Boss Zheng said that there is no need for treatment, it sounds quite scary.

"It's almost like this." Zheng Ren said while thinking.

"Broken Heart Syndrome was first discovered in the island country in 1990. After analysis, it was found that the etiology of this type of disease is shock or severe emotional shock, excessive mood swings, excessive sympathetic excitement, and a rapid increase in adrenaline levels."

"The adrenaline level is 30 times higher than normal, and even 4 to 5 times higher than during a myocardial infarction.

Adrenaline and other chemicals can affect the normal activity of the heart muscle, or constrict the capillaries, causing the upper part of the heart to contract suddenly, that is, the spherical shape of the apex. "

"Because the heart's ability to beat suddenly weakens, causing symptoms similar to a heart attack - severe chest pain or difficulty breathing."

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

Zheng Ren's thoughts were pulled back, thinking that when he was in the hospital, he would have heart palpitations whenever he heard the phone call, and occasionally he would be short of breath.

It is estimated that it is the result of the adrenaline rush, which is a bit like broken heart syndrome. If you study it carefully, will there be a disease called total hospitalization syndrome?

In the future, as I get older and older, I really want to do less emergency rescue, otherwise my body will not be able to accept it, and my heart will be broken.

Zheng Ren lowered his head in thought, no longer thinking about the broken heart syndrome, but turned back to thinking about the little patient named Chen Li.

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

"The seven emotions mentioned in the ancient books of traditional Chinese medicine - joy, anger, worry, thought, sadness, fear, shock, are seven normal emotional reactions. Such as sudden, violent or long-term mental stimulation, excessive emotional reactions or long-lasting If the seven emotions are excessive, it will affect the function of internal organs, and the regulation of qi and blood will be disordered and cause disease." Su Yundao, "It can also be explained by traditional Chinese medicine."

"Boss Zheng, I'm still worried." Director Zhang Lin didn't shy away from anything, but said bluntly: "I suggest checking the myocardial enzymes."

"It should be." Zheng Ren said indifferently, "The change of myocardial enzymes in broken heart syndrome is not obvious, just check it out."

Zhou Litao immediately stood up, recorded all the tests that Director Zhang Lin wanted to do, and then went to order the doctor to take blood for testing.

This is just a trivial matter. Even if his diagnosis was questioned by Director Zhang Lin, Zheng Ren didn't care. Clinically, if a decision is made with one word and no one raises objections, then that is the rhythm of major events.

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

If this is the Middle Ages, if such a prophecy is made, people will be burned as witches.

"Boss Zheng, you have nothing to do with that liver failure patient?" Director Zhang Lin turned around and asked.

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

"There are not many liver sources in China, and it usually takes at least a few months."

"How about I contact my mentor?" Lin Yuan asked in a low voice.

She is just a doctoral student, and the matter of contacting Ganyuan... just think about it.

But it's better than doing nothing.

Seeing Chen Li's mother heartbroken, like a walking corpse, Lin Yuan also panicked.

But these words struck Boss Zheng's heart like lightning. Lin Yuan, tutor, Harvard.

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

Su Yun was surprised, he rarely saw his boss swearing. He thought... With a flash of thought, Su Yun also understood what Zheng Ren thought of.