Zheng Ren held the echocardiogram probe and carefully observed the beating pattern of the heart.
The shape of the left ventricle during systole was a little abnormal. Zheng Ren took a general look and then focused on the shape of the left ventricle during systole.
After 3 ′ 22 ″, Zheng Ren ended the examination.
He walked out of the ward and Zhou Litao asked, "Boss Zheng, do you need any medicine?"
"No, it's broken heart syndrome caused by excessive sadness," Zheng Ren said.
Chief Zhang Lin hesitated. She knew about broken heart syndrome, but when she saw the changes in the electrocardiogram, she had to give some medicine to prevent and treat it.
Broken heart syndrome did not need medicine, but time to heal the wound. Chief Zhang Lin understood but did not dare to be careless.
"Boss Zheng, what is broken heart syndrome?" Zhou Litao asked.
"Broken heart syndrome is also known as takotsubo cardiomyopathy. It's a heart disease discovered by doctors in Japan, but there's no in-depth research," Zheng Ren said. "It's mostly seen in female patients between 30 and 50 years old. The echocardiogram will show transient balloon dilation of the left ventricle apex. It's named because the shape of the patient's left ventricle during systole is similar to takotsubo."
“Takotsubo？”
"In Japanese, takotsubo refers to the basket used to catch octopus. I've never seen it before, but I've seen related imaging images in journal reports," Zheng Ren said.
"Boss, it's quite a mess." The black hair on Su Yun's forehead fluttered. No one knew what he was thinking.
"I'll remember the weird diagnosis when I see it," Zheng Ren said casually.
He walked aimlessly in the corridor. Zhou Litao glanced at Boss Zheng and Chief Zhang Lin of the Department of Circulatory Medicine behind him. He quickly opened the door to his duty room and let them in to rest for a while.
His duty room had almost become Boss Zheng's office, but Zhou Litao had no complaints. Instead, he was happy.
He could learn a lot from Boss Zheng, which was something he could not usually learn. For example, the patient in front of him was usually diagnosed with myocardial infarction and treated with the relevant drugs.
The patient's condition just now was normal. A diagnosis of suspected myocardial infarction would not lead to life-threatening misdiagnosis, but the correct diagnosis was still very important.
Moreover, he would make himself look professional if he talked about broken heart syndrome.
Zhou Litao continued to ask, "Boss Zheng, tell me about it."
"The medical community has not fully understood takotsubo cardiomyopathy. Older women tend to have a higher risk of contracting the disease, and the cause of the disease is still not completely clear, "Zheng Ren said lightly, absentmindedly.
"There's a theory that menopause changes the heart's response to hormones. What do you think?" Director Zhang Lin asked.
"It's possible, but there's no need for special treatment. The disease is usually not fatal, and most people recover without specialized treatment. "
"Not necessarily," Su Yun said. "The data for 30 to 50 years old is not rigorous."
"Hmm?" Chief Zhang Lin was a little surprised.
"The latest research results show that the most common situation is being lovelorn. It's mainly women, and it happens occasionally to men," Su Yun said. "Actually, I think it's more accurate to call it lovelorn syndrome."
Is this the legendary heartbreak? Lin Yuan thought that love was really a troublesome thing. Falling out of love could lead to organic diseases.
Although Boss Zheng said that there was no need for treatment, it still sounded quite scary.
"Something like that," Zheng Ren said as he thought about it.
"Broken heart syndrome was first discovered in 1990 in Japan. After analysis, it was found that the cause of this disease is due to excessive emotional fluctuations, excessive stimulation of the sympathetic nervous system, and a rapid increase in adrenaline levels.
"Adrenaline levels are 30 times higher than normal, and even four to five times higher than during a myocardial infarction.
Adrenaline and other chemicals affect the normal activity of the heart muscle or cause the capillaries to contract, causing the upper half of the heart to suddenly contract, which is the change in the shape of the apex.
"Because the heart's beating ability suddenly decreases, it causes symptoms similar to a heart attack — severe chest pain or breathing difficulties."
"Adrenaline can soar that high? No wonder I could smell adrenaline and dopamine on you during the emergency treatment, "Su Yun said as he blew a puff of air at Zheng Ren.
Zheng Ren's thoughts were pulled back. He remembered when he was a chief resident, his heart would palpitate whenever he heard the sound of the phone, and he would occasionally feel short of breath.
It was probably the result of the surge of adrenaline, which was a bit similar to broken heart syndrome. If he studied it carefully, would there be a disease like chief resident syndrome?
As he grew older, he would have to do less emergency treatment. Otherwise, his body would not be able to handle it, and his heart would be broken.
Zheng Ren lowered his head and pondered, no longer thinking about broken heart syndrome. Instead, he turned his attention to the young patient named Chen Li.
"He's too sad." Chief Zhang Lin sighed.
"In ancient Chinese medicine books, the seven emotions — joy, anger, worry, yearning, sadness, fear, and shock — are the seven normal emotional responses. For example, sudden, intense, or long-term mental stimulation, the emotional response is too strong or prolonged, affecting the internal organs' functions, causing disorder in the regulation of Qi and blood, which can lead to illness, "Su Yun said." It can also be explained using traditional Chinese medicine. "
"Boss Zheng, I'm still worried." Chief Zhang Lin was not afraid of anything and said bluntly, "I suggest we check the myocardial enzymes."
"Of course," Zheng Ren said calmly. "The changes in myocardial enzymes in broken heart syndrome are not obvious, so we'll know after a check."
Zhou Litao immediately stood up and recorded all the tests Chief Zhang Lin wanted to do. Then, he went to give the doctor's advice and take a blood test.
It was a small matter. He did not care even if Chief Zhang Lin questioned his diagnosis. If the clinical decision was made without any objections, it would mean that something big was about to happen.
"If the patient passes away and she doesn't know …" Lin Yuan was a little depressed. He immediately realized that he had said something wrong.
If this was the Middle Ages, people would burn her as a witch if she made such a prediction.
"Boss Zheng, you don't have any good ideas for the patient with liver failure?" Chief Zhang Lin asked.
"Yes, unless there's a liver transplant."
"There aren't many liver sources in the country. Usually, it'll take at least a few months."
"Should I contact my supervisor?" Lin Yuan asked in a low voice.
She was just a doctoral student. Contacting a liver source … was just a thought.
However, it was better than doing nothing.
When Lin Yuan saw Chen Li's mother's heartbroken expression, as though she was a walking corpse, his heart felt stifled.
However, this sentence struck Boss Zheng's heart like a bolt of lightning. Lin Yuan, his supervisor, Harvard.
He slapped his thigh and said, "F * ck! I was wrong from the start! "
Su Yun was surprised. It was rare to see his boss swear. He thought of something … Su Yun also understood what Zheng Ren had thought of.
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