How to identify which category of ventricular tachycardia it is?
At this stage, the patient cannot be moved for other examinations during the rescue process.
You can rely on an electrocardiogram.
For example, if you look at lead V1, if the R wave is dominant, the origin of ventricular tachycardia may be the left ventricle. The Q wave may be the main origin of the right ventricle. II, III, aVR main wave may be upward and may be located in the upper outflow tract abnormality. II, III, aVR main wave may be located in the upper outflow tract abnormality.
The downward wave may be an abnormality at the apex of the heart. These quick judgments cannot be said to be 100% accurate, but they may be able to give the doctor a general direction of suspicion.
Damn it, the current situation is too urgent to stop the cardiac compression, and even trying to connect the patient with twelve leads becomes impossible.
The last way is as Xie thought, relying on clinical experience and intuition.
A large number of people's eyes turned to her head again: first aid can best reflect the ceiling of a doctor's talent. No matter how good he is in routine treatment in the ward and operating room, he is a top student who reviews his homework and then takes the exam. Only the first aid scene is a surprise test.
Student Xie was passed the exam and responded faster than the boss.
An electrocardiogram cannot be performed. Judging purely from clinical experience, the most common problem of clinical defibrillation failure is bidirectional ventricular tachycardia, which is caused by the machine itself and irregular operation.
What classmate Xie said is well-founded.
Mu Yongxian decisively put down the electrode plate in his hand.
The difficulty comes again, what to do with bidirectional ventricular tachycardia?
"I'm worried that he has polymorphic ventricular tachycardia." Mu Yongxian further said, "He is young."
It was as if Boss Mu’s inspiration was triggered by Classmate Xie’s words.
Polymorphic ventricular tachycardia is also rare and happens to be more common in young people. Most of these patients have no symptoms before the onset, and some patients even have no effect on medication. The state of the attack is exactly the same as that of Mr. Wei, including syncope and sudden death. The cause of this disease
Commonly seen in the hereditary electrocardiographic disease Bmgada syndrome, a genetic disease characterized by abnormal myocardial electrical activity. Ordinary bidirectional ventricular tachycardia has relatively stable hemodynamics and is not like shock in current patients.
"He doesn't have this genetic disease."
The big bosses wereted no time in participating in the rescue discussion, but Cao Zhao denied it.
"Do you know what happened to him before?" Mu Yong asked first, his tone revealing that he had already noticed this.
The opponent knows the opponent best. He observed that his opponent Cao Zhao was in a fairy-like state, and all his students were kicked out to the subordinates below.
Cao Zhao personally takes care of the students unless the students are outstanding enough or have special circumstances. Student Wei's talent is average, what do you think could be the case?
At this point, Cao Zhao admitted: "He has had congenital heart surgery before."
The answer is revealed.
Mu Yongxian said: "Is it cured?"
"What do you think?"
We are both pediatric surgeons, so we know best and don’t need to ask.
Congenital heart disease can basically be cured as long as it can be cured. If it could not be completely cured at the beginning, how could Mr. Wei possibly go to university to take the medical examination.
It's hard to say whether the accident happened twenty years after treatment and whether it was related to the previous congenital heart disease.
I can only say that all patients with heart disease are fine, but it is difficult to say what will happen after surgery in individual cases. For patients who have suffered from congenital heart disease, my godly brother, who is a pediatric cardiac surgeon, will be considerate of the congenital defect and repaired heart.
There will always be some residual weakness.
Discovering that Mr. Wei might have a cold, he notified his old father. He wanted to persuade the patient's family to let Mr. Wei know his medical history. The surgical work that Mr. Wei was going to do was particularly demanding on personal physical strength and mental strength, and he needed to make adequate preparations.