"If you think about it carefully, pathological things are originally out of the normal and healthy order, just like tumors growing blindly."
"Well, what you said makes sense."
"Teacher, you should know that pulmonary vein atrial fibrillation and the ectopic pacemaker area of the pulmonary veins that cause atrial fibrillation are also very disordered. We can't deal with it, so we established an isolation zone to cut it off and drive the left atrial electrical activity. During this period, if we use three-dimensional
Target monitoring can be more accurate in determining whether ablation is successful. We can learn from this method."
Atrial fibrillation caused by pulmonary veins is similar to a scar area, and the ablation effect of a single pacemaker point is not good with ordinary methods. The surgical improvement is to ablate and block all four pulmonary vein ports, which doubles the effect. The abnormal area during ablation is measured using a three-dimensional voltage mapping system.
Detection, specifically, is to detect each catheter placed in the heart cavity and then use special software to synthesize a three-dimensional image to help doctors identify and guide doctors to perform ablation in areas with abnormal electrical potential. After ablation, the diseased pulmonary vein area will change from high voltage to
Low voltage, thus confirming that the ablation is effective.
"I understand the steps you mentioned. But during pulmonary vein electrical isolation, we first use electrophysiological examination to confirm that the ectopic pacing originates from the abnormal area of the pulmonary vein muscle cuff before performing ablation. During the three-dimensional mapping to verify the ablation effect, the patient is always
During the attack, you can't avoid the irritated lesions. Are you still thinking of trying your luck to bet on the area you're considering?"
Others at the scene could tell that the chief surgeon became more and more enthusiastic as they discussed academic matters with Mr. Xie.
People in Pinghuai looked at Dr. Che, only remembering that this guy didn't seem to like to talk non-stop on weekdays. Besides, he was talking to a young junior. At first, Doctor Che's tone was arrogant and questioning. Now
Okay, maybe he didn't realize it himself. Unknowingly, he looked at the other person not as a junior but as a peer, and he spoke academically and bluntly.
The discussion at the scene was about to turn into an argument between the two big guys. This was the only thought that could flash in everyone's mind.
Later it was confirmed that the taste was indeed right.
Xie Wanying said: "Teacher, you can say that I am betting. As I said before, I speculated based on the patient's cardiac magnetic resonance results and the patient's first attack scene that I observed. What I speculated was not the lesion area, but the
Normal area. Because I said, the lesion area is disordered, and it is meaningless to dwell on it. What I want to analyze is the orderly normal area."
"Without stimulation, can you tell what is normal and what is abnormal?"
"According to the structure of the heart, the places where the scars grow are definitely disordered, and the places where the scars don't grow are orderly. Scars can grow blindly or not. For example, what I observed during today's surgery is that there are compensatory thickenings.
There are also blind growths and non-blind growths. As for the compensatory thickening of non-blind growths, doctors have always had a relatively accurate prediction and can deal with it, right?"
Dr. Che's throat got stuck.
When other people at the scene heard this, it was clear that Dr. Che showed signs of defeat in the first round of this argument, which was similar to a boss conversation.
There is no need to be surprised that the younger generation is better than the older generation in an academic debate. There are many in the academic circle. One time does not mean everything.
What surprised the seniors and teachers present, including those who knew Mr. Xie and was familiar with Mr. Xie, was the following.
Think about what young medical students generally think about at this stage?