When chest pain attacks, there are often changes in electrocardiogram, myocardial enzymes, cardiac ultrasound, and coronary angiography to determine whether there are cardiovascular anatomy and functional diseases. It should be noted that the cause of chest pain in some patients is the result of the combined effect of the two."

"Wait a minute, Dean Chen, what is coronary angiography?"

When a young doctor heard this, he asked strangely.

Chen Qi was shocked because he accidentally revealed another medical technology of later generations, so he quickly covered it up and said:

"Well, this is the latest foreign technology. It is similar to a gastroscopy. It is to insert a special catheter through the femoral artery or other peripheral arteries, send it to the ascending aorta, and then explore the left or right coronary artery for insertion.

.

At this time, the doctor only needs to inject iodine contrast agent to visualize the coronary arteries, which can more clearly reveal the anatomical malformation of the coronary arteries and the location, extent and scope of the obstructive lesions.

Coronary angiography is the only diagnostic method that can directly observe the shape of the coronary arteries. It is called the "gold standard" by the medical community. I will introduce this technology sooner or later. It will also be a major diagnostic technology in cardiology in the future. Of course, this is a later date.

If so, we won’t talk about it in details.

You just need to remember one thing: no matter where a patient has pain, above the chin or above the navel, an electrocardiogram must be done during the consultation. This can not only distinguish between cardiogenic pain and reflux pain, but also allow the most urgent pain to be diagnosed immediately.

Myocardial infarction, etc. are identified."

A group of young doctors nodded repeatedly and continued to record in their notebooks.

Chen Qi was tired from talking and wanted to drink water. At this time, Lan Lijuan interrupted:

"Dean Chen, your inference just now, saying that gastroesophageal reflux disease may have so many complications, is it explaining the cause of all the symptoms that patient Wu Agou is experiencing?"

Chen Qi stopped drinking water at this time. He took out a cup of Coke from nowhere and started drinking it happily.

Being glared at by Lan Lijuan, she almost dropped the bottle without even grabbing it, and quickly continued the topic:

"Yes, at least I think that only gastroesophageal reflux disease, especially the stubborn and refractory esophageal reflux disease, can explain the various symptoms that Wu Agou has."

Another doctor also raised his own questions:

"But Director Chen, we have noticed that Wu Agou has sought medical consultation in major hospitals in the country, and has done the necessary examinations. I see that the medical records have a lot of answers. If you think it is reverse

influenza, so how should we confirm this possibility?"

Chen Qi chuckled:

"What's the use of having more examinations? The problem is that you have to check in the right direction, otherwise you'll just be looking for a needle, without specificity. No matter how many examinations you have, it's still a waste of the patient's money.

So you have to remember that when you conduct inspections in the future, you must give me a reason why you want to do this inspection? Don’t just do whatever you want. We make money from inspection fees, but we can’t issue inspection orders indiscriminately just for money.

Increase the burden on patients.

Specific to the patient Wu Agou, I found that the areas he examined were concentrated on the respiratory system, nervous system, and a lot of circulatory system and facial features examinations. These examinations were of no use to Wu Agou's condition.<

/p>

Have you noticed that Wu Agou’s symptom is stomach pain, and this stomach pain is mainly heartburn. He often wakes up in the middle of the night, and the pain radiates to his back. Come on, come on, all of you are physicians here, you are the first
Chapter completed!