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333,heartbroken

Jiang Wu had been confused about the cause of the girl's illness, so he didn't notice any abnormalities on the monitor.

After hearing Su Jie's reminder, he quickly took a look at his blood pressure. It was still within the normal range, but referring to previous records, it did show a straight downward trend. If the blood pressure continued to fall, the patient would go into shock.

"There is obviously no abnormality in the electrocardiogram, and there are no problems in the CT taken. The patient's family has just arrived, which shows that the patient has never had a history of disease before..."

Under the pressure of his blood pressure continuing to drop, Jiang Wu finally showed a hint of heaviness on his face: "This doesn't make sense."

Su Jie echoed: "It does not make sense."

All the patient's symptoms showed that she had a heart disease, but the electrocardiogram showed that the heart function was normal. If the diagnosis was wrong at the beginning, the corresponding treatment plan would definitely be completely different.

The emergency department often encounters emergency patients with unknown causes. Many painful lessons have taught Su Jie that before the cause of the girl's illness is figured out, it is best not to act rashly and to maintain the status quo.

If improper treatment accelerates the progression of the disease, it will be really bad.

Su Jie walked to the bedside table and set the monitor to automatically measure blood pressure at five-minute intervals to monitor the girl's blood pressure fluctuations at any time.

She turned to look at the girl lying on the hospital bed. Although she was unconscious and her face was pale and purple, her brows were still slightly frowned, just like the sad expression she had before after being dumped by her boyfriend in the strawberry field.

At this moment, the CEO of the cardiac surgery department that Jiang Wu had called before hurried over, took the examination sheet from Su Jie's hand and read it carefully, and then gave the patient a simple physical examination. He also looked confused and said: "It's true.

It is very similar to the symptoms of myocardial infarction, chest pain, difficulty breathing and fainting after being excited, which is very similar to what the family members described."

"But the electrocardiogram is normal. It doesn't look like there is a heart problem." Jiang Wu said from the side.

"That's strange..." The CEO of the cardiac surgery department scratched his head, then picked up the checklist and looked at it again and again, thinking carefully, but he didn't have any ideas.

"It would be great if the patient could speak. At least we could carefully ask her how she felt when she got sick." Jiang Wu couldn't help complaining.

A doctor's diagnostic work is actually similar to that of a detective. He searches for the truth from clues and pieces together the chaotic and scattered evidence into facts. If he can obtain a confession from the person involved in the process, it will of course be extremely helpful.

But one of the more troublesome aspects of the emergency department is that patients are often already unconscious when they are sent to the emergency room. How to make the silent witness "speak" is a critical moment to test the ability of an emergency doctor.

When the five minutes were up, the blood pressure cuff was slowly inflated, then slowly deflated, and the blood pressure was immediately displayed on the monitor screen. It had dropped a bit more than before, and was closer to the limit of shock.

The three doctors present couldn't help but raise their eyebrows and racked their brains, trying to find the cause of the patient's illness as soon as possible.

Su Jie crossed his arms and stared at the fainted girl for a long time. The effect of [Eagle Eye] has been upgraded, and he can see the essence through phenomena. Su Jie concentrated on looking at the position of the patient's heart, and his vision gradually turned black and red.

The hot heart beat slowly in front of my eyes.

Bang, bang, bang.

Strong and powerful, full of rhythmic rhythm.

But even an electrocardiogram couldn't detect changes in the heart, and Su Jie couldn't see any problems with just his [Eagle Eye].

The girl's heart looks just like an ordinary heart, beating endlessly, opening and contracting.

"The important thing is the change. What kind of changes have occurred in the heart from before the onset to after the onset? This is the most critical!"

"It's a pity that I was not there when I was in the strawberry field. Otherwise, I would have used [Eagle Eye] to investigate at that time, and maybe I would have been able to identify the problem."

Su Jie was a little annoyed, thinking why he didn't like to join in the fun so much. Next time if he encountered someone arguing on the street, he would join them as soon as possible, waiting for one of them to faint from anger.

But then Su Jie remembered what Dr. Jiang Wu had just said: "The patient has no history of any disease and is usually in good health... Isn't that similar to my situation?"

"I just happened to see what happened..."

"Can I simulate what just happened with myself and do an experiment with my own heart?"

Su Jie has watched a lot of detective movies before, in which many great detectives would put themselves into the role of the murderer, and would even return to the scene of the crime to simulate the entire process of the murderer's murder.

As for clinical diagnosis, diseases are all 'murderers'. I happened to witness the 'crime scene' with my own eyes. Doing a simulation with my own heart seems to be a feasible method?

The patient's continuously falling blood pressure left Su Jie without much time to hesitate. The target of [Eagle Eye] turned to his heart, and Su Jie began to put himself in the role of the girl in the strawberry field just now.

I was originally in the mood for a happy trip, but I got into an argument with my boyfriend over some trivial matters. A trivial matter that I thought was nothing seemed to be the last straw that broke the relationship.

A fierce quarrel broke out suddenly and inexplicably.

The harsh quarrel from before seemed to ring in his ears, and Su Jie suddenly felt inexplicably short of breath, as if something heavy was pressing on his chest, making him breathless.

Take a deep breath and continue remembering.

The quarrel between the two gradually got out of control, the scalpel of words kept cutting into the once sweet past, and scars appeared in the deepest part of the heart.

The sweetness of the past has now become twice as painful, and the feeling of heartbreak is real and intense.

The sudden feeling of heartache almost made Su Jie feel suffocated.

At this moment, Su Jie suddenly noticed subtle changes in his heart.

During a complete cardiac cycle, the contraction of the apex disappears...

It was as if pain paralyzed the apex of the heart, causing it to lose the ability to actively beat. As the apex stopped beating, the entire circulation underwent subtle changes.

This change is the culprit that causes patients to have symptoms similar to myocardial infarction!

"What's wrong with Su Jie? Are you feeling uncomfortable?" Jiang Wu noticed Su Jie's abnormality and asked softly.

"fine."

Su Jie took two deep breaths of air, and the feeling of tightness in his heart gradually dissipated. He raised his head and looked at the CEO of the cardiac surgery department who was still thinking hard and said: "I remember seeing an emergency before, where the patient's apex would stop beating, causing a condition similar to a myocardial infarction."

The clinical symptoms...but I don’t remember the specific content clearly.”

"Apex of heart stopped beating?"

The CEO of the cardiac surgery department was stunned for a moment, then suddenly thought of something. After thinking for a moment, he clapped his hands and said, "By the way, why didn't I think of this?"

"This patient's symptoms are very similar to broken heart syndrome!"

"Heart-breaking

When the heart contracts, it looks like a Japanese fisherman catching an octopus.

Because takotsubo is used, it is often called takotsubo cardiomyopathy clinically.
Chapter completed!
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