I Can See Health

Chapter 410: Ablation failed?

Remember [new] in one second! The next day.

The first phase of assessment of Huaxia Electrophysiology Training Course has begun.

All the students were in high spirits.

Because as long as you pass this assessment, you can get the electrophysiology intervention certificate awarded by the Chinese Electrophysiology Society.

If you fail this time, you can only participate in provincial training courses.

The certificates awarded by the National Electrophysiology Society and the Provincial Electrophysiology Society have different gold content!

The intervention certificate for this training class is universal across the country.

No one wants to give up this rare opportunity.

"Lu Chen, have you decided who to choose?"

Min Xiaobo smiled and approached Lu Chen, holding Lu Chen's shoulder with one hand.

The two of them get along day and night, and they are both students from Beijing, so they have become very familiar with each other.

Lu Chen smiled, what Min Xiaobo asked was to select a one-on-one mentor after passing the first stage of assessment.

"Think about it, what about you?" Lu Chen glanced at Min Xiaobo. This guy looked very low-key, but he knew that it would be difficult to get along without good connections in the academic circle.

"Hehe, my previous boss contacted me with a professor, Qin Sifeng." Min Xiaobo grinned.

"Qin Sifeng?" Lu Chen raised his eyebrows and smiled, "Brother Bo, you are not simple. Professor Qin should be one of the best professors in the training class!"

Min Xiaobo smiled and patted Lu Chen on the shoulder, "I am also lucky."

The two chatted for a few minutes before Qin Sifeng walked into the classroom.

He looked around at everyone and announced: "The first phase of the assessment has officially begun!"

This assessment is also a clinical practice!

Everyone first conducted a group draw. There were three surgeries, namely pacemaker implantation, arrhythmia radiofrequency ablation, and ICD implantation.

Among them, radiofrequency ablation is subdivided into several categories.

What Lu Chen won was radiofrequency ablation for arrhythmia!

This time, Lu Chen was assigned to the First Affiliated Hospital of Kyoto University.

There are four other people in the same group with him, including Yu Hewei, who has been ranked first!

Everyone came to the cath lab of Kyoto University First Affiliated Hospital.

Not only did the training class attach great importance to this assessment, but Kyoto University also organized cardiology students to watch.

In the demonstration classroom outside the catheterization room of the Department of Cardiology, a large screen broadcast the entire assessment process.

Fang Ruzhang also organized graduate students and graduate students from the department to come and watch the competition.

"Yao Jie, go to the demonstration classroom of the cath lab to watch the game later." Fang Ruzhang smiled and said to Yao Jie who was writing the course of the disease.

"Teacher Fang, I haven't finished writing the course of my disease yet." Yao Jie said, she was still used to calling Teacher Fang in the department.

"Aren't you going to watch your senior brother's games?" Fang Ruzhang asked with a smile.

Yao Jie was stunned for a moment, then realized what was happening and said in surprise: "Senior Brother Lu Chen came to compete with us?"

"Yes." Fang Ruzhang nodded slightly, "It starts in about half an hour."

"Then I'll quickly write down the course of the disease." Yao Jie was startled and immediately speeded up writing the course of the disease.

Enter the cath lab.

All preparations for surgery are complete.

The students in the training class are still the first assistants and are led by a chief surgeon to perform the surgery.

The one Lu Chen got was radiofrequency ablation of premature ventricular contractions, and the others were radiofrequency ablation of atrial fibrillation, radiofrequency ablation of ventricular atrial complexes, radiofrequency ablation of atrial flutter, and radiofrequency ablation of premature atrial contractions.

Although they are all radiofrequency ablation surgeries, the patients' physical conditions and electrophysiological conditions are different, and the difficulty of the surgery is also different.

Before the assessment, everyone got all the patient's information, including electrocardiogram and medical records.

Lu Chen took a look at the electrocardiogram and knew that it was a premature ventricular beat originating from the right ventricular outflow tract.

It is a very common arrhythmia, and the ablation method is also very simple.

Suddenly, Lu Chen felt confident.

He has trained this kind of ablation surgery hundreds of times in the simulated operating room!

Following the examiner's order, all students, including Lu Chen, walked into their respective cath labs at the same time.

This time the operation was performed by five people at the same time.

In the demonstration classroom watching the battle, Fang Ruzhang arrived with a group of students.

"The assessment has begun!"

Yao Jie stared at one of the small screens nervously.

Although she was not the one performing the surgery, she seemed to be more nervous than the person doing the surgery.

"Teacher Fang, is this surgery performed by Senior Brother Lu Chen difficult?" Yao Jie whispered.

"This..." Fang Ruzhang took a closer look at Lu Chen's operation interface, "It looks like it should be a routine radiofrequency ablation of arrhythmia. It's not too difficult."

"Yes." Yao Jie's nervous mood eased a bit. With senior brother Lu Chen's ability, there must be no problem. She also silently prayed for Lu Chen in her heart.

Inside the catheter room.

Lu Chen put on gloves and a hat, and under the instructions of the surgeon, started the interventional surgery.

At the same time, the chief surgeon also served as the examiner and reminded: "If there are any problems, please report to me at any time. If I find anything wrong, I will stop the operation."

Lu Chen nodded, expressing his understanding.

Then, he slowly walked towards the patient above him and began to disinfect and spread drapes.

The first step is still to puncture the blood vessel.

Lu Chen acted very quickly, and his speed and success rate of blood vessel puncture far exceeded that of other students present, including Yu Hewei.

shown in the classroom.

All the audience were a little surprised.

"This young man in operating room No. 3 is so good at puncture?!"

"Yes, it really hits the nail on the head. Is this speed faster than our director?"

"Maybe it's luck, I can hit the nail on the head sometimes!"

Hearing everyone's discussion, Fang Ruzhang smiled.

The first time he saw Lu Chen's piercing, he was also shocked.

This technique and speed are like installing an imaging machine on the eye, puncturing the blood vessel in an instant.

It may be good luck once or twice, but if you succeed almost every time, it is not a matter of luck!

At this time, inside the catheter room.

Lu Chen was also very satisfied with his piercing.

As one of the first skills he trained, his skill proficiency in vascular puncture has been infinitely close to 100%.

This is also due to his countless trainings, including various difficult vascular puncture trainings in the simulated operating room!

Whether it's narrow blood vessels or abnormal blood, Lu Chen can get it right in one step!

After the puncture was successful, Lu Chen sent the catheter into the right ventricular outflow tract on one side of the free wall.

This patient's arrhythmia originated from the right ventricular outflow tract.

Therefore, the most basic ablation method is to place the catheter into the right ventricle and perform discharge ablation, so that premature ventricular contractions can be permanently ablated!

After mapping the location, UU reads www. uukanshu.net Lu Chen began to perform the ablation operation.

"Ablative discharge!"

After the discharge ablation begins, the ventricular ablation disappears quickly during the continuous discharge process.

On ECG monitoring, the patient's premature ventricular contractions had disappeared and were replaced by sinus rhythm (normal heart rhythm).

In the demonstration classroom, the audience was surprised that the operation in operating room No. 3 was so smooth!

From the beginning of surgical disinfection to the end of discharge ablation, it takes less than half an hour.

"Successful!" Yao Jie showed a bright smile.

However, Lu Chen on the stage suddenly felt something was wrong.

Less than a minute after he stopped charging, the patient's ECG monitoring showed that the ventricular cavity had recovered again!

Lu Chen was stunned by a series of wide and misshapen QR waveforms. (The pattern of premature ventricular contractions, the qrs waveform is wide and deformed.)

Ablation of premature ventricular contractions failed? !

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