Chapter 715: Frustrated lecture

Author: True Bear Chumo

Chapter 715: Frustrated lecture

"There is still this disease?" Lu Gang murmured.

Because Lin Jiuze said it very formally, the cases he brought out were still people with names and surnames, which didn't seem to be lying, so Lu Gang believed it all at once.

"Dr. Chen Pengsheng is the editor-in-chief of the magazine "International Cardiac Rhythmology". The article was published in the magazine. Director Lu can come and take a look if he is interested."

"There are many diseases characterized by "orthodontic intolerance". In addition to orthostatic tachycardia syndrome, there are also vasovagal syncope, orthostatic hypotension, etc.."

"How many factors are there influencing the International Journal of Cardiac Rhythmology?" Xu Leyu suddenly asked.

"About 5, a small magazine." Lin Jiuze said.

“…”

“…”

Xu Leyu and Lu Gang were both speechless by Lin Jiuze's Versailles.

Do SCI journals with impact factor 5 or above belong to small magazines?!

"According to the 2019 review by the American Cardiology Journal, orthotopic tachycardia syndrome is the most common "orthodontic intolerance" among young people, and is more common in women aged 15-50.

Typical symptoms include dizziness, fainting, the appearance of thinking, memory and attention problems, palpitations, trembling and sweating, feeling of weakness and fatigue, fatigue, headache, poor sleep, chest pain, nausea, and shortness of breathing."

"It's what Director Lu said just now, 'lazy'."

Lin Jiuze didn't know why he changed his gentleness and elegance before. As he spoke, he still didn't forget to mock Lu Gang.

Lu Gang seemed to have not heard it, he was pondering.

"There are data that in every 500 British people, one in some degree of orthotopic tachycardia syndrome. It is more common in the United States, and one in every 100 people suffers from illness. I feel that the correct diagnosis depends on the level of local doctors."

“The medical level in the United States is very high, so one out of a hundred people diagnosed.”

Lin Jiuze today is different from usual, showing his sharpness, as if Lu Gang possessed him, and every word is full of thorns.

"Is this disease really there?" Zhao Zhe said to himself.

"This disease has a long history, and records can be traced back to 1871. Initially, it was called "the irritable heart" or "the soldier's heart". Later in 1944, it was officially named as orthopaedic tachycardia syndrome."

"But why? Gravity allergic, I feel uncomfortable all over when I stand up. This..." Zhao Zhe didn't care about Lin Jiuze's sarcasm at all. He asked if he didn't understand, "Doctor Lin, there must be at least a few thousand people around me. So far, I have not found a patient with similar conditions."

"The patient's condition is mild or severe." Lin Jiuze smiled slightly, "Many patients feel uncomfortable after getting up, but they don't notice any physical problems at all, so they will be fine if they move."

"What about the pathogenic mechanism?" Lu Gang asked.

"The disease interpretation of the NHS in the UK's National Health Services system states that the disease is the result of the combined action of multiple mechanisms.

When lying on your back, about 1/4 of your body's blood is concentrated on your chest.

If it quickly becomes an upright position, the effect of gravity will cause the blood to move downward, and about 500-1000mL of blood will flow to the abdomen, pelvic cavity and lower limbs after a few seconds of standing upright.

This instantaneous change may lead to a decrease in venous return, a decrease in stroke output, an increase in sympathetic activity reflexivity, etc.

The autonomic nervous system begins to operate, and compensates for normal blood flow by slightly increasing the heartbeat.

For normal people, the above process is unknown and usually the body can handle it by itself within 1 minute.

However, for patients with orthostatic tachycardia syndrome, this reaction cannot be triggered correctly. The heart even "races" to make up for changes in blood flow.

All patients with orthostatic tachycardia syndrome encountered in clinical practice…”

Lin Jiuze began to talk about the problem of orthostatic tachycardia syndrome. He walked naturally to the blackboard and began to write on the blackboard with a marker pen, as if he was giving a lecture.

Zhao Zhe looked at it a few times and could only see the marker walking around "his own", like a haunted person.

What a fuck!

Zhao Zhe was also helpless.

However, what Lin Jiuze said may be a bit difficult, all of which are purely theoretical content, but "gravity allergies" are too strange. Zhao Zhe, Xu Leyu, and Lu Gang listened with relish.

"The article "New Progress in Treatment of Orthostatic Tachocardia Syndrome" has a similar description - exercise can activate skeletal muscle pumps, increase blood pressure, and has a good therapeutic effect on severe patients.

Three times a week, each time, 20-30 minutes of aerobic exercise + lower limb and abdominal resistance training, semi-reclining positions such as swimming, rowing, etc., are all worth recommending.

For teenagers, standing against the wall for 30 minutes a day, once in the morning and once in the evening, the effect is also good. If symptoms of fainting appear during training, such as dizziness, darkness, pale face, nausea and vomiting, sweating, etc., you should immediately take a supine position or sit position, or raise your thighs to relieve the symptoms."

"After a period of exercise, the symptoms will be relieved."

"It's better to just have a slap on the belt." Zhao Zhe whispered.

Lin Jiuze's marker in his hand suddenly hit Zhao Zhe with a "brush", and Ji Xiang reached out to catch it.

"Doctor Lin, don't make trouble."

"..." Lin Jiuze was in a daze and finally sighed.

This is not Massachusetts, and I am not facing a student from Harvard Medical School, and there is also a monster like Ji Xiang.

Facing Ji Xiang, Lin Jiu knew that he was at a disadvantage.

"It's probably that. A slap in the belt can solve the problem. Force the child to get up and move, and use it to fight the disease. But there are still certain risks. I suggest you need a systematic and theoretical..."

Lin Jiuze started to make a long speech again.

He spoke like the dean gave a report, and I could say one sentence for one or two hours in the end.

His talkative tutor is completely different from Zhao Zhe's talkative tutor.

Lu Gang was a little reluctant at first, but Lin Jiu talked about it later that he had already started taking notes.

Half an hour later.

Lin Jiuze covered the marker pen.

"That's all for today."

Zhao Zhe looked quietly at the blackboard and saw a lot of things written on it, and he felt like he was back to school.

Lin Jiuze glanced at Ji Xiang, Ji Xiang nodded slightly, and Lin Jiuze was relieved.

He was really worried that Ji Xiang would object.

Lin Jiu's research on orthostatic tachycardia syndrome has been thorough. After all, he has been in Massachusetts General Hospital for many years.

Faced with hospitals of the Second Affiliated Hospital, it is almost a dimensional reduction blow.

But when facing Jixiang, the target of the dimensionality reduction attack will be the opposite.

Lin Jiuze was always nervous, afraid that Ji Xiang would smile, and then stood up and talked about some cutting-edge knowledge and directly overturned all theories he had mastered.

After Lu Gang finished recording, he suddenly slapped his thigh, "Oh, I forgot, I forgot, I have to go to the patient's place! That side is waiting for my consultation!"
Chapter completed!