Doctor of Healing

Chapter 715

"Is there still this disease?" Lu Gang murmured.

Because what Lin Jiu said was very formal, and the cases he brought up were from people with names and surnames, it didn't look like a lie, so Lu Gang immediately believed it.

"Dr. Chen Pengsheng is the editor-in-chief of the "International Heart Rhythmology" magazine. The article is published in the magazine. If Director Lu is interested, he can find it."

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

"How many impact factors does the International Journal of Cardiac Rhythmology have?" Xu Leyu suddenly asked.

"Around 5, a small magazine." Lin Jiu said.

"..."

"..."

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

Are SCI journals with an impact factor of 5 or more considered small journals? !
"According to a 2019 review in the American Journal of Cardiology, postural tachycardia syndrome is the most common form of "orthostatic intolerance" in young adults, mostly in women aged 15-50.

Typical symptoms include dizziness, fainting, problems thinking, memory, and concentration, palpitations, shaking, and sweating, feeling weak and tired, tired, headache, poor sleep, chest pain, nausea, and shortness of breath. "

"It's the 'laziness' you just mentioned, Director Lu."

Lin Jiu didn't know why he changed from his previous gentleness, and he didn't forget to mock Lu Gang while talking.

Lu Gang didn't seem to hear, he was thinking.

"There are figures showing that 500 in 1 people in the UK has some degree of postural tachycardia syndrome. It's 1 in [-] in the US or more common. The correct diagnosis depends on the level of local doctors."

"The level of medical care in the United States is very high, so one person in a hundred will be diagnosed."

Today's Lin Jiuze is different from usual, showing his sharpness, as if Lu Gang has possessed a body, and every word is full of thorns.

"Do you really have this disease?!" Zhao Zhe said to himself.

"The disease has a long history, with records dating back to 1871. Initially, it was called "fidgety heart" or "soldier's heart." Later, in 1944, it was officially named postural tachycardia syndrome."

"But why? I'm allergic to gravity. I feel uncomfortable when I stand up. This..." Zhao Zhe didn't care about Lin Jiuze's sarcasm at all. He asked if he didn't understand, "Dr. Thousands of them, so far I have not found any patients with similar conditions."

"Patients' illnesses range from mild to severe." Lin Jiu smiled slightly, "Many patients feel uncomfortable after waking up, but they don't realize that there is something wrong with their body at all, and they will be fine after a little exercise."

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

"The NHS Interpretation of the Disease states that the disease is the result of a combination of mechanisms.

In the supine position, about 1/4 of the body's blood is concentrated in the chest.

If you quickly change to an upright position, the force of gravity will displace the blood downward, and about 500-1000mL of blood will flow to the abdomen, pelvis and lower limbs after standing upright for a few seconds.

This transient change may lead to a decrease in venous return to the heart, a decrease in stroke volume, and a reflexive increase in sympathetic nerve activity.

The autonomic nervous system kicks in and compensates by slightly increasing the heart rate to maintain normal blood flow.

For normal people, the above-mentioned process is unconscious, and the body usually handles it within 1 minute.

But in patients with orthostatic tachycardia syndrome, this response is not properly triggered.The heart even "races" to compensate for changes in blood flow.

Clinically encountered orthostatic tachycardia syndrome patients are..."

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

Zhao Zhe took a few glances, only to see the marker pen walking around "by himself", as if haunted.

What a surprise!

Zhao Zhe was also helpless.

However, what Lin Jiu said may be a bit difficult, and it is purely theoretical, but "gravity allergy" is too strange, and Zhao Zhe, Xu Leyu, and Lu Gang listened with great interest.

"The article "New Advances in the Treatment of Postural Tachycardia Syndrome" has a similar description-exercise can activate the skeletal muscle pump, increase blood pressure, and have a good therapeutic effect on severe patients.

3 times a week, 20-30 minutes of aerobic exercise + lower limb and abdominal resistance training, semi-recumbent position such as swimming, rowing and other sports are recommended.

For teenagers, standing against the wall for 30 minutes a day, once in the morning and once in the evening, is also effective.If symptoms of syncope occur during training, such as dizziness, amaurosis, pale complexion, nausea and vomiting, sweating, etc., you should immediately take a supine or sitting position, or raise your thighs to relieve symptoms. "

"After a period of exercise, the symptoms eased."

"It's better to just whip the belt." Zhao Zhe whispered.

The marker pen in Lin Jiuze's hand hit Zhao Zhe with a "swipe", and Ji Xiang reached out to catch it.

"Doctor Lin, don't make trouble."

"..." Lin Jiu was in a daze for a moment, and finally sighed.

This is not Massachusetts, and what I am facing is not students from Harvard Medical School, and such a monster as Ji Xiang.

Facing Jixiang, Lin Jiu knew he was at a disadvantage.

"Probably so. Pumping a belt can also solve the problem, forcing the child to get up and move, and it is used to fight the disease. But there are still certain risks. I suggest a system and a theory..."

Lin Jiu began to speak at length again.

He spoke as if the dean was giving a report, and I could say a few simple sentences in one sentence, and then he could talk for an hour or two in the end.

His talkativeness is completely different from Zhao Zhe's talkativeness.

Lu was a little reluctant at first, but after Lin Jiu talked, he had already started to take notes.

After half an hour.

Lin Jiu covered the marker pen.

"That's all for today."

Zhao Zhe looked at the blackboard quietly, seeing a lot of things written on it, as if he was back in school.

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

He was really worried that Ji Xiang would express his objections.

Lin Jiuze's research on postural tachycardia syndrome has been very thorough. After all, he is in Massachusetts General Hospital, and he has carried out relevant theoretical research for many years.

Facing a hospital at the level of the Second Affiliated Hospital, he was almost a dimensionality reduction blow.

But in the face of Jixiang, the target of dimensionality reduction strikes is reversed.

Lin Jiu was always apprehensive, for fear that Ji Xiang would smile, and then stand up and talk about some cutting-edge knowledge, directly overturning all the theories he had mastered.

After Lu Gang finished recording, he suddenly slapped his thigh, "Oh my god, I forgot, I have to go to the patient right away! I'm still waiting for my consultation there!"

(End of this chapter)