After the start of the winter vacation, there was a significant increase in adolescent patients in the hospital. "There are also a lot of small patients who come to our department, and there are four students in the ward one day. There are also students who come from other places accompanied by their parents. Wang Lihong, director of the Department of Cardiology of Zhejiang Provincial People's Hospital, mentioned that within a week, the department has completed premature radiofrequency ablation for more than 10 college and middle school students.
Post-flu panic and myocarditis.
Some time ago, 17-year-old Lingling was not spared under the ravages of wave after wave of influenza viruses. Soon after the infection, Lingling began to experience frequent palpitations, especially when she stayed up late to review.
The school hospital did not rule out that she had myocarditis, and arranged for a Holter electrocardiogram, which found that there were more than 15,000 premature beats in 24 hours. The final exam is just around the corner, wouldn't it be a pity to give up after preparing for so long? In the end, Lingling gritted her teeth and insisted on completing her busy studies every day. "Panic from time to time has seriously affected my learning status. As soon as the final exam of the second year of high school was over, Lingling hurriedly packed her luggage and went to Wang Lihong's clinic accompanied by her parents.
Influenza is caused by viral infections that themselves can easily cause direct damage to heart muscle tissue. For example, Lingling is likely to be the influenza virus that invaded the local cardiomyocytes, causing inflammation of the cardiomyocytes, resulting in increased excitability of the cardiomyocytes in the region, coupled with the high pressure of study at the end of the term, which induces frequent premature beats. Therefore, if you have symptoms such as palpitations after contracting the flu, you should be aware of myocarditis! Wang Lihong said.
The day after she was admitted to the hospital, the doctor performed a cardiac electrophysiological examination for Lingling, and after careful search and mapping, she was able to identify the lesion for surgery**. After the operation, Lingling had no discomfort symptoms, and she could get out of bed the next day, and the ECG monitoring showed that the premature ventricular contractions disappeared.
Pay attention to precautions before and after festivals.
According to reports, premature ventricular contractions are the most common type of arrhythmia. Excessive emotion, excessive fatigue, excessive exercise, excessive intake of tobacco and alcohol, strong tea, coffee, etc., can all lead to premature ventricular contractions. However, premature ventricular contractions due to structural heart disease are rare in the student population.
The doctor will give you the following depending on your condition. Radiofrequency ablation of the heart is a minimally invasive** method in which electrode catheters are delivered through veins or arteries to specific locations in the heart. Under the guidance of X-ray fluoroscopy and the construction of a three-dimensional model of the heart combined with cardiac electricity, the lesions that cause arrhythmia are found, and the current is released to cause local myocardial necrosis, which can achieve the best effect. Wang Lihong said that in addition to premature ventricular contractions, supraventricular tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia and other arrhythmias can be operated on**.
Recently, the National Health Commission held a press conference to introduce that recently, the number of people infected with influenza and Mycoplasma pneumoniae in China has declined, but it is the peak of returning home before the Spring Festival. Large-scale movement and gathering of people are likely to accelerate the spread of respiratory diseases, and respiratory diseases will remain at a certain epidemic level before and after the Spring Festival. Experts believe that in February, China will continue to show a variety of respiratory diseases alternately or jointly epidemic trend, among which, influenza is expected to drop to a low level around the Spring Festival. With the impact of factors such as the cross-regional flow of people and the increase in clusters around the Spring Festival, it is expected that the new crown epidemic will gradually rise.
Wang Lihong also reminded that during the festival, everyone should wear masks as much as possible in crowded public places, pay attention to maintaining a calm mind, avoid staying up late, take reasonable rest, avoid overeating, avoid joy and sorrow and participate in excessive or nervous activities, such as persistent chest tightness, palpitation, and heart leakage to go to the hospital in time.
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