The Enhanced Doctor

Chapter 1224: Chapter 1224: Wolff-Parkinson-White Syndrome

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"One unit of adrenaline, defibrillator ready, 200J."

After placing the young man on the bed, Liu Banxia shouted.

The parents who had just rushed over saw this scene, already worried to begin with, now they were terrified beyond belief.

"Please don’t come any closer, give our doctors the space they need for resuscitation." The nurse stopped them and pulled the curtain shut.

"Doctor, doctor, please save Pengpeng." The child’s mother shouted.

Liu Banxia, who was performing CPR, had no time to respond, his heart was anxious.

He was afraid the child’s hypertension would cause a problem, but didn’t expect the issue to be with the child’s heart instead of his brain.

"Charging complete."

The nurse next to him said.

"Hands off"

"Snap"

After the shock, Liu Banxia reached out to feel the child’s pulse.

After sensing a weak yet strong pulse, he breathed a sigh of relief.

Ding! Emergency rescue task completed

Experience points gained: 50

"Get an ECG, also call the cardiologist over." Liu Banxia said.

The nurse hurried to call someone.

"Doctor, how is Pengpeng?"

Just as he walked out from behind the curtain, the child’s father asked hastily.

"He has been resuscitated, but I suspect the child may have Wolff-Parkinson-White syndrome." Liu Banxia said.

"During his regular life, is he often easily excited? When excited, does he often show signs of a flushed face? Does he sometimes have a harsh breathing sound?"

The couple nodded.

"Let’s wait for a moment, we are doing an ECG now, and then our cardiologist will take a look. He may need to be hospitalized for treatment; his condition is quite serious." Liu Banxia said.

"Doctor, how serious is it?" the child’s mother asked.

"You saw what happened just now, if not treated, when his emotions fluctuate in the future, situations like today will occur again." Liu Banxia said.

"Director Liu, how is the child?" At this point, Xu Guosheng from cardiology also rushed over.

"We are doing the ECG; take a look later. I suspect it may be Wolff-Parkinson-White syndrome." Liu Banxia said.

Xu Guosheng nodded and walked in after pulling the curtain aside.

"Doctor, then... is this disease a heart condition? The child is so young." The patient’s mother said.

"Once the ECG comes out, we will know, so don’t worry for now." Liu Banxia comforted.

In less than two minutes, Xu Guosheng came out, "The initial part of the QRS wave group is blunt with pre-excitation wave, diagnosis can be confirmed. However, the child has already complicated with ventricular fibrillation, conservative treatment is no longer useful."

"Doctor, does he need surgery?" the child’s father asked.

Xu Guosheng nodded, "Wolff-Parkinson-White syndrome means that in the atrioventricular conduction process, part of the signal takes a shortcut, prematurely exciting a portion or all of the ventricle."

"This premature activation makes the whole heart’s operation unable to stay synchronized, causing his tachycardia and ventricular fibrillation."

"Currently the better treatment option is the RF ablation, and the prognostic effect is quite good. It is a minimally invasive surgery, going through a catheter under the skin, then extending to the heart."

"We will deal with the part of the myocardium that becomes excited prematurely, so even if he gets emotionally excited in the future, it won’t cause arrhythmia."

"Today he has already developed ventricular fibrillation, causing certain damage to the heart. If he gets overly emotional next time, it could happen again."

"Our heart is quite delicate, how many times can it endure such wear and tear? Not to mention, if no one knowledgeable in first aid is nearby during his next attack, it would be very dangerous."

Although Xu Guosheng spoke lightly, it was not easy for these parents to accept.

This involves using electricity to burn the heart. What if it gets out of hand? What if it damages the entire heart?

This is an extremely dangerous surgery, something they have never heard of in their life experiences.

"When the child came in for a consultation today, his systolic blood pressure had already reached 150," Liu Banxia also spoke up.

"The child has a habit of getting emotionally excited, compared to others, he has more triggers. Every time he is triggered, it could provoke the onset of symptoms."

"No need to rush, you can think it over carefully. Or if you know any doctors, you can ask them what Wolff-Parkinson-White syndrome is like."

"Now let’s take a look at the child first and try not to let him get too excited. Don’t blame him for the fracture, we need to keep his mood relaxed."

The couple nodded and squeezed inside the curtain together.

"Luckily, the episode happened at our emergency center, otherwise, it would have been hard to say," Xu Guosheng said.

"The child’s ability to regulate emotions under stress is somewhat lacking. Other than radiofrequency ablation, is there any other option?" Liu Banxia asked.

Xu Guosheng nodded, "If radiofrequency ablation cannot completely disrupt it, then we’ll have to implant an internal cardioverter defibrillator. Wolff-Parkinson-White syndrome is indeed a very dangerous condition."

"Radiofrequency ablation is currently the most effective. Meng can handle it effortlessly. But I’m not sure if we can add it to tomorrow’s schedule, I’ll need to follow up."

"Oh... you know, at the time I was always worried the child might have a delayed intracranial hemorrhage. I didn’t expect it to really manifest in the heart, it’s truly distressing," Liu Banxia said.

"This condition tends to occur in adolescent males," Xu Guosheng said.

"Because they’re adolescents, their emotions are inherently more volatile. And only a small portion of this condition is due to organic lesions, making early diagnosis quite challenging."

"Did you finish the patient’s surgery today? Two in two days, during the New Year, hopefully, it ensures a good outcome."

"It’s nearly done, intraoperative bleeding was also controlled, and vital signs returned to normal. Bleeding wasn’t substantial, otherwise, it would have been like yesterday," Liu Banxia said.

"I called the ICU at noon, and they didn’t express complete confidence that the patient would wake up smoothly, which is frustrating."

"The brain remains too mysterious, we actually understand very little indeed. That’s why I chose cardiology over neurology," Xu Guosheng said.

"Doctor, can’t medication control it? Pengpeng is so young; will undergoing surgery affect his growth and development?" The child’s mother came out at this moment.

"Considering your son’s current condition, medication control is no longer that reliable; the risks are indeed very high," Xu Guosheng said.

"Think about it, maybe medication can control and regulate to some extent. However, given his present situation, even if just once the medication doesn’t control it, there will be a life-threatening risk."

"Moreover, during the surgery we will also test, we only deal with the problematic myocardial area, and we need to inform you that this operation requires the patient to stay awake throughout."

"Because we need to use electrical stimulation and judge the problematic part through the patient’s sensations and instrument readings. In medical terms, this is called ’mapping’."

"Then we’ll be able to target effectively, treating through the release of radiofrequency currents via an ablation device. During the whole process, we will administer sedatives to the patient, the operational risk is very small, relatively safe."

"However, no matter how it’s still a surgery, there’s also a possibility of complications. For instance, complications related to vascular puncture, bleeding, infection, thrombus, pneumothorax, and so on."

"Then there are complications following catheter manipulation, such as aortic valve regurgitation, myocardial perforation, cardiac tamponade, etc. All surgeries carry risks, and we need to be clear with you about this."

"Earlier, Director Liu also asked me if there was any other method. Indeed there is, but it’s more invasive than radiofrequency ablation. It’s implanting a defibrillator in the heart to directly defibrillate when tachycardia is detected."

"Doctor, what’s the success rate of this operation?" the patient’s father asked.

"Well, the success rate is somewhat hard to state. Anyway, for all the radiofrequency ablation surgeries I’ve participated in, none have failed," Xu Guosheng said with a smile.

"Postoperatively, some patients have felt a recurrence of tachycardia but have not experienced an actual attack, no further treatment was needed. Two patients required a second surgery, and their current prognoses are very good."

"I can only say the success rate is high, and we’ll do our utmost to ensure the surgical process is smooth and successful. In terms of operation, we have very mature experience."

"Post-surgery, we use instruments to monitor the patient’s heart function, and usually, they are discharged in about a week. Regardless of whether you decide to have this surgery in our hospital, I personally very much recommend that you consider it seriously."

"This disease is genuinely very dangerous; we can’t just ignore it as if nothing happened. Surviving once or twice is fine, but what about after that?"

"I’ve already told the nurse to prescribe medication, which currently can provide control. If you have made a decision, please let us know promptly so we can schedule the surgery early."

"Given the child’s situation, he must stay in the hospital for a few days. You can think it over, and later we’ll transfer him to our cardiology ward. I still have patients in hand; I need to check on them before leaving today."

"Alright, doctor, you go ahead. We’ll think about it," the child’s father hurriedly said.

As ordinary people, they are still very concerned about such a surgery, which is entirely normal.

"Doctor, what do you think?" the child’s mother looked towards Liu Banxia.

"If you ask me, we have to do it," Liu Banxia said.

"You’ve seen the situation just now; this operation is actually about necessity rather than preference."

"Radiofrequency ablation is the best, safest approach; we can’t just let the child hold on, right? Even so, please consider it thoroughly, because it’s surgery after all."

All he could say was that much; as for surgery, there’s always risk, and one cannot guarantee a certain outcome.

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