After running 1000 meters of cardiac arrest, the expert team emergency rescue for 57 hours "wake up" and "post -00" college students

The Yangtze River Daily Da Wuhan Client July 25 (Reporter Li Qing Correspondent Ning Yafei) Two months ago, 19 -year -old college student Xiaohan fainted at the school playground 1,000 meters after running 1,000 meters, breathing heart arrest. After being sent to the People's Hospital of Wuhan University (Hubei Provincial People's Hospital), the hospital's emergency department, intensive medical department, and cardiovascular hospital for 57 hours were pulled back from the death line. On July 25, after the follow -up of the Cardiovascular Hospital of the hospital, Professor II Kehudan's follow -up and genetic testing and diagnosis, comprehensively evaluated that Xiao Han recovered well and could return to the campus.

Photo of Han and medical care.

On May 11th, a university in Wuhan conducted a 1000 -meter physical test. The sports scores have always been excellent. When the test was over, the excellent student suddenly fell to the ground and couldn't. Seeing this, the teachers and classmates quickly sent it to the school's medical office and immediately resuscitated him with cardiopulmonary resuscitation. After his heartbeat recovered, he was still in a coma, accompanied by full -body convulsions, and was rushed to Wuhan University People's Hospital.

The condition is more critical. After the emergency department, it was treated with spasm and sedation, protecting the brain function, and quickly switched to the intensive ward.

"Usually good health, why suddenly the heart arbitrarily stops?" The expert team actively searched the cause and conducted examinations.

Professor Hu Dan found that the patient's ECG showed an early compound abnormality. Dynamic ECG prompting: The ST section of the slow frequency dependence is raised, and the J point is obviously up upper when the heart rate is slow. It belongs to the typical early compound abnormalities, and the sudden cardiac arrest may be due to the problem of cardiac conduction system. Combining the history of syncope and sudden death, and family history of sudden death, Hu Dan highly suspected that he was an early compound syndrome with a close relationship with the sudden relationship with the youthful heart source (SCD), and coordinated the treatment plan.

In the evening, Xiao Han's intracranial high pressure was significantly relieved. At 10 pm on the third day, Xiao Han's consciousness of 57 hours gradually recovered. After the condition was stable, Xiao Han turned to the II department in the heart to further treat it. Democratic.

After being discharged from the hospital, Xiao Han and his father sent the banner to the help of the help.

However, the experience of sudden mixture almost made Xiao Han's family feel worried. They asked Professor Hu Dan to explore the root cause of the disease and preventive measures.

Hu Dan, who continues to follow up and study sudden cardiac death (SCD), pointed out that the early compound syndrome belongs to the common electrocardiogram abnormal phenomenon. Most of them are normal electrocardiogram variations. However, in recent years, clinical studies have found that a small number of early compound poles can lead to bad heart rhythm and even induce cardiac arrest and sudden death. The sudden death of youthful heart -based heartbirth caused by this type of disease is a major health problem that seriously threatens life safety. At present, most of the corresponding molecular causes are not clear, and specific treatment is lacking. With the support of Professor Jiang Hong, director of the Department of Cardiology, Professor Hu Dan recently led the team to achieve important research breakthroughs in this field, and the corresponding achievements were awarded "Top Ten Original Researchs from the During the 2019 to 2021".

In a genetic test for more than a month in the future, Hu Dan found that Xiaohan detected mutations in pathogenic genes related to malignant arrhythmia. Four cases of cardiac arrest are similar, all of which are syncope and sudden death due to excessive vagus nerve excitement. After actively dealing with and evaluated risks, it was decided to implant the buried intra -hearted defibrillator (ICD) and supplemented by drug treatment to prevent sudden death caused by vicious arrhythmia.

Hu Dan said that due to the sudden harm of sudden death of young people caused by early compound poles, its team will conduct targeted stem cells and genetically modified animals, looking forward to revealing a deeper mechanism background behind such diseases. If the conclusion is established, research will achieve major breakthroughs and greatly stimulate clinical diagnosis and treatment innovation. Both patients are classic cases that apply basic research on cutting -edge research to clinical practice, and clinical practice in turn guides the direction of basic research. Due to the lack of specific treatment of early -recurring syndrome and the large side effects, Professor Hu Dan team and the top international research center have actively developed corresponding drug development, hoping to serve patients in the near future.

Professor Zhan Liying, director of the Department of Severe Medicine, introduced that sudden cardiac death was mainly caused by fatal and rapid arrhythmia, so people such as coronary arteries and myocardial injuries were prone to occur. She reminds that continuous rhythm exercises can help enhance cardiopulmonary function, but at the same time, they should avoid excessive exercise; we must develop good living habits in daily life, maintain a good rhythm of life, regulate emotions, change the bad habits such as staying up late, alcoholism and other bad habits. Essence

[Edit: Yu Lina]

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