young woman

A young woman in her 20s lost her heartbeat and breathing while working and suddenly fell down. After being rescued by an automatic external cardiac defibrillator (AED), she recovered her vital signs. After arriving at the hospital, she found that she had WPW syndrome, a rare congenital heart disease. The patient, because there is an extra bundle of conductive tissue compared with ordinary people, causes severe arrhythmia and is at a very high risk of sudden death. Fortunately, after the attending physician performed the 3D electrocautery operation on the heart, the abnormal discharge points of the heart were successfully removed, allowing the heart to resume a stable beating and greatly reducing the risk of sudden death.

Atrial fibrillation stroke, sudden death rate is high, drug control is poor, cardiac catheterization may be considered

Xu Zhuyou, Physician of the Department of Cardiology, Taoyuan General Hospital of the National Army, said that arrhythmia is caused by abnormal nerve discharge, which makes the heart muscle contract abnormally, resulting in irregular heartbeat. Among them, atrial fibrillation accounts for about 20% of arrhythmias, and the incidence of atrial fibrillation increases with age.

Once atrial fibrillation occurs, blood can easily coagulate into thrombus in the atrium, and then flow to the brain, lungs, coronary arteries and other parts along with the blood. Dr. Xu Zhuyou explained that because atrial fibrillation can easily lead to fatal conditions such as stroke, pulmonary embolism, and myocardial infarction, after the patient is diagnosed, he will first use drugs to control it, and can also supplement it with anticoagulants to reduce the chance of thrombosis. If it is not as expected, the use of cardiac catheterization will be considered to more actively eliminate the abnormal discharge points of the atrium, so as to minimize the risk of stroke and sudden death.

From flat to three-dimensional!The latest 3D stereotaxic positioning greatly improves the success rate

Dr. Xu Zhuyou explained that during the electrocautery operation, the doctor must constantly confirm the position of the cardiac catheter. Traditionally, X-rays are used to continuously irradiate the position. The patient has to bear the risk of exposure to high radiation environments; It shows that it is very dependent on the doctor’s own experience and knowledge of physiological structure to convert the two-dimensional image into three-dimensional cognition in the brain. The operation is very difficult, and it is difficult to ensure complete and accurate electrocautery of abnormal points.

Medical treatment at any time keeps pace with the times. At present, the new technology of 3D stereotaxic positioning for electrocardiography can improve the above risks. Dr. Xu Zhuyou emphasized that with the assistance of the 3D stereotaxic system, doctors can now directly see the stereoscopic images around the cardiac catheterization on the equipment. It can provide precise positioning like GPS, and doctors can quickly judge the position of the cardiac catheter without visual errors, and perform precise electrocautery on abnormal points.

Shoulder the health responsibility of South Taoyuan!The Cardiac Catheterization Department of National Army Taoyuan General Hospital improves medical quality in an all-round way

At present, among the acute and severe medical centers in the South Taoyuan area, only the National Army Taoyuan General Hospital has introduced a 3D stereotaxic system for cardiac electrocautery surgery. Dr. Xu Zhuyou mentioned that the Taoyuan General Hospital of the National Army is located in Longtan District, South Taoyuan. It established a cardiac catheterization laboratory on January 1, 2000. It has always been responsible for maintaining the health of the people around it. In order to provide medical center-level cardiovascular disease care, we actively arrange attending physicians in the hospital to go to domestic first-level medical centers such as Tri-Service General Hospital, Taipei Veterans General Hospital, and Linkou Chang Gung to receive cardiac electrophysiological intervention training and introduce advanced technologies such as 3D stereotaxic positioning systems. Equipment. At present, the National Army Taoyuan General Hospital has established a professional team for arrhythmia electrocautery, and has accumulated a large number of cases of 3D cardiac electrocautery surgery, so that patients can have high-quality treatment and care.

Any surgery has risks. It is recommended to discuss treatment options with the attending physician

Dr. Xu also reminded that many people feel worried and even resist when they hear about heart surgery, but in fact, with the current medical technology, cardiac electrocautery has been very advanced and safe, and there are many auxiliary technologies to choose from, such as 3D stereotaxic positioning The electrode patches required for the treatment have also been conditionally paid by the national health insurance. Therefore, patients are advised to consult and discuss with doctors more according to their own needs, so as to successfully control the disease and reduce complications.