Academic Debate
Clinical application of " holism view" dialectical thinking in the etiological diagnosis of contradictory heart rate reaction
Minghui Sun, Xu Lei, Jinke Li, Fang Li, Weixing Du, Rugui Li, Huabing Tan
Published 2019-02-26
Cite as Chin J Diagnostics(Electronic Edition), 2019, 07(1): 59-62. DOI: 10.3877/cma.j.issn.2095-655X.2019.01.012
Abstract
ObjectiveTo understand the concept of holism view and to analyse the etiological diagnosis of contradictory heart rate reaction.
MethodsA dialectic diagnosis thinking way was performed on 2 patients with contradictory heart rate admitted to the department of infectious disease in Shiyan People′s Hospital from November 2017 to June 2018. A 69-year-old woman with a history of pneumonia, coronary heart disease, polyserositis and with heart rate 65 beats a minute. The other patient was a 41-year-old man who presented with massive hemorrhage of gastrointestinal tract, liver cirrhosis after hepatitis B, and with heart rate 70 beats a minute.
ResultsThe "holistic view" theory was applied to analyze the contradictory responses of pulmonary infection, pleural effusion and relatively slow heart rate in the first patient, as well as upper gastrointestinal hemorrhage and relatively slow heart rate in the second patient.The 2 cases were eventually diagnosed as hypothyroidism and cirrhotic cardiomyopathy respectively.
ConclusionApplying "holism view" dialectical analysis to the etiological diagnosis of contradictory heart rate reaction is helpful to get a correct diagnosis and giving the patients′ reasonable treatments, on the basis of detailed inquiry, standardized physical examination and auxiliary examination.
Key words:
Hypothyroidism; Cirrhotic cardiomyopathy; Abnormal heart rate; Holistic view; Dialectical analysis
Contributor Information
Minghui Sun
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Department of Medicine, Fangxian County Mental Health Center, Fangxian 442100, China
Xu Lei
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Jinke Li
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Fang Li
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Weixing Du
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Rugui Li
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
Huabing Tan
Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000, China
