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左室条束致心脏杂音及室性早搏临床上常见,但引起心电图下壁梗塞样改变国内尚未见报道,我们曾遇2例,报告如下。 例1 男,21岁。因剧烈运动后胸痛、胸闷、出汗3年,疼痛难忍、气促、窒息感2个月,在外院做心电图异常,以“风湿性冠状动脉炎”转来我院拟行冠状动脉造影。其母有心脏病。体检:HR72次/分,BP15/9kPa,律齐,胸骨左缘第3、4肋间闻及Ⅱ-Ⅲ/6SM。心电图示Ⅱ、Ⅲ、aVF导联呈QR波,ST段上移1~2mm,Ⅰ、aVL导联ST
Left ventricular bundle caused by heart murmur and ventricular premature beats clinically common, but caused by ECG-like infarction-like changes have not been reported in China, we have encountered two cases, the report is as follows. Example 1 Male, 21 years old. Due to severe chest pain, chest tightness, sweating 3 years, pain unbearable, shortness of breath, suffocation for 2 months, outside the hospital to do ECG abnormalities, “rheumatoid coronary artery disease” transferred to our hospital for coronary angiography. The mother has a heart attack. Physical examination: HR72 beats / min, BP15 / 9kPa, Laws, the third intercostal stenosis of the left sternal border and II-III / 6SM. ECG showed Ⅱ, Ⅲ, aVF lead was QR wave, ST segment up 1 ~ 2mm, Ⅰ, aVL lead ST