患者,男性,86岁,主因“反复咳嗽、咳痰、喘息40年,加重7d”于2016年12月3日15:17入我院呼吸内科,既往有冠心病、陈旧性心肌梗死、持续性房颤病史。入院后查肌钙蛋白Ⅰ0.200ug/L、B型尿钠酸884pg/mL。床旁超声示左室壁运动幅度减弱、欠协调,双房增大,二尖瓣、三尖瓣中-重度关闭不全,主动脉瓣钙化伴轻度关闭不全,中度肺动脉高压,左室收缩功 Patients, male, 86 years old, mainly due to “repeated cough, expectoration, wheezing 40 years, increased 7d ” on December 3, 2016 15:17 into our hospital Respiratory Medicine, past coronary heart disease, old myocardial infarction, Persistent history of atrial fibrillation. After admission, check troponin I0.200ug / L, B-type natriuretic acid 884pg / mL. Bedside ultrasound showed decreased left ventricular wall motion amplitude, undercoordination, increased double room, mitral, tricuspid mid-severe regurgitation, aortic valve calcification with mild insufficiency, moderate pulmonary hypertension, left ventricular contraction Work