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肥厚型心肌病在窦性心搏未表现出病理性 Q 波时,可在室性异位心搏显示出来。现将我们所见1例报告如下。患者男性,57岁,反复上腹部隐痛及心前区不适7年,含硝酸甘油无效,休息后缓解,能坚持工作,胃镜检查(一),无高血压病史,1983年2日描记心电图,T_Ⅰ、aVL、V_5倒置,ST_(V_(1、3))抬高。近1个月出现劳累后气短、夜间阵发性呼吸因难,血压正常,颈静脉充盈,心界向左扩大,心尖搏动明显且弥散,偶闻早搏,心尖与胸骨左缘之间可闻及Ⅱ级收缩期杂音,双肺(一),肝肋下
Hypertrophic cardiomyopathy in sinus beats did not show the pathological Q wave, can be displayed in the ventricular ectopic heartbeat. Now we see a report as follows. Male, 57 years old, repeated upper abdomen pain and precordial discomfort for 7 years, with nitroglycerin ineffective rest after remission, can adhere to work, endoscopy (a), no history of hypertension, electrocardiogram recorded on the 2nd of 1983, T_Ⅰ , AVL, V_5 are inverted, ST_ (V_ (1,3)) is raised. Nearly a month after exertion, a shortness of breath, paroxysmal nocturnal paroxysm, normal blood pressure, jugular vein filling, left heart to expand, apical beating obvious and diffuse, premature anemia, between the apex and the sternum can be heard between the left edge Ⅱ systolic murmur, lungs (a), liver ribs