患者,男性,34岁。因反复心悸气促六年余,加重半月,于1987年5月13日入院。临床诊断:(1)风湿性心脏病,二尖瓣狭窄伴闭镇不全,心衰Ⅲ度;(2)慢支,肺气肿。入院心电图诊断:快速型心房纤颤伴完全性右束支传导阻滞。入院第四天,病情加重抢救无效死亡。该患者死前二小时心电监护记录心电图可见规则直立P 度,P—P 均齐,频率79次/分。P 波后无相关的QRS 波. Patient, male, 34 years old. Due to repeated heart palpitations more than six years, increased half a month, on May 13, 1987 admission. Clinical diagnosis: (1) rheumatic heart disease, mitral stenosis with closed town, heart failure Ⅲ degree; (2) chronic bronchitis, emphysema. Admission ECG diagnosis: rapid atrial fibrillation with complete right bundle branch block. On the fourth day of hospital admission, the condition became worse and the invalid died. Two hours before the death of patients with ECG monitoring record ECG can be seen standing P, P-P are homogeneous, the frequency of 79 beats / min. There was no correlation between P wave and QRS wave.