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预激综合征并发阵发性室上速、心房颤动已屡有报道,但在发作心房颤动时突然转为心室颤动则报道较少,我院遇见一例,特报道于下。临床和心电图资料患者女性,66岁,平时有反复发作室上速病史。因阵发性胸闷、心悸伴心前区疼痛十五小时,于1984年7月19日19时来院急诊。体检:EP90/60,唇微绀,听诊心音强弱不一,节律绝对不整,心率约200次/分,无杂音,其它无异常。
Pre-excitation syndrome complicated by paroxysmal supraventricular tachycardia, atrial fibrillation has been reported, but in the sudden onset of atrial fibrillation was converted to ventricular fibrillation less reported in our hospital to meet with a case, especially reported in the next. Clinical and ECG data Female patients, 66 years old, usually have a history of recurrent supraventricular tachycardia. Due to paroxysmal chest tightness, palpitations with precordial pain fifteen hours, at 19 o’clock on the July 19, 1984 to hospital emergency. Physical examination: EP90 / 60, lip cyanosis, auscultatory heart sounds vary, rhythm is not complete, the heart rate of about 200 beats / min, no noise, the other no abnormalities.