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1病历报告患者男,56岁,因咨询是否需要植入植入式心脏复律除颤器(ICD)于2013年9月27日来诊。1周前因感冒发热伴胸闷3d去某医院急诊就医。偶咳嗽、头痛,无晕厥及一过性黑矇,无胸痛。既往有高血压10年,帕金森病2年,分别服用氨氯地平和美多巴治疗,病情控制尚可。急诊接诊做心电图时发现“室性心动过速”(图1),立即予以胸外按压,静脉注射胺碘酮,收入院。入院查体,BP 142/76mm
Patient Male, age 56, was interviewed on September 27, 2013 for advice on the need for an implanted cardioverter defibrillator (ICD). 1 week ago because of fever and chest tightness 3d go to a hospital for emergency medical treatment. Even cough, headache, no syncope and transient amaurosis, no chest pain. Past history of hypertension for 10 years, Parkinson’s disease for 2 years, were treated with amlodipine and metoprolol, the disease control is acceptable. Emergency admissions ECG found that “ventricular tachycardia ” (Figure 1), immediately to chest compression, intravenous amiodarone, income hospital. Admission examination, BP 142 / 76mm