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患者男性,59岁,于1989年2月13日以冠心病、心绞痛收住院。症状为反复发作性胸闷,心前区撕裂样痛8年,发作时持续数 min,伴出汗,服硝酸甘油片可缓解。近2年凌晨醒前亦有类似发作。体检未发现心脏血管等异常体征。入院当天常规 ECG 为窦性心律,V_5、V_6T波平坦。入院后连续遥测心电监护(即刻记录和电脑追忆记录的 ECG)中,在病房走廊来回快步走路约40m 时,ECG 即出现 ST 段下移0.
Male patient, 59 years old, was admitted to hospital on February 13, 1989 with coronary heart disease and angina pectoris. Symptoms of recurrent chest tightness, precordial tear-like pain for 8 years, the attack continued for several minutes, with sweating, nitroglycerin tablets can be alleviated. Nearly 2 years before woke up similar episodes. Physical examination found no abnormal signs of cardiovascular. On the day of admission routine ECG was sinus rhythm, V_5, V_6T wave flat. After continuous hospital telemetry ECG monitoring (immediate record and recall recall ECG), the ECG showed an ST ST-down of about 40 m when walking about 40 m back and forth in the ward corridor.