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患者女性,63岁。临床诊断:晕厥待查。患者自诉前一天晚间曾晕倒2次,伴小便失禁,当时未作任何处理,约20min后自行好转。今来我院门诊检查,心脏超声发现二尖瓣下回声增强,二尖瓣叶钙化,主动脉瓣叶增厚,反射增强、钙化。既往无高血压,糖尿病病史,门诊心电图检查如图1所示:P波于Ⅰ、Ⅱ、a VL导联负正双向,Ⅲ、V_1~V_6倒置,aVR正负双向,PP间距相等,房率90bpm左右,均与QRS无明显关系。QRS为室上
Patient female, 63 years old. Clinical diagnosis: check for syncope. Patient complained of the night before two days fainted with urinary incontinence, did not make any treatment, about 20min after their own improvement. Now come to our hospital for out-patient examination, the echocardiogram found mitral echo enhancement, mitral valve calcification, aortic valve leaflets thickening, reflex, calcification. Past no hypertension, diabetes history, outpatient ECG examination shown in Figure 1: P wave in Ⅰ, Ⅱ, a VL negative and positive bidirectional, Ⅲ, V_1 ~ V_6 inversion, aVR positive and negative bidirectional, PP spacing is equal, room rate About 90bpm, no significant relationship with QRS. QRS for the room