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患者,女性,32岁。心跳感2年,外院多次心电图证实为房性期前收缩。拟诊心肌炎,服心律平、异搏定等药物治疗,症状无改善来我院就诊。体检:P75次,R18次,BP13.3/9.33kPa。心律不齐,可闻及8～10次/min期前收缩。心电图示窦性心律,频繁性房性早搏。授乙胺碘肤酮每日600mg连续治疗。服药后自觉心跳感逐渐好转;10天后,突感心悸、胸闷,心音正常、律齐。心电图示窦性心律,HR75次/min,Q-T0.40s,T_(Ⅰ～Ⅲ)、avR、avL、avF低平,Tv_(3～5)倒置,ST_(Ⅱ、Ⅲ)、avF压低>-0.05mv;血沉、抗O、SGOT值正常。考虑与乙胺碘肤酮治疗有关,即停用观察一周后,症状消失,复查心电图上述变化已全部恢复,后多次复查心电图均正常。
Patient, female, 32 years old. Heartbeat 2 years, many times outside the hospital ECG confirmed as atrial contraction. Cardiac myocarditis to be proposed, service cardioversion, verapamil and other drug treatment, no improvement in symptoms to our hospital. Physical examination: P75, R18, BP13.3 / 9.33kPa. Arrhythmia, can be heard and 8 to 10 times / min before the contraction. ECG shows sinus rhythm, frequent atrial premature beats. Administration of amine amine iodide daily 600mg continuous treatment. Conscious heartbeat gradually improved after taking the medication; 10 days later, sudden heart palpitations, chest tightness, normal heart sound, law Qi. ECG showed sinus rhythm, HR75 times / min, Q-T0.40s, T_ (Ⅰ ~ Ⅲ), avR, avL, avF low, Tv_ (3 ~ 5) inversion, ST_ (Ⅱ, Ⅲ), avF depression> -0.05mv; ESR, anti-O, SGOT normal. Consider the treatment with ethylamine amine iodine ketone, which disable the observation of a week later, the symptoms disappear, the review of ECG changes have been all the recovery, after repeated review of ECG are normal.