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患者,女性,79岁,因“发作性心慌伴胸闷2个月余”于2016年1月28日入院。现病史:患者2个月前无明显诱因出现心慌不适,伴有胸闷、乏力及手抖、手麻等不适症状,发作时自测血压升高,最高时达到205/100mm Hg(1mm Hg=0.133kPa),自服培哚普利4mg后,血压在2h内可降至85/60 mm Hg,无心慌发作时监测血压在120~130/70~80mm Hg,无胸痛,无头晕、头痛,无恶心、呕吐,无黑矇,不伴大汗,无肩背放射痛,症状持续10~15 min,可自行缓解。
Patient, female, 79 years old, admitted to hospital on January 28, 2016 due to “onset of palpitation with chest distress more than 2 months.” History of illness: The patient had palpitation discomfort 2 months ago with chest distress, weakness and hand trembling, hand numbness and other discomforts. The blood pressure increased from the peak at the time of attack to a maximum of 205/100 mm Hg (1 mm Hg = 0.133 kPa). After taking perindopril 4mg, the blood pressure can be reduced to 85/60 mm Hg within 2h. The monitoring blood pressure was 120 ~ 130/70 ~ 80mm Hg without palpitation attack, no chest pain, no dizziness, headache, no Nausea, vomiting, no dark, not sweating, shoulder pain without radiation, the symptoms persist 10 ~ 15 min, can ease itself.