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患者男、56岁,因“反复心悸1个月”于2002年3月入院。查体:血压120/80mmHg,心率约65bpm,节律齐,各瓣膜未闻及病理性杂音。心电图大致正常:电轴轻度左偏-30°,无ST-T改变。心脏超声提示:室间隔11mm,左室后壁9mm。入院后未再发生心悸等不适,给予酒石酸美托洛尔12.5mg口服(2次/日),出院随访。患者出院后病情相对稳定,偶尔有短暂心悸,持续约数秒钟,未行进一步检查。2007年5月,患者再
Male patient, 56 years old, because of “repeated palpitations 1 month ” was admitted in March 2002. Physical examination: blood pressure 120 / 80mmHg, heart rate of about 65bpm, rhythm Qi, the valve did not smell and pathological murmur. The electrocardiogram was roughly normal: the axis was slightly left -30 ° offset, with no ST-T changes. Echocardiography: Interventricular septum 11mm, left ventricular posterior wall 9mm. No further palpitations and other discomforts occurred after admission, and metoprolol tartrate 12.5 mg orally (2 times / day) was discharged and followed up. The patient was relatively stable after discharge from hospital with occasional palpitations that lasted for a few seconds without further examination. May 2007, patient again