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患者女性,51岁,因发作性心前区痛伴晕厥8年入院疗养。曾在他院经心房调搏试验诊断为冠心病、病态窦房结综合征,建议安置心脏起搏器。体检:P37次/分,R17次/分,BP110/70,律齐,A_2=P_2,各瓣膜区无明显杂音,腹(一),肝脾未及。ECG:窦性心律,5~8次/分,QRS低电压,Tv_3-v_5倒置,Tv_6低平。VCG:冠状动脉供血不足。超声心动检查无特殊发现。24小时动态心电图显示:深睡时窦性心律35次/分,经常出现R-R1.6秒的短阵交界性心律(37次/分)。4:20
Female patient, 51 years old, admitted to hospital for syncope due to episodic pre-nodal pain. In his hospital atrial pacing test diagnosis of coronary heart disease, sick sinus syndrome, it is recommended to place the pacemaker. Physical examination: P37 beats / min, R17 beats / min, BP110 / 70, law Qi, A_2 = P_2, the valve area no obvious noise, abdomen (a), liver and spleen not. ECG: sinus rhythm, 5 to 8 beats / min, QRS low voltage, Tv_3-v_5 inversion, Tv_6 low level. VCG: coronary insufficiency. Echocardiography No special findings. 24-hour Holter monitoring: deep sleep sinus rhythm 35 beats / min, often R-R1.6 seconds of borderline rhythm (37 beats / min). 4:20