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72例病态窦房结综合征(SSS)患者,男51例,女21例。年龄30～77(平均51.3)岁,40岁以上66例(91.7％)。病程15天～10年,平均6.75年。诊断参考1977年北京地区SSS的诊断标准。冠心病(均符合WHO诊断标准)54例(75.0％),原因不明7例(9.7％),高血压性心脏病和扩张型心肌病各3例(各4.2％),风湿性心脏病2例(2.8％),心肌炎、系统性红斑狼疮和甲亢性心脏病各1例(各1.4％)。全部病例进行ECC检查,其中15例进行了24小时连续心电监护。有慢性冠状动脉供血不足者54例(75.0％),SB或伴交界性逸搏或逸搏心律24例(33.3％),心房纤颤(AD伴Ⅱ度房室传导阻滞(AVB)11例(15.3％),SB伴窦房阻滞(SAB)10例(13.9％),SB伴阵发性室上性心动过速
72 cases of sick sinus syndrome (SSS) patients, 51 males and 21 females. Age 30 to 77 (average 51.3) years old, 66 cases over the age of 40 (91.7%). Duration of 15 days to 10 years, an average of 6.75 years. Diagnostic reference 1977 Beijing area SSS diagnostic criteria. Fifty-four patients (75.0%) had coronary heart disease (all according to WHO diagnostic criteria), seven (9.7%) had unexplained causes, three (4.2%) each had hypertensive and dilated cardiomyopathy, two had rheumatic heart disease (2.8%), myocarditis, systemic lupus erythematosus and hyperthyroid heart disease in 1 case (1.4% each). ECC examination was performed in all cases, of which 15 patients underwent 24-hour continuous ECG monitoring. There were 54 cases (75.0%) with chronic coronary insufficiency, 24 cases (33.3%) with SB or esophageal ametropia or atrial fibrillation, 11 cases with atrial fibrillation (AV Ⅱ) (15.3%), SB with sinoatrial block (SAB) in 10 cases (13.9%), SB with paroxysmal supraventricular tachycardia