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患者男性,54岁。因间断心前区疼痛1年,频繁发作3天于94年1月13日入院。入院后心电图呈1°房室传导阻滞(AVB)及完全性右束支传导阻滞,P-R间期0.24s。此后每日晨4点左右心绞痛发作,均未描下心电图。1月26日下午1时突然心悸、胸闷、出汗,当时描下心电图见图1,Ⅱ、Ⅱa、Ⅱb导联,ST段水平型上移0.3mV,P-R间期逐渐延长,最短0.30s,最长0.42s,之后QRS脱落一次,呈典型文克白周期。立即含硝酸
Male patient, 54 years old. Because of intermittent anterior precordial pain for 1 year, frequent episodes of 3 days in January 1994 94 admission. After admission ECG showed 1 ° atrioventricular block (AVB) and complete right bundle branch block, P-R interval 0.24s. After every morning about 4 o’clock angina pectoris, were not described under the ECG. At 1:00 pm on January 26, a sudden heart palpitations, chest tightness, sweating, then described under the ECG shown in Figure 1, Ⅱ, Ⅱ a, Ⅱ b lead, ST segment level up 0.3mV, PR interval gradually extended, the shortest 0.30s, The longest 0.42s, after QRS shedding, a typical wenke white cycle. Nitric acid immediately