患者男,58岁。阵发性心前区痛伴心悸、出汗五年。疼痛多干清晨发作,进食可缓解。近两年来症状加重,且出现食欲亢进、消瘦、乏力。无多饮、多尿、头痛、头晕、胸闷等。既往无高血压史、家族无类似疾病。 Male patient, 58 years old. Paroxysmal precordial pain with heart palpitations, sweating for five years. The pain is more dry in the morning and eating can ease. Symptoms have worsened in the past two years and there has been an increase in appetite, weight loss, and fatigue. No more drink, more urine, headache, dizziness, chest tightness and so on. There was no history of hypertension in the past and there were no similar diseases in the family.