论文部分内容阅读
1病例报告患者女,32岁。因心前区压迫样不适、心律不齐就诊。既往无特殊病史,此次发病前无上呼吸道感染、腹泻等病史。查体:心率62/min,血压110/70mmHg,心肺听诊未见明显异常。心电图:加速交界性逸搏心律,心电轴右偏。心脏超声检查显示:射血分数(EF)69%,三尖瓣轻度反流。实验室检查心肌酶及肌钙蛋白(cTnT)均正常,血电解质正常。给予吸氧、心电监测、口服辅酶Q10治疗,患者不适症状消失。24h动态心电图检查
A case report patient female, 32 years old. Because of precordial pressure like discomfort, irregular heartbeat treatment. Past no special medical history, the upper respiratory tract infection, diarrhea and other history. Examination: heart rate 62 / min, blood pressure 110 / 70mmHg, cardiopulmonary auscultation no obvious abnormalities. Electrocardiogram: Acceleration junctional escape rhythm, right-axis ECG deviation. Echocardiography showed a 69% ejection fraction (EF) and mild tricuspid regurgitation. Laboratory tests of myocardial enzymes and troponin (cTnT) were normal, normal blood electrolytes. Give oxygen, ECG monitoring, oral coenzyme Q10 treatment, patients with symptoms disappear. 24h Holter examination