例1 患者,男,63岁,因发作性胸骨后疼痛10年于1993年10月19日住院。1984年曾患急性广泛前壁心肌梗塞,有梗塞后心绞痛。查体:血压16.5/10.0kPa,神志清,双肺阴性,心界轻度扩大,心率78次/min,律不齐,早搏2次/min,心音正常,各瓣膜听诊区未闻及杂音,余无特殊。心脏象示左心室稍大;ECG示陈旧性广泛前壁心肌梗塞,慢性冠状动脉供血不足。诊断为冠心病,陈旧 Example 1 Patient, male, 63 years old, hospitalized on October 19, 1993 due to recurrent suprasternal pain for 10 years. 1984 had acute extensive anterior myocardial infarction, angina after infarction. Physical examination: blood pressure 16.5 / 10.0kPa, conscious mind, lungs negative, mild heart expansion, heart rate 78 beats / min, irregularity, premature beats 2 times / min, normal heart sounds, the valve auscultation area did not smell and noise, I no special. The left heart ventricle is slightly larger; the ECG shows a long history of extensive anterior myocardial infarction and chronic coronary insufficiency. Diagnosis of coronary heart disease, old