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持续心房颤动(下称房颤)数年以上而自发恢复窦性节律者甚为少见,国内报道较少。近遇两例,现介绍如下:例1 陆某某,女,56岁,因胸闷、心悸加重1月于1986年10月3日入院。患者于1972年出现胸闷、心悸并确诊为风湿性心脏病、二尖瓣双病变、房颤,经用奎尼丁恢复并维持窦性节律。1979年再次转为房颤,药物复律失败且持续至1986年9月,其间不间断地在我院心脏科门诊随访,并服用小剂量地戈辛控制心室率。入院前1月左右感胸闷、心悸加重,心搏快慢不一,时似规则。查体:
Continuous atrial fibrillation (hereinafter referred to as atrial fibrillation) for more than a few years and spontaneous sinus rhythm is very rare, less reported in the country. Nearly two cases, are described below: Example 1 Moumou, female, 56 years old, due to chest tightness, palpitations increased in January on October 3, 1986 admission. Patients with chest tightness in 1972, palpitations and diagnosed with rheumatic heart disease, mitral dual disease, atrial fibrillation, with quinidine to restore and maintain sinus rhythm. Reverted to atrial fibrillation in 1979, drug rehabilitation fails and continued until September 1986, during which time in our hospital cardiology outpatient follow-up, and taking low-dose digoxin to control ventricular rate. About January before admission, chest tightness, palpitations increased, different heartbeat, the rules seem to be. Physical examination: