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患者(日本籍),女,45岁。29年前因心动过速、心悸,在日本某医院疑诊为川崎病。10年前,时有胸闷,心前区钝痛发作,疼痛部位相对固定,不向他处放射。5年来症状加重,发作变频,每次持续10～30分钟,多在劳累或情绪激动后出现,休息后缓斛。体格检查:心率78次/分,血压15.5/9.5kPa(1kPa=7.5mmHg),心律整齐,心前区未闻及器质性杂音,血糖、血脂多次检查均在正常范围,X 线平片示心胸之比为0.545,X 线左室造影射血分数(EF)为44%,心电图检查可见Ⅱ、Ⅲ及 aVF 导联
Patient (Japanese), female, 45 years old. 29 years ago due to tachycardia, heart palpitations, suspected Kawasaki disease in a Japanese hospital. 10 years ago, sometimes chest tightness, heart area dull pain episodes, the pain site is relatively fixed, do not radiate to him elsewhere. Over the past five years, the symptoms have worsened and episodes of frequency conversion, each lasting 10 to 30 minutes, mostly after exertion or emotional excitement. Physical examination: heart rate 78 beats / min, blood pressure 15.5 / 9.5kPa (1kPa = 7.5mmHg), regular heart rhythm, anterior precordial and organic noise, blood glucose, blood lipids multiple tests were in the normal range, X-ray The heart-chest ratio was 0.545 and the left ventricular ejection fraction (EF) was 44%. Electrocardiogram revealed the leads of Ⅱ, Ⅲ and aVF