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上图为一例女性、61岁、临床诊断冠心病患者的Ⅱ导联连续记录。本图诊断是什么?有何依据?应与哪些心律失常相鉴别?请绘出下行心电图的梯形图解。
The picture above shows a female, 61 years old, with a continuous record of Ⅱ leads in patients with clinically diagnosed CHD. What is the basis for diagnosis? What arrhythmia should be differentiated? Please draw the ECG ladder diagram.