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患者男性,33岁,1985年6月5日骑自行车突感心前区紧缩样疼痛,向双肩、上臂放射,持续约5～6分钟,休息后自行缓解,即来就医.心电图示:窦性心律,心率50次/分,ST_(v_1～v_4)弓背向下样抬高0.2～0.3mV,T,高耸,j 点上移与 ST 段融合,V_1、V_3呈 rS、V_3呈 R_3型,余无异常.诊为早期复极综合征(ERS).在候诊中,突感心前区疼痛即再次记录心电图,仍为窦性心律,心率73次/分,ST_(v_1～v_3)抬高更明显,T 波直立高耸,较前增高1.0mV,双肢对称,V_3 j 点上移,诊为 ERS 并前壁损田缺血.自行缓解后心电图恢复为发作前图形.
Male patient, 33 years old, June 5, 1985 Cycling crush pain in the anterior heart area, radiating to the shoulders and upper arms and continuing for about 5 to 6 minutes. After the rest, they relieve themselves and come to seek medical treatment. Electrocardiogram: Sinus rhythm , Heart rate 50 beats / min, ST_ (v_1 ~ v_4) dorsal elevation 0.2 ~ 0.3mV, T, towering, j point up and the ST segment fusion, V_1, V_3 was rS, V_3 was R_3 type, No abnormalities were diagnosed as early repolarization syndrome (ERS) .At the waiting time, the pre-eczema area pain was again recorded electrocardiogram, still sinus rhythm, heart rate 73 beats / min, ST_ (v_1 ~ v_3) elevation more obvious , T wave upright tower, increased 1.0mV compared with the previous, symmetrical limbs, V_3j point up, diagnosed as ERS and anterior wall injury field ischemia .After self-remission electrocardiogram recovery before the onset of the graph.