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患者,男,51岁。主诉一个月前出现吃饭咽下后心悸,不吃时一切正常,而来院就诊。既往体健,一般情况尚好,血压18/11kPa,心肺(-),腹部(-),肝脾未触及。来门诊做心电图呈现窦性心律,正常心电图,而后令患者吃苹果,于咽下食物后约2秒钟出现房性心动过速,持续5～10秒,每次发作均以一房性早搏开始,偶联间期约为0.42秒,
Patient, male, 51 years old. Appear a month ago complained of eating after swallowing heart palpitations, do not eat when everything is normal, and came to hospital. Past physical health, the general situation is good, blood pressure 18 / 11kPa, cardiopulmonary (-), abdomen (-), liver and spleen not touched. To the clinic ECG showed sinus rhythm, normal ECG, and then make the patient eat apples, after about 2 seconds of swallowing food appeared atrial tachycardia, sustained 5 to 10 seconds, each episode of atrial premature beats to start , The coupling interval is about 0.42 seconds,