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患者女性,45岁,汉族,因阵发性心悸3年,加重1年于1997年2月13日入院。患者3年前无诱因常感阵发性心悸,昼夜均可发作,持续数秒至几分钟,与活动无关,未予诊治。1年前上述症状加重,一日发作数次,持续几分至十几分钟,无胸闷及胸痛,1周前做心脏B超发现心尖部室壁瘤而收入我院。既往无冠心病及其它病史,曾有剧大精神刺激史。查体:心前区无隆起,心界向左下扩大,心率70次/分,A_2>P_2,律齐,心尖区闻及偶发早搏,未闻及心杂音。B超:心尖部局部膨出,呈矛盾样运动,其他部位无节段性运动障碍;冠脉造影:EF值正常,左右冠脉壁光滑,无狭窄,心尖部局部收缩性膨隆;心
The female patient, 45 years old, Han, admitted to hospital on February 13, 1997 due to paroxysmal palpitations for 3 years and aggravation for 1 year. The patient had no precipitating paroxysmal palpitations 3 years ago, and he was able to attack day and night. It lasted from several seconds to several minutes and had nothing to do with activities. He did not seek treatment. 1 year ago, the above symptoms worsened. On one day several attacks lasted from several minutes to ten minutes without chest tightness and chest pain. One week ago, the heart was diagnosed as apical aneurysm by B ultrasound and was admitted to our hospital. No history of coronary heart disease and other medical history, there has been a drama of mental stimulation. Physical examination: No precordial uplift, expansion of the heart sector to the lower left, heart rate 70 beats/minute, A_2>P_2, regularity, apical area and occasional premature beats, no heart murmur. B-ultrasound: Part of the apical bulge, a paradoxical movement, no other segmental dyskinesia; coronary angiography: normal EF, left and right coronary artery smooth, no stenosis, local apical contraction bulging; heart