老年急性心肌梗塞并发原发性室颤甚少,我院心血管病监护室收治老年急性心肌梗塞并发原发性室颤2例。现报道如下: 例一、女,47岁,住院号285629,于1984年11月24日入院。5小时前因劳累突发心前区及上腹部持续性压榨样疼痛,向左肩及左上肢放射,胸闷,出汗,但无头晕和晕厥。既往健康,平素血压为90/60。体检:脉搏64次/分,呼吸20次/分,血压88/66。消瘦,神志清楚,肺无异常。第一心音低钝,心率64次/分,律整,心尖部闻及S_4。全身皮肤不湿冷。心电图:V_(1-6)导联S—T段压低2～ Senile acute myocardial infarction complicated by primary ventricular fibrillation rarely, our hospital cardiovascular care admitted to the elderly with acute myocardial infarction complicated by primary ventricular fibrillation in 2 cases. Are reported as follows: Example 1, female, 47 years old, hospital number 285629, on November 24, 1984 admission. 5 hours ago due to exertion sudden precordial and upper abdomen persistent pain-like pain, left shoulder and left upper extremity radiation, chest tightness, sweating, but no dizziness and syncope. Past health, usually blood pressure 90/60. Physical examination: pulse 64 beats / min, breathing 20 beats / min, blood pressure 88/66. Thin, conscious, the lungs without exception. The first heart sound low blunt, heart rate 64 beats / min, law, apex smell and S_4. Body skin is not wet. ECG: V_ (1-6) lead S-T segment down 2 ~