心房纤颤是心血管内科和心电图室常见的疾病,60岁以上老年人发病率>1%,为有效地控制心室率,临床多以洋地黄治疗,患者常自服洋地黄后,导致中毒,出现严重的缓慢型心律失常甚至晕厥。认识洋地黄中毒的心电图表现,及早预防恶性心律失常、猝死等成为治疗成功的关键。1病例简介患者,女,60岁,因“反复心悸、气促、双下肢水肿5年,再发1个月,伴上腹不适、恶心、头痛1周”于2013- Atrial fibrillation is a common disease in cardiovascular medicine and ECG room, the incidence of the elderly over the age of 60> 1%, in order to effectively control the ventricular rate, clinically more digitalis treatment, patients often self-service digitalis, resulting in poisoning, Serious slow arrhythmia and even syncope. Recognition of digitalis poisoning ECG performance, early prevention of malignant arrhythmias, sudden death and become the key to the success of treatment. 1 case profile Patients, female, 60 years old, because of “repeated palpitations, shortness of breath, edema of both lower extremities 5 years, another 1 month, with abdominal discomfort, nausea, headache for 1 week”