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患者女,29岁,失眠、反复心悸、头晕4年,症状加重1年,曾在活动时晕倒两次,于1968-6-8入院。查体:血压16/10.7kpa(120/80mmHg),心界不大,心率90次/min,律不整,无杂音。血脂、血糖、抗“O”、血沉、肝功能、眼底均正常。心电图示:1.窦性心动过缓(56次/min)。2.加速型心室自主节律(AIVR)。见图 1A,阿托品试验阴性。住院50天,除 AIVR 外,未发现心脏病变。出院后随访4年,病人一直照常工作.前9年多次心电图均示 AIVR(图1B),9年后因无明显不适症状未再就医。90年发现已转为窦性心律,心率88次/min。
Female, 29 years old, insomnia, repeated palpitations, dizziness 4 years, 1 year exacerbations, had fainted twice during the activity, admitted to the hospital in 1968-6-8. Physical examination: blood pressure 16 / 10.7kpa (120 / 80mmHg), heart is not, heart rate 90 beats / min, law is not whole, no noise. Blood lipids, blood glucose, anti-O, ESR, liver function, fundus are normal. ECG shows: 1. Sinus bradycardia (56 beats / min). 2. Accelerated ventricular autonomic rhythm (AIVR). See Figure 1A, atropine test negative. 50 days of hospital stay, except for AIVR, no heart disease was found. After 4 years of follow-up after discharge from the hospital, the patient has been working as usual. The first nine years of multiple electrocardiogram showed AIVR (Figure 1B), 9 years after no apparent symptoms of no medical treatment. 90 years found to have converted to sinus rhythm, heart rate 88 beats / min.