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早期复极综合征(early repolarizationsyndrome,ERS)并不少见,且常有误诊为急性心包炎,早期心肌梗塞,变异型心绞痛和左室肥厚者,我院在亚极量踏车运动试验700例中发现20例,分析如下:材料与方法一、一般资料1984～1986年对本公司中年以上干部及知识分子进行健康体查,共作亚极量踏车运动试验700例,其中男性550例,女性150例,发现 ERS20例、均为男性,发生率占受检人数的2.9%,占受检男性的3.6%。年龄自40～61岁,平均48.2岁。除高血压病4例,早期冠心病2例,病窦综合征1例及室性早搏2例外,其余均无心脏病阳性所见。二、诊断依据(一)J 点处 ST 段抬高(至于胸导联 V_3和/或V_4>1mm),且凹面向上;R 波降支有明显 J 波或切迹。
Early repolarization syndrome (ERS) is not uncommon, and often misdiagnosed as acute pericarditis, early myocardial infarction, variant angina and left ventricular hypertrophy, our hospital in the submaximal treadmill exercise test in 700 cases Found 20 cases, the analysis is as follows: Materials and methods I. General Information 1984 to 1986, the middle-aged cadres and intellectuals of the Company to conduct a physical survey, a total of 700 sub-maximal treadmill exercise test, of which 550 males, females 150 cases, 20 cases were found ERS, are male, the incidence of 2.9% of the number of subjects, accounting for 3.6% of men examined. Age from 40 to 61 years old, with an average of 48.2 years old. In addition to 4 cases of hypertension, early coronary heart disease in 2 cases, 1 case of sick sinus syndrome and ventricular premature beats in 2 cases, the rest were no heart disease seen. Second, the diagnosis based on (A) J point ST elevation (as chest lead V_3 and / or V_4> 1mm), and the concave upward; R wave descending branch obvious J wave or notch.