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病历摘要:患者女,65岁。因胸闷气短加重两天而就医。自两年前,无明显诱因心前区憋闷伴气短,多于夜间发作为甚。近两天因劳累,上述症状加重伴心跳缓慢。查体:血压146/90mmHg。心界不大,心尖部Ⅱ级收缩期杂音,A_2↑,A_2>P_2,律齐,心率48
Medical record summary: Patient female, 65 years old. Because of shortness of breath and shortness of breath for two days and get medical treatment. Since two years ago, there is no obvious incentive for precocious puberty with shortness of breath, more than at night is even worse. Due to fatigue in the past two days, the above symptoms aggravated with slow heartbeat. Physical examination: blood pressure 146 / 90mmHg. Heart, apical systolic murmur, A_2 ↑, A_2> P_2, law Qi, heart rate 48