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1 病历摘要例1 男,45岁。因胸闷、气短,活动后加重20余年诊为“冠心病”,欲行冠脉造影入院。家族史无特殊。查体:BP16/12kPa,HR84/分,心浊音界略向左扩大。心尖区可闻及收缩期吹风样杂音。X线胸片示心界向左扩大,心胸比率0.51。ECG:Rv_5=2.9mV,Sv_1+Rv_5=4.1mV,TⅡ、Ⅲ、avF、v_(2～6)呈冠状倒置,Tv_4倒置,深达0.8mV,STv_(4～6)下移01～0.2mV,QTc0.49s。冠脉造影未见异常。左室造影示
1 case summary 1 male, 45 years old. Due to chest tightness, shortness of breath, increased activity after 20 years diagnosed as “coronary heart disease”, want to line coronary angiography admission. No special family history. Physical examination: BP16 / 12kPa, HR84 / min, the heart voiced sound sector slightly expanded to the left. Apex area can be heard and systolic hair-like murmur. X-ray showed the left heart to expand the heart, chest rate 0.51. ECG: Rv_5 = 2.9mV, Sv_1 + Rv_5 = 4.1mV, TⅡ, Ⅲ, avF, v_ (2 ~ 6) showed a coronal inversion, Tv_4 inversion up to 0.8mV, STv_ (4-6) , QTc0.49s. Coronary angiography no abnormalities. Left ventricular angiography show