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病态窦房结综合征(简称SSS)临床上不被重视,易误诊,糖尿病所致的冠心病伴SSS更是少见,现将我科收治1例报告如下。患者女55岁教师,因反复心悸17年,多饮多尿8年、胸闷6年、头晕3年复发2天,于1988年7月23日入院。17年前始因激动突感心悸,持续数十秒突然好转,每年发作1~2次。8年前多饮多尿喜甜食,6年前心前区闷胀,多次住我院及沪州医学院诊断“成年型糖尿病、阵发性室上速、隐性冠心病”,治疗能缓解。3年前加重,发作呈阵发性室速或为窦缓,每年10~20次,长至6天,短至半小时,昼轻夜重,窦缓时ECG:异位心律,30~40
Sick sinus syndrome (SSS) clinically not be taken seriously, easily misdiagnosed, diabetes caused by coronary heart disease with SSS is even more rare, now we receive 1 case reported as follows. Female 55-year-old teacher, palpitation for repeated 17 years, polydipsia and polyuria 8 years, chest tightness 6 years, 3 days of dizziness recurrence 2 days, in July 23, 1988 admission. 17 years ago due to agitated sudden heart palpitations, sustained a sudden turn of dozens of seconds, 1 to 2 episodes per year. 8 years ago to drink more urine sweet like sweets, preclinical six years ago boring, many times living in our hospital and the Huzhou Medical College diagnosis of “adult diabetes, paroxysmal supraventricular tachycardia, implicit coronary heart disease,” treatment ease. 3 years ago increased seizures were paroxysmal ventricular tachycardia or sinus slow, 10 to 20 times per year, up to 6 days, as short as half an hour, day and night heavy, sinus slow ECG: ectopic rhythm, 30 to 40