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教授:心房颤动是临床常见的心律失常,多并发于心房增大的心脏疾患。但大约5%的房颤无器质性心脏病证据,此称为特发性(或孤立性)房颤。今天我们讨论此病,先请报告病历。住院医师甲:患者男,52岁。10年前开始心悸,多于夜间发作,每次持续数分钟至半小时,每月发作2～3次。近半年来心悸发作频繁,每周发作2～3次,每次持续2～3小时,常彻夜难眠,曾在多家医院住院,用异搏停、心律平等疗效不著,
Professor: Atrial fibrillation is a common clinical arrhythmia, complicated by increased atrial heart disease. However, about 5% of atrial fibrillation without organic heart disease evidence, which is called idiopathic (or isolated) atrial fibrillation. Today we discuss the disease, please report the medical record first. Resident A: Patient male, 52 years old. Palpitation 10 years ago, more than night attacks, each lasting several minutes to half an hour, 2 to 3 times a month episodes. Palpitations frequent seizures in the past six months, episodes per week 2 to 3 times, each lasting 2 to 3 hours, often through the night, sleepless nights, hospitalized in many hospitals, with verapamil, the ineffective treatment of equal heart rate,