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束支内魏登斯基现象罕见,现报道一例室早双联伴右束支内魏登斯基现象。临床和心电图资料患者男,70岁,因心慌、气喘五个月,加剧一周入院。入院检查:半卧位,颈静脉怒张,双肺呼吸音清晰,心率约70次,心律不齐早搏频繁,心尖部可闻及Ⅱ级收缩期杂音,心底部P_2=A_2,腹软,肝肋下3cm,肝颈返流征阳性,下肢可见凹陷浮肿。胸部平片心影呈普大型,二维超声心动图见各瓣膜运动正常,左右室内径明显扩大,室壁运动差。符合扩张型心肌病。心电图描记见附图。为V_1导联同次非连续记录。
Weisengensky within the bundle branch of the phenomenon is rare, is reported in one case as early as double room with right bundle branch within Weisensiji phenomenon. Clinical and electrocardiographic data patients male, 70 years old, due to palpitation, asthma for five months, exacerbated one week admission. Admission examination: semi-recumbent position, jugular vein engorgement, clear breath sounds of both lungs, heart rate about 70 times, frequent arrhythmia, apex symphysis can be heard and Ⅱ systolic murmur, heart P_2 = A_2, abdominal soft, liver 3cm under the ribs, liver reflux sign positive, lower extremity visible edema. Chest plain radiographs were large, two-dimensional echocardiography, see the normal valve movement, left ventricular diameter was significantly expanded, poor wall motion. In line with dilated cardiomyopathy. Electrocardiogram see attached map. V_1 lead the same non-continuous record.