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患者、男、65岁,间断性胸闷,心悸二年余,劳累后气促尤著,于1989年6月15日入院。既往无晕厥史,家族中无猝死病例。Bp17.3/10.7kPa,心界略向左扩大,心率62次/分,心尖部可闻及Ⅱ级吹风样收缩期杂音,双肺(-)肝脾(-)。心电图:Rv_4 35mm,Rv_5 32mm,Rv_5+Sv_1=63mm,多数导联T波倒置,Tv_4倒置深达13mm。二维超声心动图:心室长轴切面示舒张期左室后壁(游离壁)厚18mm,室间隔上部厚12mm,中部
Patients, male, 65 years old, intermittent chest tightness, palpitations more than two years, exhausted especially after exertion, on June 15, 1989 admission. No previous history of syncope, no sudden death in the family. Bp17.3 / 10.7kPa, heart slightly expanded to the left, heart rate 62 beats / min, the apex can be heard and Ⅱ grade hair-style systolic murmur, lung (-) liver and spleen (-). ECG: Rv_4 35mm, Rv_5 32mm, Rv_5 + Sv_1 = 63mm, the majority of lead T wave inversion, Tv_4 inverted depth of 13mm. Two-dimensional echocardiography: long axis view of the ventricle showed diastolic left ventricular posterior wall (free wall) thickness 18mm, the upper ventricular septal thickness 12mm, middle