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患者女,61岁,因反复发作性头昏、胸闷3年,再发1天,于1987年5月16日入院。体检:血压正常,心率58次,余(一)。胸片示左室增大。血胆固醇7.29mmol/L,甘油三酯1.77mmol/L。心电图示:窦性心动过缓伴不齐。临床诊断:冠心病,痫窦综合征。于5月20日予以作阿托品试验(2mg静脉注射),在注射后5分钟第3心动发生房早,以后接连有5次出现,心率约214次。其P波落于前一T波之上,形成短阵性房速。第6心动以后,房速消失。7～20分钟均为实性心
Female patient, 61 years old, because of repeated episodes of dizziness, chest tightness for 3 years, another one day, in May 16, 1987 admission. Physical examination: normal blood pressure, heart rate 58 times, I (a). Chest radiograph showed increased left ventricle. Blood cholesterol 7.29mmol / L, triglyceride 1.77mmol / L. ECG shows: sinus bradycardia with missing. Clinical diagnosis: coronary heart disease, epileptic sinus syndrome. Atropine test (2 mg intravenous injection) was given on May 20, and atrial fibrillation occurred 3 minutes after injection 5 minutes later, followed by 5 consecutive times with a heart rate of about 214 times. The P wave fell on the previous T wave, the formation of a short array of atrial tachycardia. After the 6th heart rate, atrial tachycardia disappeared. 7 to 20 minutes are solid heart