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刘××,男,28岁。因心悸、胸闷痛、气短,门诊心电图示:Ⅱ、Ⅲ、avF 的 ST 段抬高,疑为“心绞痛、“心梗”?于1991年12月13日入院。查体:血压12/8kpa、脉搏60次/分、心肺检查无异常;肝脾不大;常规化验:SG-OT 及其它生化检查均正常。X 线、超声心动图无异常发现。多次心电图检查均为:窦性心律,Ⅱ、Ⅲ、avF、V_2—V_5ST 段呈凹面向上抬高(弓背向下),幅度0.05—0.25mv,V_2—V_4T 波两支对称高耸(见图1)。用消心痛、丹参加低分子右旋糖酣静滴等治疗无效。床傍下蹲30次后立即作心电图(见图2),ST 段抬高的导联(Ⅱ、Ⅲ、aVF、V_2—V_6),回到等电线。T 波无明显变化。诊断:早期复极综合征。
Liu × ×, male, 28 years old. Because of heart palpitations, chest pain, shortness of breath, clinic ECG: Ⅱ, Ⅲ, avF ST segment elevation, suspected “angina pectoris,” myocardial infarction "? December 13, 1991 admitted to the hospital Physical examination: blood pressure 12 / 8kpa, Pulse 60 times / min, no abnormal heart and lung examination; liver and spleen is not; routine tests: SG-OT and other biochemical tests were normal .X-ray, echocardiography no abnormalities found. Multiple ECG were: sinus rhythm, Ⅱ, Ⅲ, avF, V_2-V_5ST segment concave upward upward (bow back down), the amplitude of 0.05-0.25mv, V_2-V_4T wave two symmetrical towering (see Figure 1) Dextrose infusion and other treatment is invalid.30 days after bed squat down immediately after the electrocardiogram (see Figure 2), ST segment elevation lead (Ⅱ, Ⅲ, aVF, V_2-V_6), back to the electric wire. T wave no significant change Diagnosis: Early repolarization syndrome.