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李×男47岁,身高175cm,体重68kg,系矿山救护队队长。一般体检时除听诊发现有杂音外,其它无特殊。心电图检查表现为:P,ORS波无异常,R_(v5)=3.5mv,T波:ⅠⅡavL ouF V_3 V_5均深倒。ⅢavR V_1直立,ST段:V_3V_5下移0.2mv。心电图结论:1,原发ST—T改变即心肌缺血。2.左室高电压。含硝酸甘油后心电图无变化,追问病史,无其它疾病和不适。做其它检查:X光心肺无异常,血脂:胆固醇42mmol/L,甘油三脂1.27mmol/L,血沉2mm/h,ASO1:500单位;脑血流图:左侧脑血流量中度下降,右侧脑血流量重度下降。B超提示:二尖瓣前腱索钙化伴二尖瓣轻度返流。左室假腱索。
Li × male 47 years old, height 175cm, weight 68kg, the Department of Mines rescue team captain. In addition to the general medical examination found that there is a murmur noise, the other no special. ECG showed: P, ORS wave without exception, R_ (v5) = 3.5mv, T wave: Ⅰ Ⅱ avL ouF V_3 V_5 were deep down. ⅢavR V_1 upright, ST segment: V_3V_5 down 0.2mv. ECG Conclusion: 1, primary ST-T changes that myocardial ischemia. 2. Left ventricular high voltage. ECG with no change after nitroglycerin, history, no other diseases and discomfort. Do other tests: X-ray cardiopulmonary no abnormalities, blood lipids: cholesterol 42mmol / L, triglyceride 1.27mmol / L, erythrocyte sedimentation rate 2mm / h, ASO1: 500 units; cerebral blood flow diagram: left cerebral blood flow decreased moderately Cerebral blood flow decreased significantly. B-Tip: mitral valve tendon calcification with mild mitral regurgitation. Left ventricular false tendons.