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本文报告一例54岁经组织学证实患有慢性甲状腺炎的女性患者,因反复发作晕厥入院。晕厥发作时心电图表现窦性静止,最长达16秒。 入院当时心电图正常,以后出现窦缓,窦性静止和缓慢的室性逸搏心律12次/分,偶有室早。静脉注射阿托品1mg后恢复窦性心律72次/分。以后每12～18分钟以周期性方式反复出现SND。经用强的松20mg/6小时和丙基硫氧嘧啶200mg/6小时给药后21小时SND消失,窦性心律78次/分,以后经电生理学检查及冠状动脉造影均未见异常,随访17
This article reports a 54-year-old histologically confirmed chronic thyroiditis in women who have been hospitalized for recurrent syncope. Syncope seizures show sinus static ECG, up to 16 seconds. Admission electrocardiogram was normal, after sinus slowly, sinus quiescence and slow ventricular heartbeat 12 beats / min, occasional room early. After intravenous atropine 1mg to restore sinus rhythm 72 beats / min. After every 12 to 18 minutes in a periodic manner repeated SND. After prednisone 20mg / 6 hours and propylthiouracil 200mg / 6 hours after administration of SND disappeared, sinus rhythm 78 beats / min, after electrophysiological examination and coronary angiography were not abnormal, follow-up 17