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对单一抗心律失常药物无效的阵发性室上性心动过速(PSVT),采用心律平与胺碘酮联合口服终止PSVT,致双结(窦房结与房室结)抑制1例,现报告如下。男性患者,42岁。因PSVT反复发作5年,异搏定、心律平治疗效果差人院。查体:心肺、胸片,化验等均正常。ECG示:PR<0.12秒,各导联均可见Delta波。电生理示:窦房结恢复、传导时间均正常。诊断:B型预激综合征并PSVT。
Paroxysmal supraventricular tachycardia (PSVT), which is ineffective for a single antiarrhythmic drug, was treated with oral dexamethasone and amiodarone in combination with amiodarone to terminate PSVT. One case was found to have double knot (sinus node and atrioventricular node) The report is as follows. Male patient, 42 years old. Due to repeated episodes of PSVT 5 years, verapamil, heart rate treatment poor hospital. Physical examination: cardiopulmonary, chest X-ray, laboratory tests were normal. ECG shows: PR <0.12 seconds, all leads are visible Delta wave. Electrophysiology: sinus node recovery, conduction time are normal. Diagnosis: B-WPW syndrome and PSVT.