患者男,62岁,因间断头晕20年,心慌、胸闷5年,于1993年3月2日入院。体检:BP29/13.3kPa,神志清楚,双肺呼吸音清,心界向左下扩人,P90次/min,律齐,心音有力。主动脉瓣,二尖瓣昕诊区可闻及Ⅲ/6级收缩期吹风样杂音。腹平软,肝、脾肋下未触及。双下肢轻度凹陷性浮肿,心电图示:左室肥厚、心肌劳损;诊断;高血压病Ⅱ期,高血压性心脏病,心功能Ⅲ级。入院后给予卡托普利25mg, Male patient, aged 62, was admitted to hospital on March 2, 1993 due to intermittent dizziness for 20 years, palpitation and chest tightness for 5 years. Physical examination: BP29 / 13.3kPa, conscious, lung breath sounds clear, heart bound to the left to expand people, P90 times / min, law Qi, heart sound and powerful. Aortic valve, mitral Xinxin area can be heard and Ⅲ / 6 systolic hair-like murmur. Abdomen soft, liver, spleen ribs untouched. Lower limbs slightly depressed edema, ECG shows: left ventricular hypertrophy, myocardial strain; diagnosis; hypertensive disease Ⅱ, hypertensive heart disease, heart function Ⅲ grade. After admission to give captopril 25mg,