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患者女性,50岁,以心悸,胸闷一年加重半个月入院。一年前出现阵发性心慌,胸闷先后几次行心电产检查均为室速,偶伴室早。近半个月发作频繁,无明显诱因,为确诊来我院。查体BP 140/90mmHg,一般状况欠佳,无突眼及甲状腺肿大,心律130次/分左右,心界不大,心电图示室速。诊断:室性心动过速原因待查。入院后间断发作室速,发作时无严重血流动力学改变,予心律平和胺碘酮均可转复为窦性心律,但不能维持。于入院第2天行心腔内电生理检查及射频消融术,术后无明显改
Female patients, 50 years old, with palpitations, chest tightness increased year and a half admitted to hospital. A year ago, paroxysmal palpitation, chest tightness has several lines of ECG are ventricular tachycardia, even with room early. Seizures nearly two weeks, no obvious incentive for the diagnosis to our hospital. Physical examination BP 140 / 90mmHg, poor general condition, no exophthalmos and goiter, heart rate 130 beats / min or so, the heart is small, ECG showed VT. Diagnosis: causes of ventricular tachycardia to be checked. Intermittent ventricular tachycardia after admission, seizures without severe hemodynamic changes to the rhythm of arrhythmias and amiodarone can be converted to sinus rhythm, but can not be maintained. On the second day after admission, intracardiac electrophysiological examination and radiofrequency ablation were performed without significant change after operation