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钙拮抗剂硝苯吡啶(Nifedipine,心痛定)有较强的扩张冠状动脉及外周血管的作用,能增加冠脉血流量治疗心绞痛,并能舒张外周阻力血管及容量血管,产生良好的降压作用,是近年来很受重视的抗心肌缺血药及降压药。我们在用硝苯吡啶治疗一例冠心病,高血压病患者过程中,发现其对完全性房室传导阻滞亦有治疗作用,特报道如下。病历摘要:患者男性,67岁,退休工人。因头昏、胸闷、气喘、脉率缓慢3(?)月于1984年10月19日入院。既往有高血压病史3年半。体检:脉搏38次/分,血压220/90毫米汞柱,心率38次/分,心界稍向左扩大,律齐,心尖部可闻心房音及大炮音,主动脉瓣第二音亢进。心电图检查为完全性房室传导阻滞。入院诊
Nifedipine (nifedipine), a calcium antagonist, has a strong effect of dilating coronary and peripheral blood vessels, increasing coronary blood flow in the treatment of angina pectoris, and relaxing diastolic blood vessels and volumetric vessels, resulting in a good antihypertensive effect , Is very much in recent years, anti-ischemic drugs and antihypertensive drugs. We use nifedipine in the treatment of a case of coronary heart disease, hypertension in the process and found that it has a therapeutic effect on complete atrioventricular block, especially reported as follows. Medical record summary: Patient male, 67 years old, retired worker. Due to dizziness, chest tightness, asthma, slow pulse rate 3 (?) Month in October 19, 1984 admission. Past history of hypertension 3 and a half years. Physical examination: pulse 38 beats / min, blood pressure 220/90 mm Hg, heart rate 38 beats / min, the heart of the heart to the left to expand, law Qi, apex can be heard atrial and cannon sounds, aortic second tone hyperthyroidism. ECG examination for complete atrioventricular block. Admission