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患者,男,52岁。因:“头昏、心悸、胸闷4小时余”入院。入院心电图:室性心动过速,呈完全性左束支传导阻滞图形。超声心动图:右心显著扩大,右室流出道明显增宽,左室舒张功能减退,中度三尖瓣返流,轻度主动脉瓣返流;入院后给胺碘酮成功转为窦性心律,转为窦性心律时心电图特点:I度房室传导阻滞,右束支传导阻滞,可见Epsilon波(在ST段起始部的一个小波),V1-V5导联T波倒置。给植入埋藏式心脏自动转律除颤器(ICD)治疗。术后抗心动过速治疗2次。
Patient, male, 52 years old. Because: “dizziness, palpitations, chest tightness 4 hours ” admission. Admission electrocardiogram: Ventricular tachycardia, was complete left bundle branch block pattern. Echocardiography: right heart significantly expanded right ventricular outflow tract was significantly widened left ventricular diastolic dysfunction, moderate tricuspid regurgitation, mild aortic regurgitation; after admission to amiodarone turned to sinus Cardiac rhythm, to sinus rhythm ECG features: I degree atrioventricular block, right bundle branch block, showing Epsilon wave (at the beginning of ST segment of a wavelet), V1-V5 lead T wave inversion. Implantable cardioverter-defibrillator (ICD) therapy. After anti-tachycardia treatment 2 times.