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潘某,男,34岁,军人。自1973年以来,背都阵发性疼痛,活动后加重,每次持续10分钟至2小时。偶有从睡眠中憋醒现象。1976年初,出现胸闷、胸疼、心慌等症状。同年3月体检发现心电图不正常,电轴-70°,左前半支阻滞,极度顺转,V_a、V_6、aVL导联T波倒置,ST_(I、avL、v5)呈水平型下降。考虑心肌供血不足。随后住院检查,心率76次,节律规整,血压110/70。右胸第三肋骨处有压痛,并可听到Ⅰ～Ⅱ级收缩期杂音。心电图复查:心肌供血不足及左前半支阻滞。x线检查:心脏搏动稍弱,右心室轻度扩大。化验:β脂蛋白535mg%,胆固醇165mg%,甘油三脂90mg%。诊断为冠心病。用心得安及中药治疗。症状有所减轻,但仍感胸闷及心前区痛。1977年某医院心向量图检查:符合心肌病。超声心动图显示:主动脉内
Panmou, male, 34 years old, soldier. Back pain has been paroxysmal since 1973, exacerbating after activity, lasting 10 minutes to 2 hours each. Occasional arousal from sleep phenomenon. Early 1976, chest tightness, chest pain, palpitation and other symptoms. In the same year in March the examination showed abnormal electrocardiogram, electrical axis -70 °, the left half of the block, the extreme smooth turn, V_a, V_6, aVL lead T wave inversion, ST_ (I, avL, v5) showed a decline. Consider myocardial insufficiency. Subsequent hospitalization, heart rate 76 times, regular rhythm, blood pressure 110/70. There is tenderness in the third rib of the right chest, and systolic murmur of grade Ⅰ ~ Ⅱ can be heard. ECG review: myocardial insufficiency and left anterior block. X-ray examination: weaker heart beat, mild right ventricular enlargement. Assay: β lipoprotein 535mg%, cholesterol 165mg%, triglyceride 90mg%. Diagnosis of coronary heart disease. Peace of mind and Chinese medicine treatment. Symptoms have eased, but still feel chest tightness and precordial pain. In 1977 a hospital cardiac vector map examination: in line with cardiomyopathy. Echocardiography showed: within the aorta