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患者男性,21岁,因咽痛、发作性胸闷在门诊描记12导联心电图发现右胸导联异常Q波入院检查.体检:T37℃,BP120/75mmHg(16/10kPa),咽部充血.Χ线胸透、腹部B超及心脏彩色多普勒血流显像未见异常.实验室检查血清钾、钠、氯、GOT、肝功能、血糖及血脂均正常.临床诊断:咽炎.入院后每天于7:00早餐前描记心电图共14次.第1、2次心电图(附图A)示窦性心律,93次/min,心电轴+66°,右胸导联V_2一V_6R依次呈qrs、qRsr＇、QS、Qr或Qrs型,
Patient, male, 21 years old, due to sore throat, paroxysmal chest tightness in the outpatient tracing 12 lead ECG found abnormal right chest lead Q wave admission examination. Physical examination: T37 ℃, BP120 / 75mmHg (16 / 10kPa), pharyngeal hyperemia. Line chest ultrasound, abdominal ultrasound and heart color Doppler flow imaging were normal.Laboratory examination of serum potassium, sodium, chlorine, GOT, liver function, blood glucose and blood lipids are normal .Clinical diagnosis: pharyngitis.After admission day ECG at 7:00 before breakfast tracing a total of 14. First and second ECG (A) shows sinus rhythm, 93 beats / min, ECG axis + 66 °, right chest lead V_2 a V_6R were qrs , QRsr ’, QS, Qr or Qrs type,