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患者男、68岁,系“反复头晕、黑蒙1周”入院。既往有高血压病病史15年。入院心电图:窦性心律,三度房室传导阻滞(图1)、心脏彩超:左室舒张末内径59mm,左房内径43mm,左室射血分数48%。考虑患者左室偏大、心功能偏低,遂行心脏再同步化治疗(CRT)。术后1月,患者反复发作心悸,动态心电图提示有阵发性心房颤动发作。口服心律平或可达龙等药物治疗,上述症状仍反复发作。心悸再次发作并持续1周入
Male patient, 68 years old, Department of “repeated dizziness, darkness 1 week ” admission. Past history of hypertension 15 years. Admission electrocardiogram: sinus rhythm, third degree atrioventricular block (Figure 1), echocardiography: left ventricular end diastolic diameter 59mm, left atrial diameter 43mm, left ventricular ejection fraction 48%. Consider patients with left ventricular hypertrophy, cardiac dysfunction, cardiac resynchronization therapy (CRT). One month after surgery, the patient experienced recurrent palpitations and ambulatory electrocardiogram (ECG) suggestive of paroxysmal atrial fibrillation. Oral heart rhythm or up to dragon and other drug treatment, the above symptoms are recurrent. Palpitation attacks again and continued for 1 week