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患者男性,52岁,反复发作心悸、胸闷四年,伴下肢轻度水肿二月,于1992年2月24日入院。体检:Bp13.30/9.31kPa(100/70mmHg)。双肺可闻及少许湿性啰音,心界扩大,HR120次/分、可闻及早搏2～3次/分,肝肋下3cm、压痛(+),双下肢轻度水肿。心脏三位片示:心影“普大”型,左右室影均增大,心胸比率0.76。心脏B超示:左右室增大,以左室为著,左房前后径47mm,室间隔厚度9mm,左室后壁厚度9mm,舒张末期左室前后径81mm,左室流出道25mm。肝脏B超示淤血肿。心电监测提示有频发房性、室性早搏,部分呈二联律。诊断为扩张性心肌病、心功能Ⅱ级。予以狄戈辛、速尿、含镁极化液、卡托普利、青氨苄等治疗。晚电位变化采用SimSon法,ART1200EPX
Male, 52 years old, recurrent heart palpitations, chest tightness for four years, with mild lower extremity edema in February, February 24, 1992 admission. Physical examination: Bp13.30 / 9.31 kPa (100/70 mmHg). The lungs can be heard and a little wet rales, heart expansion, HR120 beats / min, can be heard and premature beats 2 to 3 beats / min, liver ribs 3cm, tenderness (+), mild lower extremity edema. Cardiac three shows: heart shadow “Pu” type, left and right room shadow increases, the ratio of 0.76 chest. Cardiac B ultrasound showed: the left and right ventricle increased to the left ventricle, a left and right front and back path 47mm, ventricular septal thickness 9mm, left ventricular posterior wall thickness 9mm, diastolic left ventricular anterior and posterior diameter 81mm, left ventricular outflow tract 25mm. Liver B ultrasound showed bruising hematoma. ECG monitoring prompt frequent room, ventricular premature beats, part of the law of two. Diagnosis of dilated cardiomyopathy, cardiac function Ⅱ level. To digoxin, furosemide, magnesium-containing polar solution, captopril, carbenicillin and other treatment. Late potential changes using SimSon method, ART1200EPX