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患者女,80岁。反复心悸10余年。曾因心悸伴黑朦于2007年以“病态窦房结综合征(慢-快综合征)伴阵发性房颤”植入DDD型心脏起搏器。7年前心悸加重,确诊为持续性心房颤动。血液生化检查肝、肾及甲状腺功能均正常。长期规则服用华法林。2014年11月冠状动脉造影示左主干及左回旋支正常、左前降支轻度不规则、右冠脉狭窄30%。心脏超声提示LVED 36mm、LA 45mm、EF 68%。并于2014年11月14日在局麻下行房颤经导管射频消融术,术中双侧肺静脉电隔
Female patient, 80 years old. Repeated palpitations for more than 10 years. Had due to heart palpitations with darkness in 2007 to “sick sinus syndrome (slow - fast syndrome) with paroxysmal atrial fibrillation” implant DDD cardiac pacemaker. 7 years ago increased palpitations, diagnosed with persistent atrial fibrillation. Blood biochemical tests of liver, kidney and thyroid function are normal. Long-term rule taking warfarin. In November 2014, coronary angiography showed that the left main trunk and left circumflex artery were normal, the left anterior descending artery was slightly irregular and the right coronary artery stenosis was 30%. Echocardiography prompted LVED 36mm, LA 45mm, EF 68%. And in November 14, 2014 under local anesthesia undergoing catheter ablation of atrial fibrillation, intraoperative bilateral pulmonary vein electrical isolation