最近提出病窦综合征是腺苷介导的疾病,我们用腺苷的拮抗剂氨茶硷治疗2例冠心病病窦综合征,近期效果较好,现报道如下: 例1,李某,男,77岁,高血压20多年,心动过缓伴反复晕厥、心悸、胸闷半年,双下肢浮肿2月入院。BP21/13KPa、心率32次/分、心界在锁骨中线外1cm,左肺底细湿鸣,右肺底少许细湿鸣,双下肢踝部凹陷性水肿。常规实验室检查均无异常。眼底:视网膜出血。心三位片:左室增大、肺淤血、主动脉硬化。超声心动图示左室后壁厚度12mm,室隔厚度12mm,主动脉弹性降低。心电 Recently proposed sick sinus syndrome is adenosine-mediated disease, we use adenosine antagonist ammonia theophylline treatment of 2 cases of coronary heart disease sinus syndrome, the recent effect is better, are reported as follows: Example 1, Lee, male , 77 years old, hypertension more than 20 years, bradycardia with recurrent fainting, heart palpitations, chest tightness six months, double eyelid edema admitted in February. BP21 / 13KPa, heart rate 32 beats / min, the heart in the clavicle midline 1cm, thin left lung wet Ming, right lung bottom a little thin dampness, both lower extremity ankle depression edema. Routine laboratory tests were normal. Fundus: retinal hemorrhage. Heart three films: left ventricular enlargement, pulmonary congestion, aortic sclerosis. Echocardiography showed left ventricular posterior wall thickness 12mm, septal thickness 12mm, aortic elasticity decreased. ECG