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家庭性Ⅲ°A-VB临床少见,现报告一家系四代14人Ⅲ°A-VB如下: 现诊者女性,36岁,农民,因反复头晕,胸闷三年。89年5月曾在我院作心电图检查,诊断为窦性心动过缓,心率55次/min,不全性右束支传导阻滞.1991年5月11日因头晕胸闷加重伴黑朦而入本院,患者无晕厥抽搐史。体检:BP105/60mmHg(14/8kpa),心脏叩诊不扩大。心率36次/min,律齐。X线心脏平片心影不扩大.两维超声心动图、血沉、及三大常规均正常。心电图示Ⅲ°A-VB,室性自搏心律,心室率34次/min。1991年6月22
Familial Ⅲ ° A-VB clinical rare, now report a family of four generations of 14 ° Ⅲ ° A-VB are as follows: The present female patient, 36 years old, farmer, because of repeated dizziness, chest tightness for three years. May 89 was in our hospital for electrocardiogram examination, diagnosed as sinus bradycardia, heart rate 55 beats / min, incomplete right bundle branch block May 11, 1991 due to dizziness and chest tightness increased with darkness into Hospital, the patient had no history of syncope convulsions. Physical examination: BP105 / 60mmHg (14 / 8kpa), cardiac percussion does not expand. Heart rate 36 beats / min, law Qi. X-ray plain heart shadow does not expand .Two-dimensional echocardiography, ESR, and the three normal are normal. ECG showed Ⅲ ° A-VB, ventricular stroke heart rate, ventricular rate 34 beats / min. June 1991