患者男性 ,4 5岁 ,已婚 ,干部 ,既往体健 ,吸烟史 2 0～ 4 0支 /日× 2 0年 ,因劳力性心累气促 5年 ,加重 1月入院 ,5年来反复出现活动后心累气促 ,安静时常有心悸 ,自数脉搏最高达 140 ｐｂｍ ,心累症状于爬楼后较显著 ,无下肢浮肿 ,无夜间阵发性呼吸困难 ,未重视就医。1月前 Male patients, 45 years old, married, cadres, previous physical health, smoking history 20 ~ 40 0 ​​/ day × 20 years, due to physical exertion for 5 years, increased hospitalization in January, 5 years recurring Activities after the heart and shortness of breath, quiet heart palpitations often, from the number of pulses up to 140 pbm, tired heart symptoms after climbing more significant, no lower extremity edema, no paroxysmal nocturnal dyspnea, did not pay attention to the doctor. 1 month ago