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首页> 外文期刊>Heart and Lung: The Journal of Critical Care >Delectable deductive diagnosis: Lean children of fat parents.
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Delectable deductive diagnosis: Lean children of fat parents.

机译：令人满意的推论诊断：胖孩子的瘦孩子。

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摘要

The patient was a 75-year-old woman with chronic ischemic/hypertensive heart disease, and a permanent pacemaker had been inserted 2 years previously for a "bifascicular block." The 12-lead electrocardiogram (ECG) shown in Figure 1 was performed in the emergency room (ER) after a transient ischemic attack (TIA). The patient was asymptomatic by then.Because of the TIA, her ECG received more scrutiny than was perhaps warranted. It was felt that the ventricular lead of the pacemaker was failing to capture the ventricle. A chest x-ray and routine tests were noncontributory. The ECG was brought to my office for an urgent report. I was pleased to report a sequential pacemaker rhythm, right-bundle branch block (RBBB), and right-axis deviation (RAD), probably a left posterior hemiblock (LPHB).
机译：该患者是一名75岁的女性，患有慢性缺血性/高血压性心脏病，两年前已插入永久性起搏器以治疗“双束性传导阻滞”。图1所示的12导联心电图（ECG）在短暂性脑缺血发作（TIA）后在急诊室（ER）进行。当时患者是无症状的。由于TIA，她的ECG受到的检查比可能需要的更多。感觉到起搏器的心室导联未能捕获心室。胸部X光检查和常规检查无贡献。心电图被带到我的办公室以作紧急报告。我很高兴地报告连续的起搏器节律，右束支传导阻滞（RBBB）和右轴偏差（RAD），可能是左后半阻滞（LPHB）。

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