Chest pain shortness of breath amaurosis associated with pathological Q wave 1 cases.docVIP

 PAGE \* MERGEFORMAT 5 Chest pain shortness of breath amaurosis associated with pathological Q wave 1 cases [Keywords:] hypertrophic cardiomyopathy, Q wave 1 Case information Patients, female, 67 years old. Chief Complaint: intermittent chest pain, shortness of breath, amaurosis 1 month. History: The patient was 1 month ago began to chest pain, was pressing nature, with oppressed shortness of breath, and more after the event occurred, duration 3 ~ 15min range, the rest more able to relieve itself after, even with amaurosis, but no history of syncope. treated at a local hospital after the illness (specifically unknown, poor efficacy, it is a “coronary heart disease” into the hospital. with previous 10-year history of hypertension, intermittent taking Apocynum compound, nifedipine and other drugs, denied history of diabetes, non-alcoholic drinks and tobacco habits. admission examination: T 36.5 , P 82 times / min, R 18 times / min, BP 170 / 100mmHg, quiet face, lips red. neck soft, no jugular vein engorgement. breathing steady, and the wet and dry lungs did not hear rales, mild left heart border expansion, heart rate 82 times / min, law Qi, 1 heart sound enhancement , in the intercostal space left sternal border can be heard 4 and 3 / 6 systolic ejection murmur, a more rough. abdomen is soft, liver and spleen not palpable, liver - jugular reflux symptoms (-, abdominal and vascular murmur is not heard, lower limbs without edema. Laboratory tests: Hb 13.0g / L, WBC 11.0 109 / L, neutral 0.75, platelets 190 109 / L. Lactate dehydrogenase (LDH294u / L, aspartate aminotransferase ( AST32u / L, creatine kinase (CK96u / L, creatine kinase (CK-MB8u / L, lactate dehydrogenase isoenzyme 1 (LDH133%. blood cholesterol 7.60mmol / L, triglycerides 3.78mmol / L. fasting blood glucose 5.60mmol / L. bedside ECG: sinus rhythm, V1 ~ V4 leads appear wide and deep, pathological Q wave with T wave inversion, ST segment was no shift. electrocardiogram recorded during chest p