患者,男性,80岁,以“发现血糖升高20余年”为主诉于2024年4月8日入院,既往因“快慢综合征”于2008年植入心脏起搏器,于2016年行起搏器置换术(雅培起搏器,起搏器型号、程控参数不详)。入院诊断:2型糖尿病、快慢综合征(起搏器植入术后)。入院后完善动态心电图检查的片段如下图。可见发生室性早搏后3种不同表现形式。当室性早搏后无逆行P波时,起搏器在VA间期末发放心房脉冲(图1)。
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