Patients: have self-conscious symptoms for about six months, during which there have been several examinations, including: dynamic ECG, 12-lead ECG twice, cardiac color ultrasound and just done 64 layer coronary CT, it should be noted that of the two 12-lead general ECG, one of them was performed after deliberate exercise (ST-T wave changes), all information can be seen in the pictures. During the period did not take too many drugs, targeted probably also on the bye aspirin mg / day at present self-perception: 1, exercise tolerance significantly reduced, a little exercise will feel chest tightness. 2. Belching when I move a little – can’t find the cause. 3, feel that the heart rate can not keep up with the increase in exercise, self-test pulse never exceeds 100 beats per minute, (the usual heartbeat 54-64) laboratory tests, belching and arrhythmias on slight movement causes and countermeasures Beijing Fu Wai Hospital Cardiovascular Medicine Li Chongjian Beijing Fu Wai Hospital Cardiovascular Medicine Li Chongjian: according to the description, as if you are a doctor, very good! In your case, the section basically excludes coronary heart disease, and the cause targeted is arrhythmia, mainly atrial premature, whether it is related to belching, it is not easy to say, belching may also be related to digestive tract problems, you can check it. For treatment, the main thing is anti-arrhythmic treatment, you can use some cardioplegia, but because your heart rate is slow, check your ambulatory cardiogram. In addition, advance a doctor to you, it seems to be the second hospital of Shaoxing cardiology, either a hospital, Tang Battered Sang or Zhou Hao Liang, are my good friends, polite, they will help. Patient: Thank you very much Dr. Li for your serious reply, I am not a doctor, I will provide further information about me later, I am really sorry to waste your time. Patient: Self-complaint of cardiovascular symptoms I. Self-perceived symptoms since early December 2007, about 9 months now, II. (The pulse returns to about 60 beats and the belching stops.) Recently, belching has occurred even without exercise. During this period, several tests were performed, including: 1. gastroscopy (normal). 2. 2. Ambulatory electrocardiogram (atrial premature 662, paired atrial premature 53, slowest heart rate 57, fastest heart rate 88, longest interval 1392ms). 3. 12-lead electrocardiogram twice (one of them was performed after deliberate exercise (ST-T wave change), and the other suggested “incomplete right bundle branch block”). (“incomplete right bundle branch block”). 4, Cardiac color ultrasound (EF 80%, FS 51%, normal except for “mild tricuspid regurgitation”). 5.Lipid index (total cholesterol 5.73, triglycerides 1.38), 6.Lung function (good) 7.Coronary 64-row CTA done on July 28, 2008 (normal except for “small plaque with mild stenosis in the right coronary diaphragm”). During the period, I took “Astragalus raw vein drink” for two months, “Bu Chang heart stabilizing granules” for two months, “Ginseng heart capsule” for a small amount, and “Gulviso “3*2 tablets/day for one month, 47.5mg half tablet/day for 4 days, and then changed to 47.5mg tablet 1/4/day for 3 days after stopping the medication because the heart rate dropped to about 55 and blood pressure 105/70mm. I have been taking it since then. Self-perception: 1. Exercise tolerance is significantly reduced, belching and pulse “missed” with a little exercise, but sometimes the symptoms disappear with continued exercise. 2. I feel that my heart rate cannot keep up with the increase in exercise, and my pulse has never exceeded 100 beats per minute on self-measurement (my usual heart rate is around 54-62). Li Chongjian, Department of Cardiovascular Medicine, Fu Wai Hospital, Beijing: According to your description, I think the most critical problem is the arrhythmia, as mentioned above, you can use some cardioplegia. It is best to look for the doctor I recommended to you. Betaloc can be used, but don’t use extended-release tablets, because he is a long-acting drug, not well adjusted, just use ordinary tablets.