Value of ultrasonography for the diagnosis of in apical hypertrophic cardiomyopathy
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摘要:
目的探讨心尖肥厚型心肌病的超声应用价值 方法对2008~2012年就诊我院的23例心尖肥厚型心肌病患者的超声心动图特征结合心电图资料分析并随访。 结果23例患者的左室心尖部肥厚,心腔缩小甚至闭塞。心电图表现均异常,典型表现为胸前导联巨大T波倒置。随访期间4例出现心尖肥厚型心肌病相关心血管事件,未出现心源性猝死。 结论超声心动图是诊断心尖肥厚型心肌病的主要方法,具有重要临床价值。 Abstract:Objective To discuss the value of echocardiography applied in apical hypertrophic cardiomyopathy(ApHCM). Methods Echocardiography and electrocar- diogram were performed in 23 patients with“pure”ApHCM. Results In patients with ApHCM ,thickened apical segments produce a crowded small apical cavity with obliteration of the apex during systole. All patients had giant negative T-waves in the precordial ECG leads. During follow-up 4 cases had ApHCM-related cardiovascular events,None of the patients had sudden cardiac death. Conclusion Echocardio- graphy is the main method of diagnosing ApHCM and has important clinical value. -
Key words:
- cardiomyopathy /
- apical hypertrophy /
- echocardiography
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