摘要
目的：报告11例肥厚型心肌病（HCM）伴节段性室壁运动异常（SWMA），以提高对HCM特殊表现的认识。方法：11例均做胸部X线摄片、常规12导联心电图、二维超声心动图、心脏磁共振成像、左室造影和选择性冠状动脉（CA）造影，并对其结果进行对比分析。结果：在11例HCM伴SWMA患者，CA造影均正常，心室肥厚部位在心尖部5例，前壁或前侧壁及室间隔2例，前壁及心尖部1例，前壁1例，普遍性肥厚2例。SWMA位于肥厚部位10例，非肥厚部位1例。结论：SWMA不是冠心病特有的表现，HCM可以引起SWMA。HCM伴SWMA需与冠心病鉴别。
Objective:To improve the recognition of special manifestations of hypertrophic cardiomyopathy (HCM), 11 patients with HCM accompanied by segmntal wall motion abnormalities (SWMA)were reported. Method:Among 162 patients with HCM diagnosed, 11 patients with HCM accompanied by SWMA are reported. All the 11 patients had recieved chest X-ray, 12-lead ECG,2dimension UCG,MRI,left ventriculography and selective coronary angiography. Results: In 11 patients with HCM accompanied by SWMA,their coronary arteries were normal and ventricular hypertrophic sites were located at apex(5 cases),anteral or anterolateral wall as well as ventricular septum (2 cases ),anteral wall as well as apex (1 case),anteral wall (1 case),general wall (2 cases ),respectively. SWMAs were located at hypertrophic sites in 10 cases and nonhypertrophic site in 1 case. Conclusion:SWMA is not a specific manifestation of coronary heart disease (CHD)and HCM can lead to SWMA. HCM accompanied by SWMA needs differentiating from CHD.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
1998年第3期134-136,共3页
Journal of Clinical Cardiology
关键词
肥厚型
心肌病
节段性
室壁运动异常
Hypertrophic cardiomyopathy Segmental wall motion abnormality
