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心尖肥厚型心肌病临床诊断五例报告

Clinical Diagnosis of Apical Hypertrophic Cardiomyopathy: A Report of Five Cases

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【作者】 刘春阳游辉中

【Author】 Liu Chun yang,You Hui zhong (The People’s Hospital of Xinyu City,Xinyu 338000,China)

【机构】 江西省新余市人民医院二门诊部江西省新余市人民医院二门诊部 江西新余338000江西新余338000

【摘要】 目的 :探讨心尖肥厚型心肌病的辅助检查诊断。方法 :用心电图 ,二维超声心动图等检查方法 ,诊断 5例心尖肥厚型心肌病。结果 :5例心电图左胸导联呈现深尖的T波倒置 ,特别是V4 、V5更为明显 ;二维超声心动图示左室外乳头肌以下各壁心肌肥厚在 12mm以上。结论 :心电图左胸导联呈现深尖倒置的T波 ,可高度怀疑心尖肥厚型心肌病 ,及时做超声心动图

【Abstract】 Objective: To evaluate the auxiliary diagnosis of apical htpertrophic cardiomyopathy. Methods: Five cases of apical hypertrophic cardiomyopathy were diagnosed with electrocardiogram and chocardiography. Results: The electrocardiogram in leads of left chest showed giant negative T waves, especially in leads V4 and V5. Two-dimensional echocardiography showed a change of left ventricular apical myocardium (>12 mm). Conclusion: Giant negative T wave in electrocardiogram of left chest is useful in the diagnosis of apical hypertrophic cardiomyopathy and is an indication for an examination of echocardiography.

  • 【文献出处】 实用临床医学 ,Practical Clinical Medicine , 编辑部邮箱 ,2001年04期
  • 【分类号】R542.2
  • 【下载频次】17
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