目的:总结心尖肥厚型心肌病(apicalhypertrophiccardiomyopathy,AHCM)的临床特点,提高对该病的诊断水平。方法:对24例AHCM病人的临床资料进行回顾性分析。结果:5例有阳性家族史,13例以胸痛为主要表现,24例心电图异常、10例有UCG改变,14例经左心室造影确诊。结论:充分认识AHCM的临床表现,结合心电图、UCG、X线胸片等检查结果进行综合分析,是作出正确诊断的关键。 Objective: To summarize the clinical features of apical hypertrophic cardiomyopathy (AHCM) and to improve the diagnosis of this disease. Methods: The clinical data of 24 patients with AHCM were retrospectively analyzed. Results: Five patients had a positive family history, thirteen patients had chest pain as the main manifestation, 24 patients had abnormal electrocardiogram, 10 patients had UCG changes, and 14 patients were diagnosed by left ventriculography. Conclusion: To fully understand the clinical manifestations of AHCM combined with the results of ECG, UCG, X-ray examination results is the key to make a correct diagnosis.