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目的探讨心尖肥厚型心肌病 (AHCM )的临床特点。方法回顾分析 16例AHCM的临床表现及心电图、超声心动图、心室造影及冠状动脉造影、磁共振等检查特征。结果心电图显示胸导为主导联上出现对称性T波倒置、ST段压低及R波增高 ,13例经超声心动图或磁共振证实心尖肥厚 ,心室造影 5例呈“黑桃”样改变 ,冠脉造影示 2例存有心肌桥 ,2例轻度狭窄。结论AHCM可合并冠状动脉病变 ,心电图、超声心动图结合影像学检查能够明确诊断。
Objective To investigate the clinical features of apical hypertrophic cardiomyopathy (AHCM). Methods Retrospective analysis of 16 cases of AHCM clinical manifestations and ECG, echocardiography, ventriculography and coronary angiography, magnetic resonance imaging and other features. Results Electrocardiogram showed symmetry of T wave inversion, ST segment depression and R wave increase on the lead of the thoracic duct. Accompanied by echocardiography or magnetic resonance imaging, 13 cases showed apical hypertrophy. There were 5 cases of “spades” 2 cases of myocardial infarction with myocardial bridge, 2 cases of mild stenosis. Conclusions AHCM can be combined with coronary artery disease, ECG, echocardiography combined with imaging examination can confirm the diagnosis.