Robinson J J
Arch Pathol Lab Med. 1976 Mar;100(3):121-2.
Asymmetric septal hypertrophy (ASH) was not identified in the 2,790 autopsies performed in a Veterans Administration hospital since 1958. Recent reports consider ASH to be a common cardiac disease in the diffuse form that has extensive myofiber disorientation. A retrospective study of 419 autopsies was undertaken to see if that diagnosis had been overlooked; but, in 100 autopsies with detailed photographic records of ventricular and septal size, ASH was not found. There were slight average increases in the posterior portions of the septum and right ventricle, and an average septal-left ventricular ratio of 1.1. Since neither staff pathologists nor consultants who reviewed entire hearts with cardiomyopathy noted features of ASH, we consider it to be a rare disease in elderly veterans.
自1958年以来，在一家退伍军人管理局医院进行的2790例尸检中未发现不对称性室间隔肥厚（ASH）。最近的报告认为ASH是一种常见的弥漫性心脏病，伴有广泛的肌纤维排列紊乱。我们进行了一项对419例尸检的回顾性研究，以查看该诊断是否被忽视；但是，在100例有详细心室和室间隔大小照片记录的尸检中，未发现ASH。室间隔和右心室后部平均略有增加，室间隔与左心室平均比例为1.1。由于审查整个心脏的病理科工作人员和顾问均未发现心肌病患者有ASH特征，我们认为ASH在老年退伍军人中是一种罕见疾病。
