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致心律失常性右室心肌病

[Arrhythmogenic right ventricular cardiomyopathy].

作者信息

Wang Qi-wei, Liu Liang

机构信息

Faculty of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Fa Yi Xue Za Zhi. 2004;20(1):35-6, 39.

Abstract

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a heart muscle disease of unknown etiology characterized by fatty or fibrofatty infiltration of the right ventricular myocardium. It is well known that ARVC is one of the important causes of sudden death in young individuals. The significant pathological change of ARVC is atrophy and fibrofatty myocardial replacement of the right ventricular free wall. According to the histopathological substrate ARVC could be divided into 2 types: fatty and fibrofatty myocardial replacement. Possible etiology including: (1) apoptosis or programmed cell death; (2) inflammatory; (3) myocardium dysplasia and (4) myocyte transdifferentiation theory.

摘要

致心律失常性右室心肌病(ARVC)是一种病因不明的心肌疾病,其特征为右心室心肌出现脂肪或纤维脂肪浸润。众所周知,ARVC是年轻人猝死的重要原因之一。ARVC的显著病理变化是右心室游离壁萎缩及纤维脂肪性心肌替代。根据组织病理学基质,ARVC可分为2型:脂肪性和纤维脂肪性心肌替代。可能的病因包括:(1)细胞凋亡或程序性细胞死亡;(2)炎症;(3)心肌发育异常;(4)心肌细胞转分化理论。

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