Partanen J, Kupari M, Heikkilä J, Keto P
First Department of Medicine, University Central Hospital, Helsinki, Finland.
Clin Cardiol. 1991 Nov;14(11):936-9. doi: 10.1002/clc.4960141115.
A 47-year-old man with apical hypertrophic cardiomyopathy and an apical left ventricular aneurysm with palpitation as the initial manifestation is described. There was no intraventricular pressure gradient. The aneurysm is suggested to be a part of the myocardial disease or to be caused by myocardial bridging of the left anterior descending coronary artery demonstrated by angiography. The 24-hour ambulatory ECG recording showed only isolated ventricular ectopic beats and the clinical course has been favorable during 20 months without therapy.
本文描述了一名47岁男性，以心悸为首发表现，患有心尖肥厚型心肌病和心尖部左心室室壁瘤。不存在心室内压力梯度。该室壁瘤被认为是心肌病的一部分，或者是由冠状动脉造影显示的左前降支心肌桥引起的。24小时动态心电图记录仅显示孤立性室性早搏，在未接受治疗的20个月期间临床病程良好。
