Nakajima Mizue, Shima Yoshio, Kumasaka Sakae, Kuwabara Kentaro, Migita Makoto, Fukunaga Yoshitaka
Department of Pediatrics, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.
J Nippon Med Sch. 2008 Dec;75(6):350-3. doi: 10.1272/jnms.75.350.
We describe an infant with nemaline myopathy accompanied by hypertrophic cardiomyopathy. The patient required long-term, intermittent positive-pressure ventilation after birth owing to muscle weakness, and cardiac failure developed during infancy. We diagnosed hypertrophic cardiomyopathy with outflow tract obstruction, and treated the heart failure with beta-adrenergic and angiotensin II receptor blockers. We discuss the prognosis of nemaline myopathy combined with hypertrophic cardiomyopathy.
我们描述了一名患有杆状体肌病并伴有肥厚型心肌病的婴儿。该患者出生后因肌肉无力需要长期间歇性正压通气,且在婴儿期出现心力衰竭。我们诊断为伴有流出道梗阻的肥厚型心肌病,并使用β-肾上腺素能受体阻滞剂和血管紧张素II受体阻滞剂治疗心力衰竭。我们讨论了杆状体肌病合并肥厚型心肌病的预后。