Afonso Luis C, Bernal Juan, Bax Jeroen J, Abraham Theodore P
Division of Cardiology, Wayne State University, Detroit, Michigan, USA.
JACC Cardiovasc Imaging. 2008 Nov;1(6):787-800. doi: 10.1016/j.jcmg.2008.09.002. Epub 2008 Nov 18.
Hypertrophic cardiomyopathy is a relatively common inherited cardiomyopathy that is occasionally challenging to differentiate from hypertensive heart disease and athlete hearts on the basis of morphologic or functional abnormalities alone. Echocardiography has traditionally played a preeminent role in the diagnosis, formulation of management strategies, and the prognostication of this complex disease. In this review, we briefly profile the utility and pitfalls of established echocardiographic modalities and discuss the evolving role of novel echocardiographic imaging modalities such as tissue Doppler, Doppler-based strain, 2-dimensional strain (speckle tracking imaging), and 3-dimensional imaging in the assessment of hypertrophic cardiomyopathy.
肥厚型心肌病是一种相对常见的遗传性心肌病，仅根据形态学或功能异常有时很难与高血压性心脏病和运动员心脏相鉴别。传统上，超声心动图在这种复杂疾病的诊断、管理策略制定及预后评估中发挥着卓越作用。在本综述中，我们简要介绍了现有超声心动图检查方法的作用及缺陷，并讨论了新型超声心动图成像方法，如组织多普勒、基于多普勒的应变、二维应变（斑点追踪成像）和三维成像在肥厚型心肌病评估中不断演变的作用。
