Samanta Swapan, Vijayverghia Rajesh, Vaiphei Kim
Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
Indian J Pathol Microbiol. 2011 Jan-Mar;54(1):164-6. doi: 10.4103/0377-4929.77392.
Isolated idiopathic right ventricular dilated cardiomyopathy is rare and is a diagnosis by exclusion. There is a distinct male predominance. The usual clinical presentations are syncope, ventricular tachycardia, left bundle branch block on ECG and right heart failure. Diagnosis is usually established based on the clinical and laboratory parameters. Confirmation of the same is done by studying the pathological features of the heart in an endomyocardial biopsy or at post-mortem. Herein we report a case of this rare entity which was diagnosed clinically and was further confirmed at autopsy.
孤立性特发性右心室扩张型心肌病较为罕见,需排除其他病因后方可诊断。该病明显男性居多。常见临床表现为晕厥、室性心动过速、心电图显示左束支传导阻滞及右心衰竭。诊断通常依据临床和实验室参数确立。通过心内膜心肌活检或尸检研究心脏病理特征来确诊。在此,我们报告一例这种罕见疾病的病例,该病例临床诊断明确,尸检进一步证实。