• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Symptomatic hypertrophic obstructive cardiomyopathy: semi-supine bicycle ergometry as a useful provocative manoeuvre to elicit latent gradient.症状性肥厚型梗阻性心肌病：半卧位蹬车运动作为诱发隐匿性压力阶差的有效激发手段
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1044. Epub 2009 Mar 31.
2
Upright treadmill vs. semi-supine bicycle exercise echocardiography to provoke obstruction in symptomatic hypertrophic cardiomyopathy: a pilot study.直立式跑步机与半仰卧式自行车运动超声心动图激发有症状肥厚型心肌病梗阻：一项初步研究。
Eur Heart J Cardiovasc Imaging. 2018 Jan 1;19(1):31-38. doi: 10.1093/ehjci/jew313.
3
Squat-to-stand provocation of dynamic left ventricular outflow tract obstruction in hypertrophic cardiomyopathy: a case report.肥厚型心肌病中蹲位站立诱发动态左心室流出道梗阻：一例报告
Eur Heart J Case Rep. 2020 Dec 28;5(1):ytaa450. doi: 10.1093/ehjcr/ytaa450. eCollection 2021 Jan.
4
Radiofrequency ablation of the interventricular septum to treat outflow tract gradients in hypertrophic obstructive cardiomyopathy: a novel use of CARTOSound® technology to guide ablation.经导管射频消融室间隔治疗肥厚型梗阻性心肌病的流出道压差：一种使用CARTOSound®技术指导消融的新方法。
Europace. 2016 Jan;18(1):113-20. doi: 10.1093/europace/euv302. Epub 2015 Nov 4.
5
DDDR pacing for symptomatic patients with hypertrophic obstructive cardiomyopathy: The first experience in the Netherlands with pacing in HOCM.为有症状的肥厚型梗阻性心肌病患者进行双腔按需起搏：荷兰首次在肥厚型梗阻性心肌病患者中应用起搏治疗的经验。
Neth Heart J. 2002 Jun;10(6):272-276.
6
Reverse remodeling after percutaneous transluminal septal myocardial ablation in severe but asymptomatic LVOT obstruction (RASTA) study: Rationale and design of transcatheter septal reduction in asymptomatic patients with severe hypertrophic obstructive cardiomyopathy.经皮腔内室间隔心肌消融术治疗严重但无症状左心室流出道梗阻（RASTA）研究的逆向重构：严重肥厚型梗阻性心肌病无症状患者经导管间隔减少术的原理和设计。
Catheter Cardiovasc Interv. 2021 Feb 15;97(3):488-492. doi: 10.1002/ccd.29178. Epub 2020 Aug 18.
7
Successful alcohol septal ablation in a pregnant patient with symptomatic hypertrophic obstructive cardiomyopathy.成功对一名患有症状性肥厚性梗阻性心肌病的孕妇进行酒精间隔消融术。
J Cardiol Cases. 2018 Feb 3;17(5):151-154. doi: 10.1016/j.jccase.2017.12.009. eCollection 2018 May.
8
Percutaneous transluminal septal myocardial ablation in hypertrophic obstructive cardiomyopathy: acute results and 3-month follow-up in 25 patients.经皮腔内室间隔心肌消融术治疗肥厚型梗阻性心肌病：25例患者的急性结果及3个月随访
J Am Coll Cardiol. 1998 Feb;31(2):252-8. doi: 10.1016/s0735-1097(97)00508-1.
9
Left ventricular outflow obstruction occurs immediately after exercise in patients with non-obstructive hypertrophic cardiomyopathy.肥厚型心肌病患者在运动后即刻出现左心室流出道梗阻。
Rev Cardiovasc Med. 2021 Jun 30;22(2):469-473. doi: 10.31083/j.rcm2202053.
10
Percutaneous Intramyocardial Septal Radiofrequency Ablation for Hypertrophic Obstructive Cardiomyopathy.经皮心肌内室间隔射频消融治疗肥厚型梗阻性心肌病。
J Am Coll Cardiol. 2018 Oct 16;72(16):1898-1909. doi: 10.1016/j.jacc.2018.07.080.

本文引用的文献

1
An overview of stress echocardiography in the study of patients with dilated or hypertrophic cardiomyopathy.扩张型或肥厚型心肌病患者研究中应力超声心动图概述。
Echocardiography. 2004 Jul;21(5):467-75. doi: 10.1111/j.0742-2822.2004.03083.x.
2
American College of Cardiology/European Society of Cardiology clinical expert consensus document on hypertrophic cardiomyopathy. A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines.美国心脏病学会/欧洲心脏病学会关于肥厚型心肌病的临床专家共识文件。美国心脏病学会基金会临床专家共识文件特别工作组及欧洲心脏病学会实践指南委员会的报告。
J Am Coll Cardiol. 2003 Nov 5;42(9):1687-713. doi: 10.1016/s0735-1097(03)00941-0.
3
Effect of left ventricular outflow tract obstruction on clinical outcome in hypertrophic cardiomyopathy.肥厚型心肌病中左心室流出道梗阻对临床结局的影响。
N Engl J Med. 2003 Jan 23;348(4):295-303. doi: 10.1056/NEJMoa021332.
4
Nonsurgical reduction of the interventricular septum in patients with hypertrophic cardiomyopathy.肥厚型心肌病患者室间隔的非手术复位
N Engl J Med. 2002 Oct 24;347(17):1326-33. doi: 10.1056/NEJMoa012710.
5
Septal myotomy-myectomy and transcoronary septal alcohol ablation in hypertrophic obstructive cardiomyopathy. A comparison of clinical, haemodynamic and exercise outcomes.肥厚性梗阻性心肌病的室间隔肌切开术-心肌切除术与经冠状动脉室间隔酒精消融术。临床、血流动力学及运动结局比较
Eur Heart J. 2002 Oct;23(20):1617-24. doi: 10.1053/euhj.2002.3285.
6
Role of transcoronary ablation of septal hypertrophy in patients with hypertrophic cardiomyopathy, New York Heart Association functional class III or IV, and outflow obstruction only under provocable conditions.
Circulation. 2002 Jul 23;106(4):454-9. doi: 10.1161/01.cir.0000022845.80802.9d.
7
Pressure-guided nonsurgical myocardial reduction induced by small septal infarctions in hypertrophic obstructive cardiomyopathy.肥厚性梗阻性心肌病中小间隔梗死诱导的压力引导非手术性心肌减容术
J Am Coll Cardiol. 2001 Sep;38(3):846-53. doi: 10.1016/s0735-1097(01)01412-7.
8
Left ventricular systolic dysfunction during exercise and dobutamine stress in patients with hypertrophic cardiomyopathy.肥厚型心肌病患者运动及多巴酚丁胺负荷试验时的左心室收缩功能障碍
J Am Coll Cardiol. 2000 Sep;36(3):856-63. doi: 10.1016/s0735-1097(00)00818-4.
9
Nonsurgical septal reduction therapy for hypertrophic obstructive cardiomyopathy: one-year follow-up.肥厚型梗阻性心肌病的非手术性室间隔减容治疗：一年随访
J Am Coll Cardiol. 2000 Sep;36(3):852-5. doi: 10.1016/s0735-1097(00)00767-1.
10
Role of alcohol septal ablation in treatment of obstructive hypertrophic cardiomyopathy.酒精间隔消融术在梗阻性肥厚型心肌病治疗中的作用。
Lancet. 2000 Feb 5;355(9202):425-6. doi: 10.1016/S0140-6736(00)82005-X.

症状性肥厚型梗阻性心肌病：半卧位蹬车运动作为诱发隐匿性压力阶差的有效激发手段

Symptomatic hypertrophic obstructive cardiomyopathy: semi-supine bicycle ergometry as a useful provocative manoeuvre to elicit latent gradient.

作者信息

Dhar Sanjay Kumar, Varadharajan Vatchsala, Al-Mohammad Abdallah, Sandoval Julie, Grech Ever D

机构信息

South Yorkshire Cardiothoracic Centre, Northern General Hospital, Herries Road, Sheffield, South Yorkshire S5 7AU, UK.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1044. Epub 2009 Mar 31.

DOI:10.1136/bcr.10.2008.1044
PMID:21686484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3027320/
Abstract

We report the case of a 58-year-old Caucasian woman with severe symptoms attributable to hypertrophic obstructive cardiomyopathy (HOCM). When supine there was no significant left ventricular outflow tract (LVOT) gradient on echocardiography or cardiac catheter measurements-despite provocation with supine leg exercise and right ventricular pacing. However, semi-supine bicycle exercise induced a marked increase in the LVOT gradient, which helped guide successful percutaneous alcohol septal ablation. This case report demonstrates the usefulness of bicycle exercise echocardiography in diagnosing HOCM with latent LVOT obstruction.

摘要

我们报告了一例58岁患有肥厚性梗阻性心肌病（HOCM）且有严重症状的白种女性病例。仰卧位时，经超声心动图或心导管测量均未发现明显的左心室流出道（LVOT）梯度——尽管进行了仰卧位腿部运动和右心室起搏激发试验。然而，半仰卧位自行车运动导致LVOT梯度显著增加，这有助于指导经皮酒精间隔消融术的成功实施。本病例报告证明了自行车运动超声心动图在诊断隐匿性LVOT梗阻的HOCM中的作用。