Byrne Christina, Abdulla Jawdat
Department of Cardiology, Glostrup Hospital, Glostrup, Denmark.
BMJ Case Rep. 2014 Jul 2;2014:bcr2014204944. doi: 10.1136/bcr-2014-204944.
A 33-year-old woman with presumed essential hypertension and symptoms equivalent to New York Heart Association class II was suspected of heart failure and referred to echocardiography. The patient's ECG showed a left bundle branch block. Electrolytes, serum creatinine and estimated-glomerular filtration rate as well as urine test for protein were all normal. The patient had no peripheral oedema. The transthoracic echocardiography confirmed systolic and diastolic dysfunction and an ejection fraction of 25% and left ventricular hypertrophy. Ultrasound of renal arteries and renal CT angiography (renal CTA) revealed a significant stenosis and an aneurysm corresponding to the right renal artery with challenges to traditional interventions.
一名33岁女性，被诊断为原发性高血压，症状相当于纽约心脏协会II级，疑似心力衰竭，遂转诊接受超声心动图检查。患者心电图显示左束支传导阻滞。电解质、血清肌酐、估算肾小球滤过率以及尿蛋白检测均正常。患者无外周水肿。经胸超声心动图证实存在收缩和舒张功能障碍，射血分数为25%，且有左心室肥厚。肾动脉超声和肾脏CT血管造影（肾CTA）显示右肾动脉存在严重狭窄和动脉瘤，传统干预措施面临挑战。
