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一名患有左心室心肌致密化不全和左心房停搏的年轻个体发生中风。

Stroke in a Young Individual with Left Ventricular Noncompaction and Left Atrium Standstill.

作者信息

Lee Ga-Hee, Kim Dae-Kyeong, Song Yeo-Jeong, Yang Ju-Il, Shin Ho-Cheol, Ong Sungmoon, Lee Ho Young

机构信息

Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hostpital, Busan, Korea.

出版信息

Korean Circ J. 2015 Sep;45(5):432-8. doi: 10.4070/kcj.2015.45.5.432. Epub 2014 Dec 9.

DOI:10.4070/kcj.2015.45.5.432
PMID:26413113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4580704/
Abstract

Isolated left ventricular noncompaction (LVNC) is a rare cardiomyopathy with morphologic characteristics of two distinct myocardial layers i.e., thin compacted epicardial and thick noncompacted endocardial layers. The noncompacted myocardium consists of prominent ventricular trabeculae and deep intertrabecular recesses. It can lead to arrhythmias, heart failure or systemic embolisms. Electrocardiographic patterns of patients with LVNC are various and non-specific; however, the most common findings are intraventricular conduction delay, left ventricular hypertrophy, and repolarization abnormalities. We reported the first case, to the best of our knowledge, of a 29-year-old man who had recent cerebral infarction and incidental LVNC with spontaneous left atrial standstill.

摘要

孤立性左心室心肌致密化不全（LVNC）是一种罕见的心肌病，具有两个不同心肌层的形态学特征，即薄的致密化的心外膜层和厚的非致密化的心内膜层。非致密化心肌由突出的心室小梁和深陷的小梁间隐窝组成。它可导致心律失常、心力衰竭或全身栓塞。LVNC患者的心电图表现多样且无特异性；然而，最常见的表现是室内传导延迟、左心室肥厚和复极异常。据我们所知，我们报告了首例近期发生脑梗死且伴有自发性左心房停搏的29岁男性合并LVNC的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/ae7b2fb7efe8/kcj-45-432-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/d8bd2c0b313a/kcj-45-432-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/ba074c6b72b2/kcj-45-432-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/a562fd637e04/kcj-45-432-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/24c91c6c1bfe/kcj-45-432-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/517dbaf77878/kcj-45-432-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/ae7b2fb7efe8/kcj-45-432-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/d8bd2c0b313a/kcj-45-432-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/ba074c6b72b2/kcj-45-432-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/a562fd637e04/kcj-45-432-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/24c91c6c1bfe/kcj-45-432-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/517dbaf77878/kcj-45-432-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d204/4580704/ae7b2fb7efe8/kcj-45-432-g006.jpg

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本文引用的文献

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Isolated left ventricular non-compaction in adults: clinical and echocardiographic features in 105 patients. Results from a French registry.成人孤立性左心室心肌致密化不全：105 例患者的临床和超声心动图特征。法国注册研究结果。
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Assessment of left ventricular non-compaction in adults: side-by-side comparison of cardiac magnetic resonance imaging with echocardiography.
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Arch Cardiovasc Dis. 2010 Mar;103(3):150-9. doi: 10.1016/j.acvd.2010.01.002. Epub 2010 Mar 10.
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Measurement of trabeculated left ventricular mass using cardiac magnetic resonance imaging in the diagnosis of left ventricular non-compaction.应用心脏磁共振成像测量左心室小梁化质量在左心室致密化不全的诊断中的应用。
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Isolated left ventricular noncompaction syndrome.孤立性左心室心肌致密化不全综合征
Am J Cardiol. 2009 Oct 15;104(8):1135-8. doi: 10.1016/j.amjcard.2009.05.062. Epub 2009 Aug 28.
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Electrocardiographic characteristics at initial diagnosis in patients with isolated left ventricular noncompaction.孤立性左心室心肌致密化不全患者初诊时的心电图特征
Am J Cardiol. 2009 Oct 1;104(7):984-9. doi: 10.1016/j.amjcard.2009.05.042.
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Thromboembolic complications of left ventricular noncompaction: case report and brief review of the literature.左心室心肌致密化不全的血栓栓塞并发症：病例报告及文献简要回顾
J Clin Ultrasound. 2007 Oct;35(8):465-8. doi: 10.1002/jcu.20349.
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