Trojan Meghan K Borden, Biederman Robert W
Division of Cardiology, Allegheny General Hospital, Pittsburgh, PA, USA.
Division of Cardiac Imaging, Allegheny General Hospital, Pittsburgh, PA, USA.
Echocardiography. 2017 Jul;34(7):1092-1095. doi: 10.1111/echo.13567. Epub 2017 May 30.
Healthcare professionals are faced with challenging decisions regarding patient evaluation and management on a daily basis. Once a diagnosis is made, additional challenges include how to proceed with the management. Here, we present an eighty-two-year-old female who was incidentally diagnosed with the apical variant of hypertrophic cardiomyopathy on a transthoracic echocardiogram. She was found to have newly diagnosed atrial fibrillation, but was otherwise asymptomatic from a cardiomyopathy standpoint. No specific guidelines exist for this patient population. Therefore, how does one proceed with the management of an asymptomatic patient with the apical variant of hypertrophic cardiomyopathy?
医疗保健专业人员每天都面临着有关患者评估和管理的具有挑战性的决策。一旦做出诊断，额外的挑战包括如何进行管理。在此，我们介绍一位82岁的女性，她在经胸超声心动图检查时偶然被诊断为肥厚型心肌病的心尖部变异型。她被发现患有新诊断的心房颤动，但从心肌病的角度来看没有其他症状。对于这一患者群体没有具体的指南。那么，对于一名无症状的肥厚型心肌病心尖部变异型患者，该如何进行管理呢？
