Dayal Nicolas B, Müller Hajo
Service de cardiologie, Département des spécialités, HUG, 1211 Genève 14.
Rev Med Suisse. 2017 May 24;13(564):1106-1112.
Left ventricular hypertrophy is a common finding during echocardiography. A precise evaluation of the left ventricular wall thickness, ventricular mass and distribution of hypertrophy is crucial both for diagnostic workup, follow-up and for prognostic evaluation. The differential diagnosis of left ventricular hypertrophy includes hypertrophic cardiomyopathies, hypertrophy secondary to abnormal left ventricular filling conditions, hypertrophy linked to intense physical training and the isolated basal septal hypertrophy of the elderly. Amongst the tools at the disposition of the cardiologist, regional analysis of longitudinal strain appears promising in helping distinguish cardiac amyloidosis form other forms of hypertrophy.
左心室肥厚是超声心动图检查中常见的表现。精确评估左心室壁厚度、心室质量及肥厚分布对于诊断检查、随访及预后评估均至关重要。左心室肥厚的鉴别诊断包括肥厚型心肌病、继发于左心室异常充盈状态的肥厚、与高强度体育锻炼相关的肥厚以及老年人孤立性基底间隔肥厚。在心脏病专家可使用的工具中，纵向应变的区域分析在帮助区分心脏淀粉样变性与其他类型的肥厚方面似乎很有前景。
