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比索洛尔成功改善了一名因心尖心肌损伤导致心尖部动脉瘤的室中隔梗阻性肥厚型心肌病患者的心室内压力梯度。

Bisoprolol Successfully Improved the Intraventricular Pressure Gradient in a Patient with Midventricular Obstructive Hypertrophic Cardiomyopathy with an Apex Aneurysm due to Apical Myocardial Damage.

作者信息

Tezuka Ayano, Higo Kenjuro, Nakamukae Yuta, Nishihara Sanae, Kamikawa Masaki, Shimofuku Chihiro, Kawazoe Kazumasa, Ohishi Mitsuru

机构信息

Departments of Cardiovascular Medicine, Japanese Red Cross Kagoshima Hospital, Japan.

Departments of Clinical Laboratory Unit, Japanese Red Cross Kagoshima Hospital, Japan.

出版信息

Intern Med. 2019 Feb 15;58(4):535-539. doi: 10.2169/internalmedicine.0997-18. Epub 2018 Oct 17.

DOI:10.2169/internalmedicine.0997-18
PMID:30333393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6421145/
Abstract

Midventricular obstructive hypertrophic cardiomyopathy (MVOHCM) is a rare form of hypertrophic cardiomyopathy (HCM). An 80-year-old man was administered bisoprolol and warfarin therapies as treatment for MVOHCM with an apex aneurysm due to myocardial damage and intra-aneurysmal thrombus not complicated by atrial fibrillation. The pressure gradient in the midventricle successfully improved from 53.9 to 21.8 mmHg, and the intra-aneurysmal thrombus disappeared.

摘要

心室中部梗阻性肥厚型心肌病（MVOHCM）是肥厚型心肌病（HCM）的一种罕见形式。一名80岁男性因心肌损伤和动脉瘤内血栓形成但无房颤并发症的情况，接受比索洛尔和华法林治疗以治疗伴有心尖部动脉瘤的MVOHCM。心室中部的压力梯度成功地从53.9 mmHg降至21.8 mmHg，动脉瘤内血栓消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/7f25d53e4f68/1349-7235-58-0535-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/0218cc8f00a5/1349-7235-58-0535-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/a69e5376bf8d/1349-7235-58-0535-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/987f26a7b04e/1349-7235-58-0535-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/7f25d53e4f68/1349-7235-58-0535-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/0218cc8f00a5/1349-7235-58-0535-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/a69e5376bf8d/1349-7235-58-0535-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/987f26a7b04e/1349-7235-58-0535-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf21/6421145/7f25d53e4f68/1349-7235-58-0535-g004.jpg

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Echocardiographic diagnosis of the different phenotypes of hypertrophic cardiomyopathy.肥厚型心肌病不同表型的超声心动图诊断
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