Minckler Michael R, Maker Madeleine
Emergency Medicine, Providence St. Mary Medical Center, Walla Walla, USA.
Miscellaneous, Whitman College, Walla Walla, USA.
Cureus. 2019 Jun 10;11(6):e4875. doi: 10.7759/cureus.4875.
Hypertrophic obstructive cardiomyopathy (HOCM) is a genetic condition most commonly characterized by hypertrophy of the ventricular septum, which leads to left ventricle outflow obstruction. Due to the severity of the condition, it is often diagnosed in adolescents, especially in those who exercise. We describe the case of a 53-year-old male, previously undiagnosed with hypertrophic cardiomyopathy (HCM), who became dyspneic during a bike race. He was found to have elevated troponin, pulmonary edema, and was diagnosed with HOCM. The late presentation of the case, in an active individual, makes the situation unique.
肥厚型梗阻性心肌病（HOCM）是一种遗传性疾病，最常见的特征是室间隔肥厚，导致左心室流出道梗阻。由于病情严重，该病常在青少年中被诊断出来，尤其是那些进行运动的青少年。我们描述了一名53岁男性的病例，他之前未被诊断出患有肥厚型心肌病（HCM），在一次自行车比赛中出现呼吸困难。他被发现肌钙蛋白升高、肺水肿，并被诊断为HOCM。该病例在一名活跃个体中的延迟表现使情况变得独特。
