Department of Cardiology, National University Heart Centre Singapore, Singapore.
NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Singapore Med J. 2019 Nov;60(11):560-564. doi: 10.11622/smedj.2019146.
Ebstein's anomaly is a congenital malformation characterised by tricuspid valve pathology with right heart enlargement. Cases of Ebstein's anomaly can vary widely in severity, anatomy and presentation. In this article, we presented three cases of Ebstein's anomaly and discussed the presentation as well as electrocardiographic (ECG) changes. Patients may first present to their primary care physicians with cardiac symptoms such as reduced effort tolerance together with an abnormal ECG. ECG changes suggestive of right heart enlargement are important in the initial consideration and eventual formal diagnosis of the condition.
Ebstein 畸形是一种先天性畸形,其特征为三尖瓣病变伴右心增大。Ebstein 畸形的病例在严重程度、解剖结构和临床表现上差异很大。本文介绍了 3 例 Ebstein 畸形病例,并讨论了其临床表现和心电图(ECG)变化。患者可能首先因心脏症状就诊于初级保健医生,如运动耐量降低和异常心电图。心电图改变提示右心增大,对于疾病的初步考虑和最终的正式诊断很重要。