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一名老年晕厥患者床旁超声心动图诊断为肥厚型心肌病。

Hypertrophic Cardiomyopathy Diagnosed on Point-of-Care Echocardiogram in an Elderly Patient With Syncope.

作者信息

Stoll Christopher M, Carr Matthew, Naraghi Leily

机构信息

Emergency Medicine, Maimonides Medical Center, Brooklyn, USA.

Emergency Medicine, Orange Park Medical Center, Brooklyn, USA.

出版信息

Cureus. 2021 Aug 8;13(8):e17008. doi: 10.7759/cureus.17008. eCollection 2021 Aug.

Abstract

A bedside echocardiogram in the emergency department can provide a wealth of information about a patient's hemodynamic status, anatomical structures, and response to medical interventions. This readily available tool can drastically guide management within minutes as soon as the undifferentiated critically ill patient enters the hospital. In this clinical scenario, we report a case of hypertrophic obstructive cardiomyopathy (HOCM) that was diagnosed for the first time in an elderly male, who was brought to the emergency department after a syncopal episode, utilizing bedside ultrasound and it highlights the significance of considering a broad differential.

摘要

急诊科的床旁超声心动图可以提供有关患者血流动力学状态、解剖结构以及对医疗干预反应的大量信息。一旦未分化的危重症患者入院,这个随时可用的工具可以在几分钟内极大地指导治疗。在本临床病例中,我们报告了一例肥厚型梗阻性心肌病(HOCM),该病例首次在一名老年男性患者中被诊断出来,该患者在晕厥发作后被送往急诊科,利用床旁超声进行检查,该病例突出了考虑广泛鉴别诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea4/8423594/d665f53aafe9/cureus-0013-00000017008-i01.jpg

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