Corrado D, Carraro R, Buja G, Fasoli G, Thiene G
G Ital Cardiol. 1986 Dec;16(12):1002-8.
A 29-year-old man with non-familiar hypertrophic cardiomyopathy died suddenly. The patient experienced recurrent episodes of palpitation both at rest and during exercise. M-mode and 2-D echocardiograms showed severe asymmetric septal hypertrophy (IVS/LVPW ratio 3:1) and systolic anterior motion of anterior leaflet of the mitral valve. The ECG demonstrated deep "Q" waves from the inferior leads and inverted "T" waves in V1 to V6, but failed to register arrhythmias. Holter monitoring had been planned in order to achieve information for pharmacologic therapy, but unfortunately the patient died during the stand-by. Postmortem examination showed severe asymmetric septal hypertrophy with fibrosis and wide-spread "myocardial disarray".
一名29岁的非家族性肥厚型心肌病男性突然死亡。该患者在休息和运动时均反复出现心悸发作。M型和二维超声心动图显示严重的不对称性室间隔肥厚（室间隔/左室后壁厚度比值为3:1）以及二尖瓣前叶收缩期前向运动。心电图显示下壁导联有深“Q”波，V1至V6导联T波倒置，但未记录到心律失常。原本计划进行动态心电图监测以获取药物治疗的相关信息，但不幸的是，患者在等待过程中死亡。尸检显示严重的不对称性室间隔肥厚伴纤维化和广泛的“心肌紊乱”。
