Mirrakhimov M M, Moldotashev I K, Tenenbaum A M
Ter Arkh. 1985;57(4):48-52.
The authors report the clinical, ECG, PCG and echocardiography data obtained in mountaineers suffering from associated essential hypertension and high-altitude pulmonary hypertension. Demonstrate the advisability of distinguishing the high-altitude hypertrophic cardiomyopathy syndrome (HHCS) in part of mountaineers with essential hypertension living permanently at an altitude of 3600-4200 m over the sea level. The HHCS is marked by a lot of the clinical and echocardiographic signs which are regarded as characteristic of hypertrophic cardiomyopathy, particularly by appreciable asymmetrical hypertrophy of the interventricular septum. Criteria for the differential diagnosis between the HHCS and idiopathic hypertrophic subaortic stenosis are suggested. The possible mechanisms by which the HHCS develops in part of mountaineers are discussed.
作者报告了患有原发性高血压合并高原肺动脉高压的登山运动员的临床、心电图、心音图和超声心动图数据。论证了在部分长期居住于海拔高于海平面3600 - 4200米的原发性高血压登山运动员中区分高原肥厚型心肌病综合征（HHCS）的可取性。HHCS具有许多被视为肥厚型心肌病特征的临床和超声心动图表现，特别是室间隔明显不对称肥厚。提出了HHCS与特发性肥厚性主动脉瓣下狭窄的鉴别诊断标准。讨论了部分登山运动员发生HHCS的可能机制。
