Botti G, Tagliavini S, De Blasi M, Masini F, Aurier E
G Ital Cardiol. 1978;8(12):1358-64.
A case of acute myocardial infarction in 64 year old man with idiopathic hypertrophic obstructive cardiomyopathy of left ventricle is described. The Authors emphasize the rarity of association and that the diagnosis of obstructive cardiomyopathy in the elderly is always almost misinterpreted. This depends on the poor specificity of clinical and phonocardiographic findings, both basal and under pharmacological tests. The Authors point out that in adult patients with left ventricular idiopathic obstructive cardiomyopathy who must be operated also selective coronary angiography should be performed.
本文描述了一名64岁患有特发性肥厚性梗阻性心肌病的男性急性心肌梗死病例。作者强调这种关联的罕见性，以及老年人梗阻性心肌病的诊断几乎总是被误诊。这取决于临床和心音图检查结果（基础检查及药物试验下的检查结果）的特异性较差。作者指出，对于必须接受手术的成年特发性左心室梗阻性心肌病患者，也应进行选择性冠状动脉造影。
