Shapiro L M, Zezulka A
Br Heart J. 1983 Dec;50(6):530-3. doi: 10.1136/hrt.50.6.530.
The manifestations and workload in a district general hospital cardiac unit of 39 unselected cases of hypertrophic cardiomyopathy over a five year period are reported. The "typical" form with asymmetrical septal hypertrophy and a gradient was found in only one third of patients, serious ventricular arrhythmias were probably no more common than in the general population, and no deaths occurred during a relatively short follow up (mean 3.1 years). It is concluded that although hypertrophic cardiomyopathy occupies a not insignificant proportion of cardiac workload, unselected cases presenting to a district general hospital represent a relatively mild disease without a grave prognosis.
本文报告了一家地区综合医院心脏科在五年期间收治的39例未经挑选的肥厚型心肌病患者的临床表现及工作量。仅有三分之一的患者表现为伴有不对称性室间隔肥厚及压力阶差的“典型”类型,严重室性心律失常的发生率可能并不高于普通人群,且在相对较短的随访期(平均3.1年)内无死亡病例。结论是,尽管肥厚型心肌病在心脏科工作量中占相当比例,但在地区综合医院就诊的未经挑选的病例代表的是一种相对轻症、预后不严重的疾病。