Giommi L, Cavarzerani A, Olivari Z, Bolomini L
G Ital Cardiol. 1983;13(3):187-91.
A 53-year old patient with recurrent atrial fibrillation and atypical angina was found to have hypertrophic non-obstructive apical cardiomyopathy. His electrocardiogram recorded left ventricular hypertrophy and giant inverted T waves. Cross-sectional echocardiography revealed a typical ace-of-spade configuration of the left ventricular apex. This feature was confirmed at cardiac catheterization, which failed, however, to detect any intraventricular pressure gradient even after isoproterenol infusion. The apex of the right ventricle was also obliterated by hypertrophied muscle. Thus this case had all the typical findings of hypertrophic non-obstructive apical cardiomyopathy, which were best displayed by electrocardiography, bidimensional echocardiography and left ventriculography.
一名53岁患有复发性心房颤动和非典型心绞痛的患者被发现患有肥厚型非梗阻性心尖心肌病。他的心电图显示左心室肥大和巨大倒置T波。二维超声心动图显示左心室心尖呈典型的黑桃A构型。心脏导管检查证实了这一特征，然而，即使在输注异丙肾上腺素后也未能检测到任何心室内压力梯度。右心室心尖也被肥厚的肌肉所闭塞。因此，该病例具有肥厚型非梗阻性心尖心肌病的所有典型表现，这些表现通过心电图、二维超声心动图和左心室造影显示最为清晰。
