Smolders W, Rademakers F, Conraads V, Snoeck J
Department of Cardiology, University Hospital of Antwerp, Belgium.
Acta Cardiol. 1993;48(4):369-83.
Illustrated by a case report, which was rather suggestive of coronary ischemic heart disease, the principle characteristics of apical hypertrophic cardiomyopathy are outlined. Outside East Asia, it remains a very uncommon variant of hypertrophic cardiomyopathy. The electrocardiogram in basal conditions showed giant negative T-waves (-14 mm) in the precordial leads, while the ventriculogram in RAO projection revealed the typical, so called "ace of spades" configuration. Based on the present literature and the follow-up of these patients a review of apical hypertrophic cardiomyopathy is presented. One of the most important consequences of the identification of this variant seems to be the rather good prognosis when compared to other forms of hypertrophic cardiomyopathy.
通过一份颇具冠状动脉缺血性心脏病提示性的病例报告，概述了心尖肥厚型心肌病的主要特征。在东亚以外地区，它仍然是肥厚型心肌病中一种非常罕见的变异类型。基础状态下的心电图显示胸前导联出现巨大负向T波（-14毫米），而右前斜位心室造影显示出典型的所谓“黑桃A”形态。基于现有文献以及对这些患者的随访，对心尖肥厚型心肌病进行了综述。识别出这种变异类型最重要的后果之一似乎是，与其他形式的肥厚型心肌病相比，其预后相当良好。
