Cubukçu A A, Scott P J, Williams G J
Killingbeck Hospital, Non-invasive Unit, Leeds, UK.
Int J Cardiol. 1993 Mar;38(3):329-32. doi: 10.1016/0167-5273(93)90254-e.
Two patients with apical hypertrophic cardiomyopathy presented with angina at rest and giant inverted T waves in precordial leads on the electrocardiogram. At cardiac catheterisation one patient had mild coronary artery disease, the other had normal coronary arteries. In both, there was a systolic pressure gradient between the apex and main left ventricular cavity exceeding 100 mmHg. The presence of rest angina with the electrocardiographic findings lead to a mistaken, initial diagnosis of acute subendocardial myocardial infarction.
两名肥厚型心肌病患者表现为静息性心绞痛，心电图胸前导联出现巨大倒置T波。心脏导管检查时，一名患者有轻度冠状动脉疾病，另一名患者冠状动脉正常。两人的心尖与左心室主腔之间均存在超过100 mmHg的收缩期压力梯度。静息性心绞痛伴心电图表现导致最初误诊为急性心内膜下心肌梗死。
