Trémeau G, Aupetit J F, Buttard P, Chapon P, Gayet C, Milon H
Service de cardiologie, hôpital de la Croix-Rousse, Lyon.
Arch Mal Coeur Vaiss. 1996 Oct;89(10):1283-9.
Apical hypertrophic cardiomyopathy was defined initially by three electrocardiographic and angiographic criteria: the presence of giant (over 10 mm) inverted T waves in leads V4 and V5 of the resting ECG; an "ace of spades" appearance of left ventricular angiography in end diastole in the right anterior oblique projection; the electrocardiographic sum RV5 + SV1 greater than 35 mm. There after, authentic cases of apical hypertrophy have been demonstrated by imaging techniques or observed anatomically without the presence of these three criteria. The authors review the epidemiological, clinical and paraclinical features of this particular form of hypertrophic cardiomyopathy.
静息心电图V4和V5导联出现巨大（超过10毫米）倒置T波；右前斜位舒张末期左心室造影呈“黑桃A”外观；心电图RV5 + SV1总和大于35毫米。此后，通过成像技术已证实或在无这三项标准的情况下解剖观察到了真正的心尖肥厚病例。作者回顾了这种特殊类型肥厚型心肌病的流行病学、临床和辅助检查特征。
