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伴有大量心肌纤维化的心尖肥厚:与心电图改变的比较

Apical hypertrophy with massive myocardial fibrosis: comparison with electrocardiographic changes.

作者信息

Fujimoto S, Komoto Y, Sakaguchi Y, Mizuno R, Dohi K, Nakano H

机构信息

Department of Clinico-Laboratory Diagnostics, Nara Medical University, Kashihara.

出版信息

Intern Med. 1998 May;37(5):457-62. doi: 10.2169/internalmedicine.37.457.

DOI:10.2169/internalmedicine.37.457
PMID:9652901
Abstract

We report the case of a 48-year-old woman with apical hypertrophy with massive myocardial fibrosis. She was admitted to our hospital because of general malaise. Echocardiographic examination showed asymmetrical apical hypertrophy, and an electrocardiogram showed a giant negative T wave on V3-V6. Right ventricular endomyocardial biopsy revealed massive myocardial fibrosis. Apical hypertrophy can lead to disorders that vary in severity, including rare massive myocardial fibrosis.

摘要

我们报告了一例48岁患有心尖肥厚伴大量心肌纤维化的女性病例。她因全身不适入院。超声心动图检查显示不对称性心尖肥厚,心电图显示V3-V6导联有巨大负向T波。右心室心内膜活检显示大量心肌纤维化。心尖肥厚可导致严重程度各异的病症,包括罕见的大量心肌纤维化。

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引用本文的文献

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Electrocardiographic precedence with rapid anatomical progression in apical hypertrophic cardiomyopathy: a case report.心尖肥厚型心肌病中伴有快速解剖进展的心电图优先表现:一例报告
BMC Cardiovasc Disord. 2025 Sep 29;25(1):704. doi: 10.1186/s12872-025-05200-x.
2
Myocardial thallium defects in apical hypertrophic cardiomyopathy are associated with a benign prognosis. Thallium defects in apical hypertrophy.肥厚型心肌病心尖部心肌铊摄取缺损与预后良好相关。心尖肥厚时的铊摄取缺损。
Int J Cardiovasc Imaging. 2003 Oct;19(5):381-8. doi: 10.1023/a:1025807125699.