[肥厚型心肌病的治疗]

[Treatment of hypertrophic cardiomyopathy].

作者信息

Havndrup O, Bundgaard H, Hansen F V, Pietersen A H, Kelbaek H S

机构信息

H:S Rigshospitalet, Hjertecentret, medicinsk afdeling B.

出版信息

Ugeskr Laeger. 1998 Sep 14;160(38):5495-500.

PMID:9763923

Abstract

The medical management of hypertrophic cardiomyopathy is reviewed. Four cases of hypertrophic cardiomyopathy are presented, and serve to describe the currently available invasive treatment modalities, i.e. septal myectomy, dual chamber pacing, cardioverter defibrillator implantation and heart transplantation. These different invasive treatments all seem to be symptomatically effective in carefully selected patients, but studies of prognostic effects are not available. Finally, new experimental procedures are presented.

摘要

对肥厚型心肌病的药物治疗进行了综述。介绍了4例肥厚型心肌病病例，并用于描述目前可用的侵入性治疗方式，即室间隔心肌切除术、双腔起搏、心脏复律除颤器植入和心脏移植。这些不同的侵入性治疗在精心挑选的患者中似乎都有症状改善效果，但尚无关于预后影响的研究。最后，介绍了新的实验性手术。