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心尖肥厚型心肌病有其独特的特征,在日本较为常见,国内报道甚少。现将我院收治1例报道如下: 患者男性,42岁,因胸闷、心悸5个月而住院。以往体健,无高血压史。家族中无类似病史。查体:血压17/10.8kPa(128/84mmHg),心界无扩大,心率72次/分,律齐,心尖区Ⅱ级收缩期杂音。心电图(见附图):ST段Ⅰ导联下移0.15mv,avL下移0.1mv,T波Ⅰ、avR、avL、V_2—V_5倒置,T波倒置深度avL、V_4达4～5mm,Rv_4+Sv_1达3.6mv。超声心动图:二尖瓣前叶收缩期未见前向运动,室间隔厚度中部12
Apex hypertrophic cardiomyopathy has its unique characteristics, is more common in Japan, rarely reported in China. Now admitted to our hospital 1 case reported as follows: Male patient, 42 years old, due to chest tightness, palpitations 5 months and hospitalization. Past physical health, no history of hypertension. No similar family history. Examination: blood pressure 17 / 10.8kPa (128 / 84mmHg), no expansion of the heart, heart rate 72 beats / min, law Qi, apical systolic murmur. Electrocardiogram (see attached): ST segment Ⅰ lead down 0.15mv, avL down 0.1mv, T wave Ⅰ, avR, avL, V_2-V_5 inversion, T wave inversion depth avL, V_4 up to 4 ~ 5mm, Rv_4 + Sv_1 up to 3.6mv. Echocardiography: No anterior motion was observed in the mitral valve anterior systole, and the thickness of the interventricular septum was 12