| 心尖肥厚型心肌病的诊断分析 |
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| 引用本文： | 唐胜惠,蒋翎.心尖肥厚型心肌病的诊断分析[J].海南医学院学报,2009,15(6):593-594. |
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| 作者姓名： | 唐胜惠 蒋翎 |
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| 作者单位： | 广西玉林市第二人民医院心内科,广西,玉林,537000 |
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| 基金项目： | 海南医学院科研基金学报项目 |
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| 摘 要： | 目的：探讨心尖肥厚型心肌病（AHCM）辅助检查特点，以探求合理的诊断方法。方法：总结1998年7月～2008年10月住院的27例AHCM患者的心电图、超声心动图、冠状动脉及左心室造影等检查特征。结果：所有患者心电图显示胸导联V3-V5R波振幅增高伴T波对称性深倒置；22例AHCM患者通过心脏超声诊断明确，13例通过左心室造影确诊AHCM，无1例合并冠心病。结论：心电图特征性改变是心尖肥厚型心肌病的首要诊断依据，超声心动图是诊断AHCM的主要方法，左心室造影是诊断AHCM的重要方法。
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| 关 键 词： | 心肌疾病 心电描记术 超声心动描记术 左心室造影 |
Analysis of diagnosis for apical hypertrophic cardiomyopathy |
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| TANG Sheng-hui,JIANG Ling.Analysis of diagnosis for apical hypertrophic cardiomyopathy[J].Journal of Hainan Medical College,2009,15(6):593-594. |
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| Authors: | TANG Sheng-hui JIANG Ling |
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| Institution: | (Department of Cardiology, The 2nd People＇s Hospital in Yulin Yulin 537000 ) |
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| Abstract: | Objective:To discuss characters of adjuvant inspection for apical hypertrophic cardiomyopathy(AHCM)and explore reasonable diagnosis method.Methods:Summarized characters of inspections for 27 cases with AHCM from July 1998 to October 2008,including electrocardiography,echocardiography,coronary and left ventriculograpgy and so on.Results:Electrocardiography showed wave amplitude of V3-V5 in chest leads increased and was accompanied by symmetry and deeply inverted T wave in all patients.22 cases were confirmed by echocardiography,13 by left ventriculography,and no case with coronary heart disease.Conclusion:Characteristic changes of electrocardiography provide primary evidence for diagnosing AHCM.Besides,echocardiography and left ventriculography are important diagnosis methods. |
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| Keywords: | Cardiomyopathy Electrocardiography Echocardiography Left ventriculography |
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