老年人肥厚型心肌病70例临床特点分析

目的 探讨老年人肥厚型心肌病的临床特点。方法 回顾性分析70例老年肥厚型心肌病患者的临床资料。结果 3所医院1993～2002年间共检索出住院肥厚型心肌病患者196例，其中老年肥厚型心肌病患者70例。70例中，临床怀疑肥厚型心肌病7例(10．0％)，怀疑其他心脏疾病29例(41．4％)，因其他原因发现肥厚型心肌病34例(48．6％)。70例中，有脑血管病史者12例(17．1％)。54例(77．1％)临床症状出现在45岁以后，4例(5．7％)无明显症状。70例中有18例在1～15年间曾2次行超声心动图检查，第1次超声心动图检查未诊断肥厚型心肌病，第2次检查时确诊。结论 老年人肥厚型心肌病不是一种罕见疾病，其临床症状出现较晚，误诊较多，且常见脑血管病。

Clinical characteristics of hypertrophic cardiomyopathy in the elderly

Objective To investigate the clinical characteristics of hypertrophic cardiomyopathy (HCM) in the elderly. Methods The clinical characters of HCM in 70 elderly patients were retrospectively analysed. Results Among the 196 identified HCM patients, 70 were elders. Out of them, 7 patients(10.0%) were suspected as HCM according to the clinical symptoms, 29 patients (41.4%)were suspected as other cardiac diseases, 34 (48.3%) were diagnosed HCM due to other reasons. Among the 70 patients, 12 patients(17.1%) had history of cerebrovascular diseases, 54 (77.1%) manifested symptoms after 45 years of age and 4 (5.7%) showed no obvious symptoms. Among them, 18 patients were examined by UCG for two times and HCM was diagnosed at the second time. Conclusions HCM in the elderly is not an uncommon disease. The onset of cardiac symptoms is relatively late in the elderly HCM and frequently misdiagnosed; cerebrovascular diseases are commonly seen in elderly HCM patients.