心电图杂志（电子版）Issue(2)：88-90,3.
心尖肥厚型心肌病患者的临床及心电图特点
The clinical and electrocardiographic characteristics of patients with apical hyperotrophic cardiomyopathy
张剑 1韩雅玲 1赵英 1邹晶晶 1胡慧民 1李耀辉 1张文华 1张丹 1张闯 1张园1
作者信息
- 1. 110840 沈阳，沈阳军区总医院全军心血管病研究所心内科 沈阳
- 折叠
摘要
Abstract
Objective To analyze the clinical and electrocardiographic characteristics of patients with apical hyperotrophic cardiomyopathy(AHCM), and assess those diagnostic value.Method The clinical and electrocardiographic data of 159 patients with AHCM were analyzed retrospectively from January 2008 to April 2015 .Results The history of AHCM was not typical,but its electrocardiogram had characteristic changes. The electrocardiogram in AHCM typically showed high voltage of left ventricles (The ratio of patients with maximum R wave amplitude >2.5mV was 90.6%), the ratio of TV4>TV5>TV3 was 71.1%, ST-segment depression was 98.7%, and all patients had giant (>10 mm) and inverted T waves in the precordial leads (particularly in leads V3-V5, the ratio of TV4>TV5>TV3 was 71.1%). All cases had apical wall thickening in echocardiogram (mean value was 24.6±8.3mm).All cases had a“spade-like” configuration on left ventriculogram.Conclusion Electrocardiogram played an important role in diagnosis of AHCM. Early electrocardiogram examination can enhance the diagnostic rate of patients with cardiomyopathy.关键词
心尖肥厚心肌病/心电图/超声电动图Key words
Apical hypertrophic cardiomyopathy Cardlomyoathy/Electrocardiogram/Echocardiogram/Clinical diagnosis分类
医药卫生引用本文复制引用
张剑,韩雅玲,赵英,邹晶晶,胡慧民,李耀辉,张文华,张丹,张闯,张园..心尖肥厚型心肌病患者的临床及心电图特点[J].心电图杂志（电子版）,2015,(2):88-90,3.
