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心脏性猝死可以是肥厚型心肌病的首发临床表现,而且是该病自然过程的最坏特征。左室肥厚似乎是该病许多临床特征的一个重要决定因素,但肥厚的程度与猝死之间的关系还不明确。本文分析左室肥厚的程度与猝死之问的关系。方法猝死组29例肥厚型心肌病患者,来自1980年1月至1987年3月国家心、肺、血液研究院的资料。有些患者突然死亡;有些患者心脏骤停(记录到室颤),尔后复苏成功。超声心动图证实左室肥厚而没有左心室腔扩大,并除外其它心脏病或能引起左室肥
Sudden cardiac death may be the first clinical manifestation of hypertrophic cardiomyopathy and is the worst characteristic of the natural course of the disease. Left ventricular hypertrophy appears to be an important determinant of many clinical features of the disease, but the relationship between the degree of hypertrophy and sudden death is unclear. This article analyzes the relationship between left ventricular hypertrophy and sudden death. Methods A total of 29 hypertrophic cardiomyopathy patients in the sudden death group were enrolled in the National Heart, Lung and Blood Institute from January 1980 to March 1987. Sudden death in some patients; some patients with cardiac arrest (recorded ventricular fibrillation), then successful recovery. Echocardiography confirmed left ventricular hypertrophy without enlargement of the left ventricular cavity, and except for other heart disease or can cause left ventricular hypertrophy