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患者,男性,45岁,中上腹痛伴恶心、呕吐。心电图报告:急性心内膜下心肌梗塞伴右室肥大、劳损。既往常有胸闷不适,上二楼有时感到心慌、胸闷、气喘。曾因劳累而晕厥4次。拟诊冠心病,急性心内膜下心肌梗塞。按心肌梗塞常规治疗10天无效、患者遂来我院诊治。查体:心脏听诊发现胸左Ⅱ～Ⅲ肋间BSMⅡ,心尖区BSMⅠ～Ⅱ°心电图示同前。疑为肥厚性非梗阻型心肌病。UCG示:左房轻度增大(44mm),室间隔体段及心尖段,左室前璧、侧璧均增厚,前间隔体段厚2.1cm,Ivsd/Lvpwd为1.9:1,左室流出道未见梗阻,证实为肥厚性非梗阻型心肌病,给予硫氮(艹卓)酮治疗,症状明显减轻,未因劳累而再诱发晕厥。
Patient, male, 45 years old, middle and upper abdominal pain with nausea and vomiting. ECG report: Acute subendocardial myocardial infarction with right ventricular hypertrophy, strain. Chest tightness always uncomfortable, on the second floor sometimes feel palpitation, chest tightness, asthma. Had fainted 4 times because of fatigue. Diagnosed coronary heart disease, acute subendocardial myocardial infarction. According to the conventional treatment of myocardial infarction 10 days invalid, the patient then came to our hospital for diagnosis and treatment. Physical examination: cardiac auscultation found chest Ⅱ ~ Ⅲ intercostal BSM Ⅱ, apical BSM Ⅰ ~ Ⅱ ° ECG showed the same as before. Suspected hypertrophic non-obstructive cardiomyopathy. UCG showed a slight increase of the left atrium (44mm), thickening of the left ventricular septum and apical segment, anterior segment of the left ventricle and side wall. The anterior segment segment thickness was 2.1cm, Ivsd / Lvpwd was 1.9: 1, Outflow tract obstruction was confirmed as hypertrophic non-obstructive cardiomyopathy, given sulfur nitrogen (艹 Zhuo) ketone treatment, the symptoms were significantly reduced, not due to exert a re-induced syncope.