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心尖肥厚型心肌病在日本人多见,国内报道尚少。最近遇到一例,多年诊断不明,表明临床医生对其尚乏认识,特报告如下: 患者男性,42岁,因轻度胸闷12年入院。既往无高血压病史。父母、兄弟及子女均体健。入院体检:血压17.3/10kPa(130/75mmHg),双肺呼吸音清晰,心界不大,心率82次/分,心尖部第一心音稍低,心尖部可闻及Ⅱ级收缩期杂音,无震颤。X线胸片示心肺无异常。心电图示:T_(Ⅰ、Ⅱ、aVF、V_2～V_6)倒置,T_V_2深达
Apical hypertrophic cardiomyopathy more common in Japan, domestic reporting is still small. Recently encountered a case, years of diagnosis is unknown, indicating that clinicians still lack of understanding, the special report is as follows: Male patient, 42 years old, admitted to hospital with mild chest tightness for 12 years. No previous history of hypertension. Parents, brothers and children are healthy. Admission medical examination: blood pressure 17.3 / 10kPa (130 / 75mmHg), clear lung breath sounds, heart, heart rate 82 beats / min, apex lower first heart sound, apex can be heard and Ⅱ systolic murmur, No tremor. X-ray showed no abnormal heart and lungs. ECG shows: T_ (Ⅰ, Ⅱ, aVF, V_2 ~ V_6) inversion, T_V_2 up to