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胸前导联巨大倒置T波已被公认为心尖肥厚型心肌病的特征性改变,但临床上常因忽视这一表现而将其误诊为冠心病,甚或广泛前壁心内膜下心肌梗死。我院2010年9月-2011年10月收治心尖肥厚型心肌病患者2例,均误诊为冠心病。现报道如下。1病例资料例1.男,35岁,于2010年9月以“间断性胸闷,活动后加重1h”收入院。查体:一般状态可,血压120/75mm Hg
The huge inverted T-wave of the chest leads has been recognized as a characteristic change in apical hypertrophic cardiomyopathy, but it is often clinically misdiagnosed as coronary heart disease or even extensive anterior myocardial infarction. Our hospital from September 2010 to October 2011 admitted to patients with apical hypertrophic cardiomyopathy in 2 cases, were misdiagnosed as coronary heart disease. Report as follows now. 1 case data example 1. Male, 35 years old, in September 2010 to “intermittent chest tightness, activity increased 1h ” income hospital. Physical examination: the general state can be, blood pressure 120 / 75mm Hg