论文部分内容阅读
目的 评价左心室造影对诊断特殊类型肥厚型心肌病的临床价值。方法 以心电图、超声心动图、冠状动脉造影及左心室造影等检查方法诊断21例特殊类型肥厚型心肌病。结果 21例心电图均显示相应导联的T波倒置,但只有8例患者达到对称深倒的标准;超声心动图只检出其中的9例患者符合局部肥厚型心肌病;左心室造影检出全部病例的局部心肌肥厚,18例诊断为心尖肥厚型心肌病,3例诊断为心室中部肥厚型心肌病,其中心尖肥厚型有11例呈左心室“黑桃”样改变。冠状动脉造影全部病例大致正常。结论 左心室造影在诊断特殊类型肥厚型心肌病中有重要价值,可明显提高该疾病的检出率。
Objective To evaluate the clinical value of left ventricular angiography in the diagnosis of hypertrophic cardiomyopathy. Methods 21 cases of special type of hypertrophic cardiomyopathy were diagnosed by electrocardiogram, echocardiography, coronary angiography and left ventricular angiography. Results Twenty-one ECGs showed inversion of T wave in the corresponding leads, but only 8 patients reached the standard of deep symmetry. Echocardiography detected only 9 of them in line with local hypertrophic cardiomyopathy. Left ventricular angiography detected all Local myocardial hypertrophy was noted in 18 cases, apical hypertrophic cardiomyopathy was diagnosed in 18 cases, hypertrophic cardiomyopathy was diagnosed in 3 cases, and apical hypertrophic type was found in 11 cases with left ventricular “spades”. All cases of coronary angiography were generally normal. Conclusion Left ventricular angiography in the diagnosis of special type of hypertrophic cardiomyopathy has important value, can significantly improve the detection rate of the disease.