30例心尖肥厚型心肌病的临床分析

摘要

目的：探讨心尖肥厚型心肌病(AHCM)的临床特点.方法：对30例AHCM患者的临床表现、心电图、超声心动图、左心室造影的特征进行分析.结果：30例AHCM均伴有心电图异常.心脏超声提示心尖部心肌肥厚24例,占约80%,左心室造影22例,20例见特征性改变,阳性率约90.9%.结论：心电图、超声心动图、左心室造影均对AHCM有重要诊断价值.%　　Objective:To investigate the clinical characteristics of apical hypertrophic cardiomyopathy. Method:To analyze the reprentation of 30 AHCM patients in clinical manifestations,electrocardiogram,ultrasound heartbeat graph and left ventricular angiography. Result:30 patients represented abnormal electrocardiogram. 24 cases showed tip apex myocardial hypertrophy with cardiac ultrasound accounted for 80%of all patients. In 22 patients with left ventricular angiography,20 cases showed characteristic changes,the positive rate was 90.9%. Conclusion:Electrocardiogram, ultrasound heartbeat graph,and left ventricular angiography have important value in the diagnosis of AHCM.