关键词: cardiomyopathy dyspnea electrocardiography physical exertion syncope

Mesh : Humans Female Cardiomyopathy, Hypertrophic / physiopathology diagnostic imaging diagnosis Adult Electrocardiography Disease Progression Magnetic Resonance Imaging Predictive Value of Tests Magnetic Resonance Imaging, Cine Apical Hypertrophic Cardiomyopathy

来  源:   DOI:10.14797/mdcvj.1386   PDF(Pubmed)

Abstract:
Apical hypertrophic cardiomyopathy (HCM) is a rare variant of HCM. A 43-year-old female with a past medical history significant for hypertension and kidney transplantation presented with recurrent syncopal episodes and dyspnea on exertion. Electrocardiogram showed characteristic diffuse giant T-waves inversion, and cardiac magnetic resonance showed HCM with circumferential apical thickening. This case highlights the rapid development of apical HCM and its challenging diagnostic characteristics.
摘要:
心尖肥厚型心肌病(HCM)是HCM的一种罕见变种。一名43岁的女性,具有高血压和肾脏移植的既往病史,表现为反复发作的晕厥发作和劳累时呼吸困难。心电图显示特征性弥漫性巨T波倒置,心脏磁共振显示HCM伴圆周心尖增厚。该病例凸显了根尖HCM的快速发展及其具有挑战性的诊断特征。
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