老年人右心室肥厚型心肌病很少见,作者遇见1例并经尸检证实,报告如下。女患。61岁。因心前区疼痛,呼吸困难,卧位时加重,下肢水肿反复发作9年;阵发性心房颤动、腹水3年入院。曾拟诊为缺血性心脏病、心绞痛并进行相应治疗无好转。发病前身体状况良好,一直从事繁重的体力劳动。入院时病情严重,脉搏98次/min、血压12/90kPa、面色苍白、手足发绀、下肢明显水肿。双下肺呼吸音减弱、未听到口罗音。心界扩大、第1心 Right ventricular hypertrophy in elderly cardiomyopathy is rare, the authors met in 1 case and confirmed by autopsy, the report is as follows. Female suffering. 61 years old. Because of precordial pain, dyspnea, increased supine position, lower extremity edema recurrent episodes of 9 years; paroxysmal atrial fibrillation, ascites 3-year admission. Have been diagnosed with ischemic heart disease, angina and the corresponding treatment without improvement. Before the onset of good health, has been engaged in heavy manual labor. Serious illness on admission, pulse 98 beats / min, blood pressure 12 / 90kPa, pale, hand, foot and cyanosis, lower extremity edema. Double lower lung breath sounds weakened, did not hear the oral rales. Expand the heart, the first heart