肥厚型心肌病并非少见,因临床症状缺乏特异性,其临床病程和各种治疗反应有独特性,故识别很重要。现将80年以来误诊10例(其中误诊为冠心病6例,高血压心脏病1例、风湿性心脏瓣膜病1例,先天性心脏病2例)情况讨论如下。一、因劳力性心绞痛误诊为冠心病病例女,47岁,教师。因反复胸闷、气急3年, Hypertrophic cardiomyopathy is not uncommon, because of the lack of specificity of clinical symptoms, the clinical course and a variety of treatment responses are unique, so the identification is very important. Now 80 years misdiagnosis in 10 cases (including misdiagnosed as coronary heart disease in 6 cases, 1 case of hypertensive heart disease, rheumatic heart valve disease in 1 case, congenital heart disease in 2 cases) are discussed below. First, due to exertional angina misdiagnosed as coronary heart disease Female, 47 years old, teacher. Due to repeated chest tightness, shortness of breath 3 years,