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心尖部肥厚型心肌病为肥厚性心肌病的特殊类型,极易误诊为冠心病,我们遇有3例误诊,现报告并作一分析。 例1:男,44岁。10年前因心电图示明显ST-T改变及左室高电压,在本院诊为冠心病。此后多次复查心电图无明显变化,均按冠心病服药。本次因生气而胸闷、憋气症状发作,伴头晕。家族史无特殊记载。查体:BP28/12kPa。双肺呼吸音清,心界向左下扩大,胸骨左下缘闻及2/6SM。心电图
Apex hypertrophic cardiomyopathy is a special type of hypertrophic cardiomyopathy, easily misdiagnosed as coronary heart disease, we encountered three cases of misdiagnosis, the report is reported and analyzed. Example 1: Male, 44 years old. 10 years ago due to ECG obvious ST-T changes and left ventricular high voltage, diagnosed as coronary heart disease in our hospital. Since then many repeated ECG no significant change, according to coronary heart disease medication. This time because of anger and chest tightness, suffocation symptoms, with dizziness. Family history no special records. Physical examination: BP28 / 12kPa. Respiratory sound clear lungs, heart to expand to the lower left, lower left sternal smell and 2 / 6SM. Electrocardiogram