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目的探讨老年高血压性肥厚型心肌病的临床特征,以提高其诊断率。方法对1999年1月2009年12月收治11例患者的临床表现、超声心动图检查和诊治经过进行回顾性分析,总结经验。结果所有患者均符合老年高血压性肥厚型心肌病的超声诊断标准:显著的心肌肥厚、左心室缩小、左心室收缩功能超常,舒张功能明显降低。但临床表现不一,医生对其认识不足。结论高血压病导致心脏受累,直至发展为高血压性肥厚型心肌病的病程长,病情隐匿,且患者多合并其他心脏疾病,导致临床诊断困难,甚至误诊、延误治疗。目前对其治疗措施有限,如何早期发现,早期治疗是下一步研究重点。
Objective To investigate the clinical features of hypertensive hypertrophic cardiomyopathy in elderly patients so as to improve the diagnosis rate. Methods The clinical manifestations, echocardiographic examination and diagnosis and treatment of 11 patients admitted to our hospital from January 1999 to December 2009 were analyzed retrospectively to summarize the experience. Results All patients were in line with the diagnostic criteria for hypertensive hypertrophic cardiomyopathy in elderly patients: significant cardiac hypertrophy, left ventricular systole, left ventricular systolic dysfunction, diastolic function was significantly reduced. However, clinical manifestations vary, and doctors do not know enough about it. Conclusion Hypertension leads to heart involvement until the development of hypertensive hypertrophic cardiomyopathy has a long duration, hidden condition and many patients complicated with other heart diseases, which leads to difficulties in clinical diagnosis, even misdiagnosis and delayed treatment. The current treatment of its limited, how early detection, early treatment is the focus of the next study.