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作者在48例临床和尸检符合肥厚性心肌病而未经手术治疗的病例中,发现7例(15％)左心室有穿壁性心肌梗塞疤痕,而其4条主要壁外冠状动脉均无明显粥样硬化。本文对这些病人的临床、血液动力学、心电图、超声心动图、遗传学、尸检等进行回顾性研究,并对穿壁性心肌梗塞的病因进行探讨。临床发现:7例中男性3例,女性4例,年龄12～60岁(平均33岁)。均无典型心绞痛,其中2例曾有可能为心源性的胸骨后不适,内1例临床有急性心肌梗塞的疼痛及多种血清酶升高。7例中6例的病程中有重度心力衰竭、心脏扩大和室上性心律失常。体检除1例未予详细检查外,余6例在胸
In 48 cases of hypertrophic cardiomyopathy and without hyperthyroidism in the surgical treatment of the cases, found in 7 cases (15%) of the left ventricular wall with myocardial infarction sclerosis, and its four major external wall of the coronary artery were not significantly Atherosclerosis. In this paper, the clinical, hemodynamic, electrocardiogram, echocardiography, genetics, autopsy, etc. of these patients were retrospectively studied, and the etiology of transmural myocardial infarction was discussed. Clinical findings: 7 cases of 3 males and 4 females, aged 12 to 60 years (mean 33 years). No typical angina pectoris, of which 2 cases had cardiogenic sternal discomfort, 1 case of clinical acute myocardial infarction pain and a variety of serum enzymes. Six of the seven patients had severe heart failure, enlarged heart, and supraventricular arrhythmias in their course of disease. In addition to a case of physical examination without detailed examination, the remaining 6 cases in the chest