心尖肥厚性心肌病是非梗阻型肥厚性心肌病(HCM)的亚型,因显著向心性心尖肥厚而具有特征性心电图与心室造影图象。本病在日本相当常见,其他地区尚未见报导。作者于1980年1月发现一位无症状的患者,男性,32岁,因心电图明显异常就诊。1978年11月前他是运动员,因查体发现心电图异常而停止运动。1979年1月因肩胛间钝 Apex hypertrophic cardiomyopathy is a subtype of non-obstructive hypertrophic cardiomyopathy (HCM) characterized by characteristic electrocardiogram and ventriculography with significant apical hypertrophy. The disease is quite common in Japan, but has not been reported elsewhere. The author found an asymptomatic patient in January 1980, a male, 32 years old, with a clear ECG abnormality. He was an athlete before November 1978 and stopped exercising because of an abnormal electrocardiogram. January 1979 due to interscapular blunt