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心尖肥厚型心肌病(AHCM)属于原发性肥厚型心肌病的特殊类型。我院收治4例,现报告如下。例1,女,61岁。因阵发性胸闷,憋气伴心前区疼痛入院。查体:Bp18.6/11.6kPa,心界无明显扩大,心率108次/min,可闻及第三心音。心电图示:Q-T间期0.40s,V_(4~6)导联T波倒置深1~2mm。二维超声心动图示心尖部及近心尖部室间隔厚16~21mm,左室后壁17mm,左室
Apical hypertrophic cardiomyopathy (AHCM) is a special type of primary hypertrophic cardiomyopathy. 4 cases admitted to our hospital, are as follows. Example 1, female, 61 years old. Due to paroxysmal chest tightness, suffocation with premorbid pain admission. Physical examination: Bp18.6 / 11.6kPa, heart no significant expansion, heart rate 108 beats / min, can be heard and the third heart sound. ECG shows: Q-T interval 0.40s, V_ (4-6) lead T wave inverted 1 ~ 2mm deep. Two-dimensional echocardiography showed apical and apical interventricular septum thickness of 16 ~ 21mm, left ventricular posterior wall 17mm, left ventricular