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心尖肥厚型心肌病在日本较常见,首先由日本学者 Yamaguchi 等于1976年报告。现将我院所见2例报告如下。例1男,29岁,因体检心电图异常就诊。自诉上楼时觉胸闷一年。既往健康,父母体健。查体:Bp 15/10kPa,双肺(一),心前区无隆起,心率78次/分,胸骨左缘2~3肋间可闻及Ⅱ级收缩期杂音,心界不大,肝脾未触及。胸片示双肺无异常,心胸比值0.5。心电图:各主波向上导联 T 波倒置且深,V_4导联 T 波深达11mm,Rv_5+Sv_1达40mm。扇扫:左室内径58.2mm,右
Apical hypertrophic cardiomyopathy is more common in Japan, first reported by Japanese scholar Yamaguchi in 1976. Now I see the hospital reported 2 cases are as follows. Example 1 Male, 29 years old, due to physical examination ECG abnormal treatment. Self-prosecution upstairs feel chest tightness for one year. Past health, parental health. Physical examination: Bp 15 / 10kPa, lung (a), no anterior bulging heart rate, heart rate 78 beats / min, sternal left margin of 2 ~ 3 intercostal can smell and Ⅱ systolic murmur, the heart is not big, Not touched. Chest radiograph showed no abnormal lungs, chest and chest ratio of 0.5. ECG: The main wave of the upward lead T wave inversion and deep, V_4 lead T wave depth of 11mm, Rv_5 + Sv_1 of 40mm. Fan scan: left ventricular diameter 58.2mm, right