NEJM:心尖肥厚型心肌病案例报道

2015-11-05 陈说 译 MedSci原创

女性,68岁,近日出现心悸症状,来院就诊发现有频发室性早搏和非持续性室性心动过速。 经胸超声心动图检查,结果显示给该患者患有左室心尖部室壁瘤的可能性,此外,还做了左心室造影(请点击下方的原始出处打开原文,观看视频1)。 核磁共振检查结果显示肥厚型心肌病心尖病变(如图A和图B所示)像。但是,血管造影检查中没有发现还患者有心外膜冠状动脉病变的迹象。由于个人原因,该患者没有做

女性,68岁,近日出现心悸症状,来院就诊发现有频发室性早搏和非持续性室性心动过速。


经胸超声心动图检查,结果显示给该患者患有左室心尖部室壁瘤的可能性,此外,还做了左心室造影(请点击下方的原始出处打开原文,观看视频1)。


核磁共振检查结果显示肥厚型心肌病心尖病变(如图A和图B所示)像。但是,血管造影检查中没有发现还患者有心外膜冠状动脉病变的迹象。由于个人原因,该患者没有做基因检测试验。

随后,该患者接受医生的意见,使用洛尔类药物治疗心悸,并接受植入式心律转复除颤器(ICD)预防心源性猝死。

在接下来的5个月的门诊随访中,她身体状况良好,没有提出有出现过严重心悸的症状和收到ICD电击的报告。

据统计,亚洲人口比在非亚裔人口(包括白人)更容易出现心尖部病变。纵向队列研究结果表明,心尖肥厚型心肌病患者死亡率与其他形式肥厚型心肌病患者的死亡率相似,但女性高于男性。

原始出处:

Nabil S. Zeineh,Gustav Eles.Apical Hypertrophic Cardiomyopathy.N Engl J Med 2015; 373:e22|November 5, 2015

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=227057, encodeId=f7a922e05758, content=是不是还有其他治疗方法啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4fb42098367, createdName=海天青, createdTime=Fri Jul 28 00:37:39 CST 2017, time=2017-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106454, encodeId=6c7f106454a3, content=很不错的病例!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160824/IMG57BD028FBDBD52088.jpg, createdBy=79ea1934689, createdName=D.Jh, createdTime=Sun Aug 28 22:26:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106079, encodeId=c5d01060e9d8, content=谢谢,病例,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Aug 28 06:00:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769332, encodeId=4d0b1e6933237, content=<a href='/topic/show?id=beb9509e872' target=_blank style='color:#2F92EE;'>#心尖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50978, encryptionId=beb9509e872, topicName=心尖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5a9138017074, createdName=okhuali, createdTime=Tue Mar 22 19:15:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622220, encodeId=21c21622220eb, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Sat Nov 07 09:15:00 CST 2015, time=2015-11-07, status=1, ipAttribution=)]
    2017-07-28 海天青

    是不是还有其他治疗方法啊

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=227057, encodeId=f7a922e05758, content=是不是还有其他治疗方法啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4fb42098367, createdName=海天青, createdTime=Fri Jul 28 00:37:39 CST 2017, time=2017-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106454, encodeId=6c7f106454a3, content=很不错的病例!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160824/IMG57BD028FBDBD52088.jpg, createdBy=79ea1934689, createdName=D.Jh, createdTime=Sun Aug 28 22:26:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106079, encodeId=c5d01060e9d8, content=谢谢,病例,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Aug 28 06:00:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769332, encodeId=4d0b1e6933237, content=<a href='/topic/show?id=beb9509e872' target=_blank style='color:#2F92EE;'>#心尖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50978, encryptionId=beb9509e872, topicName=心尖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5a9138017074, createdName=okhuali, createdTime=Tue Mar 22 19:15:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622220, encodeId=21c21622220eb, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Sat Nov 07 09:15:00 CST 2015, time=2015-11-07, status=1, ipAttribution=)]
    2016-08-28 D.Jh

    很不错的病例!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=227057, encodeId=f7a922e05758, content=是不是还有其他治疗方法啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4fb42098367, createdName=海天青, createdTime=Fri Jul 28 00:37:39 CST 2017, time=2017-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106454, encodeId=6c7f106454a3, content=很不错的病例!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160824/IMG57BD028FBDBD52088.jpg, createdBy=79ea1934689, createdName=D.Jh, createdTime=Sun Aug 28 22:26:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106079, encodeId=c5d01060e9d8, content=谢谢,病例,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Aug 28 06:00:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769332, encodeId=4d0b1e6933237, content=<a href='/topic/show?id=beb9509e872' target=_blank style='color:#2F92EE;'>#心尖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50978, encryptionId=beb9509e872, topicName=心尖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5a9138017074, createdName=okhuali, createdTime=Tue Mar 22 19:15:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622220, encodeId=21c21622220eb, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Sat Nov 07 09:15:00 CST 2015, time=2015-11-07, status=1, ipAttribution=)]
    2016-08-28 flysky120

    谢谢,病例,学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=227057, encodeId=f7a922e05758, content=是不是还有其他治疗方法啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4fb42098367, createdName=海天青, createdTime=Fri Jul 28 00:37:39 CST 2017, time=2017-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106454, encodeId=6c7f106454a3, content=很不错的病例!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160824/IMG57BD028FBDBD52088.jpg, createdBy=79ea1934689, createdName=D.Jh, createdTime=Sun Aug 28 22:26:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106079, encodeId=c5d01060e9d8, content=谢谢,病例,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Aug 28 06:00:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769332, encodeId=4d0b1e6933237, content=<a href='/topic/show?id=beb9509e872' target=_blank style='color:#2F92EE;'>#心尖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50978, encryptionId=beb9509e872, topicName=心尖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5a9138017074, createdName=okhuali, createdTime=Tue Mar 22 19:15:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622220, encodeId=21c21622220eb, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Sat Nov 07 09:15:00 CST 2015, time=2015-11-07, status=1, ipAttribution=)]
    2016-03-22 okhuali
  5. [GetPortalCommentsPageByObjectIdResponse(id=227057, encodeId=f7a922e05758, content=是不是还有其他治疗方法啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4fb42098367, createdName=海天青, createdTime=Fri Jul 28 00:37:39 CST 2017, time=2017-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106454, encodeId=6c7f106454a3, content=很不错的病例!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160824/IMG57BD028FBDBD52088.jpg, createdBy=79ea1934689, createdName=D.Jh, createdTime=Sun Aug 28 22:26:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106079, encodeId=c5d01060e9d8, content=谢谢,病例,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Aug 28 06:00:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769332, encodeId=4d0b1e6933237, content=<a href='/topic/show?id=beb9509e872' target=_blank style='color:#2F92EE;'>#心尖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50978, encryptionId=beb9509e872, topicName=心尖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5a9138017074, createdName=okhuali, createdTime=Tue Mar 22 19:15:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622220, encodeId=21c21622220eb, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Sat Nov 07 09:15:00 CST 2015, time=2015-11-07, status=1, ipAttribution=)]

相关资讯

Radiology:心脏退化程度也分性别!!!!

通过每隔一定的时间对人们的心脏进行动态成像扫描,研究人员发现,随着时间的流逝,男性和女性的心脏泵血功能不同,因此,今后治疗男性和女性心力衰竭可能会有两种不同的治疗方案。约翰霍普金斯大学的研究人员将其发表在Radiology杂志上。这项研究是研究人员第一次使用MRI对人们的心脏功能随时间变化发生的变化进行调查的研究。 通过对近3000名成人功能衰退的心脏进行MRI检查,主要研究目标是左心室的泵血功能

Science Advance:3D打印再创佳绩!连心脏也能打!

单看这一个月,就有超过4000个美国人在接受心脏移植的等待名单上。对于体内这一衰竭的心脏,这些病人没有其他选择;心脏组织与身体的其他部位不同,一旦损坏则无法自愈。幸运的是,最近卡内基梅隆大学的一群研究人员的工作将使得有一天这个世界不再需要去修复受损的器官,而选择移植新的器官。“我们已经能够利用冠状动脉的MRI图像以及胚胎心脏的三维图像,通过3D生物打印,以一种空前的分辨率和质量制造出很软的材料如胶

Heart:多喝含糖饮料可能会增加心脏疾病发作的风险

根据最新的的一项研究成果表明,男性经常饮用含糖饮料可能会增加心脏衰竭的风险。到目前为止,虽然这是第一次做的一项关于含糖饮料与心脏衰竭的相关关系的研究调查,但是,研究小组已经搜集了丰富的数据,证明甜饮料确实对心脏疾病的发生有着紧密的关系。居于在以往的研究中,人们已经发现经常饮用甜饮料与血压、胰岛素浓度、血糖、C反应蛋白和体重等因素的改变有着重大的联系。同时,软饮料也与高血压、代谢性综合征、冠心病和中

JAMA Surgery:心脏手术后,已婚人士恢复效果会更好

JAMA Surgery的研究表明,接受心脏手术的患者中,已婚人士恢复得更好。在1500多名接受心脏介入治疗的成年人中,分居或离婚的患者相比已婚人士而言,更易死亡或新发功能障碍等。