【摘要】 目的 探讨老年高血压性肥厚型心肌病的临床特征，以提高其诊断率。 方法 对1999年1月-2009年12月收治11例患者的临床表现、超声心动图检查和诊治经过进行回顾性分析，总结经验。 结果 所有患者均符合老年高血压性肥厚型心肌病的超声诊断标准:显著的心肌肥厚、左心室缩小、左心室收缩功能超常，舒张功能明显降低。但临床表现不一，医生对其认识不足。 结论 高血压病导致心脏受累，直至发展为高血压性肥厚型心肌病的病程长，病情隐匿，且患者多合并其他心脏疾病，导致临床诊断困难，甚至误诊、延误治疗。目前对其治疗措施有限，如何早期发现，早期治疗是下一步研究重点。
Citation：
王引利,何川,陈丽,黄深,蔡琳. 老年高血压性肥厚型心肌病临床分析. West China Medical Journal, 2010, 25(9): 1711-1712. doi:
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| 1. |
Topol EJ, Traill TA, Fortuin NJ. Hypertensive hypertrophic cardiomyopathy of the elderly[J]. N Engl J Med, 1985, 312(5): 277-283.
|
| 2. |
Zieman SJ, Fortuin NJ. Hypertrophic and restrictive cardiomyopathies in the elderly[J]. Cardiol Clin, 1999, 17(1): 159-172.
|
| 3. |
Papadopoulos DP, Papademetriou V. Hypertrophic and hypertensive hypertrophic cardiomyopathy--a true association[J]? Angiology, 2010, 61(1): 92-99.
|
| 4. |
Minoshima M, Noda A, Nishizawa T, et al. Endomyocardial radial strain imaging and left ventricular relaxation abnormalities in patients with hypertrophic cardiomyopathy or hypertensive left ventricular hypertrophy[J]. Circ J, 2009, 73(12): 2294-2299.
|
- 1. Topol EJ, Traill TA, Fortuin NJ. Hypertensive hypertrophic cardiomyopathy of the elderly[J]. N Engl J Med, 1985, 312(5): 277-283.
- 2. Zieman SJ, Fortuin NJ. Hypertrophic and restrictive cardiomyopathies in the elderly[J]. Cardiol Clin, 1999, 17(1): 159-172.
- 3. Papadopoulos DP, Papademetriou V. Hypertrophic and hypertensive hypertrophic cardiomyopathy--a true association[J]? Angiology, 2010, 61(1): 92-99.
- 4. Minoshima M, Noda A, Nishizawa T, et al. Endomyocardial radial strain imaging and left ventricular relaxation abnormalities in patients with hypertrophic cardiomyopathy or hypertensive left ventricular hypertrophy[J]. Circ J, 2009, 73(12): 2294-2299.
