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Doppler echocardiography in apical hypertrophic cardiomyopathy diagnosis
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Doppler echocardiography in apical hypertrophic cardiomyopathy diagnosis
[Keywords:] apical hypertrophic cardiomyopathy Apical hypertrophic cardiomyopathy (AHCM) is mainly restricted to the left ventricular papillary muscle below the level of apical hypertrophy. Lack of specific clinical manifestations of this disease easily misdiagnosed as coronary heart disease, diagnosis mainly depends on imaging examination. Now that is a constant autosomal dominant genetic disease. AHCM this group of patients with 8 cases of summary information, are reported below.
1 Materials and Methods 1.1 General Information Select the hospital diagnosed 48 cases of hypertrophic cardiomyopathy. To clear AHCM ultrasound patients candidate criteria, a total of 8 cases, accounting for 16%. Including 5 males and 3 females, aged 38 to 78 years, mean 58 years. clinical symptoms are chest tightness, palpitation, fatigue, atypical chest pain, relieved by rest. signs: the apex could be heard and 2 to 3 / 6 systolic murmur .8 patients with normal blood pressure range. are conducted ECG. the normal control group 28 cases of healthy persons, age and sex-matched, normal blood pressure testing, ultrasonic testing of the normal electrocardiogram.
1.2 Inspection Methods Toshiba Xario ultrasonic diagnostic apparatus using the probe frequency is 3MHz. Subjects left lateral position, connecting ECG, according to conventional operation, were cut in the parasternal and apical face for regular section, carefully observe the left ventricular cavity size, left ventricular wall The thickness of the myocardial segments and the activities of the echo, the echo and the availability of endocardial thickening, respectively, of left ventricular diameter, left ventricular wall and interventricular septum thickness, left ventricular hypertrophy in the discovery, the special attention to measurement left ventricular myocardial thickness (AT). simultaneous measurement of
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