Misdiagnosis of Hypertrophic cardiomyopathy.doc

 PAGE \* MERGEFORMAT 9 Misdiagnosis of Hypertrophic cardiomyopathy [Keywords:] of hypertrophic cardiomyopathy Hypertrophic cardiomyopathy is a common cardiac disease characterized by ventricular septal, apical and left ventricular free wall was asymmetric hypertrophy. No characteristic clinical manifestations. Guchang often misdiagnosed as other diseases. As a special treat this disease, so the correct diagnosis is crucial. Department of Cardiology of our hospital were treated in the past 3 years, hypertrophic cardiomyopathy in 16 cases, 11 cases were misdiagnosed (including the hospital), and disease are: coronary heart disease, acute myocardial infarction in 1 case, 1 case of old myocardial infarction , angina in 3 cases, 2 cases of dilated cardiomyopathy, rheumatic mitral insufficiency in 2 patients, hypertensive heart disease in 1 case, there is one case of misdiagnosis of viral-based disease. now the case example of misdiagnosis as follows. Clinical misdiagnosis of type 1 1.1, upper abdominal pain associated with ECG ST-segment elevation acute myocardial infarction misdiagnosed as: Example 1: suffering from male, 38 years old, workers, hospital No. 416 434. Because of “upper abdominal pain, vomiting associated with chest tightness, suffocation 4 hours, has been the subject ECG show”, premature ventricular contractions. checkup: BP18/11kPa, no expansion of community heart, heart rate 84 beats / min, the law Qi, low heart sound blunt, apex could be heard and 2 / 6 systolic murmur, abdomen soft, no tenderness. hepatosplenomegaly untouched. electrocardiogram showed: Ⅱ Ⅲ aVF lead ST-segment depression, chest leads V1 ~ V4 was QS-segment elevation. by “acute myocardial infarction (extensive anterior wall)” income homes, has been observed no evolution of ECG, check enzymes 3 times were normal, 11 days of hospitalization for cardiac ultrasound showed B: septal thickness of 18.5mm, left ventricular posterior wall was 11.9mm, the two reverse movement,