肥厚型梗阻性心肌病（Hypertrophic obstructive cardiomyopathy）.docVIP

肥厚型梗阻性心肌病（Hypertrophic obstructive cardiomyopathy） Hypertrophic obstructive cardiomyopathy Hypertrophic obstructive cardiomyopathy, hypertrophic obstructive cardiomyopathy has been called muscular subaortic obstruction. In 1958, Teare described ventricular septal hypertrophy, which is much thicker than the left ventricular free wall. The myocardial cells are short and thick, arranged in disorder, and the lateral connections between cells are abundant. This is called asymmetric ventricular septal hypertrophy. After 1960 is considered to be a type of primary cardiomyopathy, in all types of cardiomyopathy accounted for about 20%, so called idiopathic obstructive cardiomyopathy, idiopathic hypertrophic subaortic stenosis or hypertrophic obstructive cardiomyopathy. About 30% of the cases have a family history and may have genetic factors. The onset of the disease can range from infants to more than 60 years of age, but the most common is between 10~30 years of age, suggesting that it may be a congenital malformation and may also be acquired. Catalog Pathological changes Clinical manifestation Supplementary Examination differential diagnosis Treatment measures Complications (1) arrhythmia (2) endocarditis; (3) heart block (4) sudden death; Prognosis pathological changes Clinical manifestation Supplementary Examination differential diagnosis Treatment measures Complications (1) arrhythmia (2) endocarditis; (3) heart block (4) sudden death; prognosis Edit the pathological changes of this section The degree of left ventricular obstruction in hypertrophic obstructive cardiomyopathy is different. The typical lesion is most prominent at the upper ventricular septum. The longitudinal incision of the ventricular septum leads to hypertrophy of the left ventricle and right ventricular lumen. The thickest part of the ventricular septum is located below the free margin of the anterior leaflet of the mitral valve. The ventricular septum shows localized fibrosis and thickening of the i