肥厚型心肌病患者晕厥发生化的机制和处理对策_胡厚源.pptVIP

肥厚型心肌病患者晕厥发生的机制和处理对策  第三军医大学西南医院心内科 胡 厚 源 Hypertrophic cardiomyopathy: a50th anniversary In 1958, Donald Teare, a forensic pathologist in London, reported eight cases of sudden death caused by ‘‘asymmetrical hypertrophy or benign tumour’’ of the heart in the British Heart Journal. ( Teare D. Asymmetrical hypertrophy of the heart in young adults. Br Heart J . 1958;20:1–8. ) Syncope in hypertrophic cardiomyopathy Symptoms of impaired consciousness (syncope and presyncope) occur in 15–25% of the patients with HCM. Syncope typically occurs in younger patients with smaller ventricles. Imp