The diagnosis of the plump type myocardium disease and _'s treatment of the differential diagnosis

The diagnosis of the plump type myocardium disease and _'s treatment of the differential diagnosis
According to the patient's heart murmur characteristic, such symptoms as the labour chest aches and has difficulty in breathing, faints, it combines typical supersound to be aroused in interest to pursue, change with colored Doppler determining left room it flows out dishes of pressures to be poor in steps, can diagnose the plump type myocardium disease. Not obstructing about half the a patient of plump type myocardium disease has palpitation, the room arrhythmia or faint of the unidentified reason, there is no obvious heart murmur in the physical examination, most patients can find to pursue to check through the supersound aroused in interest the left room wall is plump, its thickness gt; 1.5cm, the cardiac muscle of magnetic resonance shows the picture and diagnoses value even more. Because 50% more than getting plump myocardium the intersection of disease and patient have the intersection of family and history, the intersection of blood relationship and direct relative in patient it carries on electrocardiograms, supersound to be aroused in interest to pursue etc., check, discovery in early days which contributes to the plump type myocardium disease. Symmetry plump type myocardium disease need and hypertension heart disease, coronary heart disease of left room are distinguished.
The plump type electrocardiogram with characteristic nature of myocardium disease of apex of the heart changes: The high voltage of left room accompanies the left chest to lead and unite (V4- 6) Section ST is forced down; Lead and unite and lead the way to unite T wave to invert for the chest of the axis with V3, V4. Two-dimentional aroused in interest to pursue characteristic supersound change whether left the intersection of room and the intersection of major axis and tangent plane can see the intersection of apex of the heart and interventricular septum and down wall to be obviously plump behind the left room, can reach 20-30mm in the thickest place, ventricle of apex of the heart department is narrow and small. The ventricle radiography reveals the left room takes the form of the banana, tongue or spindle, can make a definite diagnosis of.
|