左心室及冠状动脉造影诊断心尖肥厚型心肌病  

Left Ventriculography and Coronary Angiography Diagnosing Apical Hypertrophic Cardiomyopathy

作　　者：刘宏斌[1] 智光[1] 盖鲁粤[1] 杨庭树[1] 杜洛山[2] 周军荣[1] 

机构地区：[1]解放军总医院心内科,北京100853 [2]解放军总医院介入医学科,北京100853

出　　处：《中国医学影像学杂志》2004年第4期241-243,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨左心室及冠状动脉造影诊断心尖肥厚型心肌病的价值。材料和方法 :14 7例心电图异常患者 ,行UCG ,冠状动脉及左心室造影 ,2 1患者进一步行MRI检查确诊为心尖肥厚型心肌病。结果 :14 7例中 ,UCG发现 67例心尖部肥厚。左心室造影示 12 6例左心室舒张期形态均呈“黑桃”样改变 ,诊断阳性率 85 .7%。冠状动脉造影示 19例冠状动脉有狭窄。结论 :左心室及冠状动脉造影是诊断心尖肥厚型心肌病较好的方法 ,并能了解冠状动脉病变情况。Purpose: To evaluate left ventriculography and coronary angiography in diagnosing apical hypertrophic cardiomyopathy(AHCM). Materials and Methods: 147 patients with abnormal ECG were diagnosed AHCM by UCG, ventriculography, coronary angiography or MRI. Results: PUCG suggested apical hypertrophy in 67 cases. Left ventriculography demonstrasted AHCM with the apical “spade” changes in 126 cases, The positive rate was 85.7%. Coronary angiography showed coronary artery stenosis in 19cases. Conclusion: left ventriculography and coronary angiography are valuable methods in diagnosis of AHCM, and coronary artery lesion.

关 键 词：左心室 冠状动脉造影 心尖肥厚型 心肌病 超声心动图 

分 类 号：R816.2[医药卫生—放射医学] R542.2[医药卫生—临床医学]