家族聚集性发病心肌致密化不全四例临床分析  

Analysis of 4 cases of noncompaction of ventricular myocardium in one family

作　　者：李鑫[1] 李彤[2] 王禹[2] 王怀祯[2] 刘东[2] 

机构地区：[1]天津医科大学研究生院,300170 [2]天津市第三中心医院心内科

出　　处：《中华老年心脑血管病杂志》2011年第12期1093-1095,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨心肌致密化不全患者的临床特点,诊断及鉴别诊断,提高家族遗传性人群的检出率。方法回顾性分析同一家族的临床表现及超声心动图辅助检查资料。结果本家庭中4人检出心肌致密化不全,且每例患者症状表现均不相同。结论心肌致密化不全临床具有家族遗传倾向,且临床病程迁延,表现各异,容易漏诊和误诊,在出现首例心肌致密化不全发病患者后,早期心脏超声心动图是重要的诊断和筛查手段。Objective To investigate the clinical features,diagnosis and differential diagnosis of myocardium noncompaction for improving clinical diagnosis. Methods The data of 7 cases in one family,including clinical characteristics, diagnosis and features of echocardiogram were analyzed retrospectively. Results 4 out of 7 people of one family were diagnosed as noncompaction of ventricular myocardium with different clinical features. Conclusion The noncompaction of ventricular myocardium shows the following characteristics：The familial genetic predisposition protracted clinical course and variation of clinical manifestation. It is easy to cause misdiagnosis and missed diagnosis. So early echocardiography is the important means for diagnosis of and screening for NVM after the first case of NVM was found in one family.

关 键 词：遗传性疾病 先天性 心肌疾病 超声心动描记术 心律失常 心性 血栓栓塞 发病率 

分 类 号：R542.2[医药卫生—心血管疾病]