无症状且左室射血分数正常的左室致密化不全临床进展  

Clinical Progress of Asymptomatic Left Ventricular Non-compaction with Normal Left Ventricular Ejection Fraction

作　　者：马昌榕 蒋桔泉[2] MA Changrong 1,2 ,JIANG Juquan 2(1.The First Clinical College,Hubei University of Traditional Chinese Medicine,Wuhan 430070,Hubei,China; 2.Department of Cardiology,Wuhan General Hospital of Chinese People s Liberation Army,Wuhan 430070,Hubei,Chin)

机构地区：[1]湖北中医药大学第一临床学院,湖北武汉430070 [2]中国人民解放军武汉总医院心血管内科,湖北武汉430070

出　　处：《心血管病学进展》2018年第5期803-806,共4页Advances in Cardiovascular Diseases

摘　　要：左室致密化不全是一种以心室内多发肌小梁及其间深陷隐窝为特征的心肌病,至今被认为是一种罕见病,过度肌小梁一直被认为是一种病理性改变。随着越来越多无症状且左室射血分数正常的左室致密化不全患者被筛选出来,关于左室致密化不全的争论就越来越多,现围绕诊断标准、过度诊断、"过度小梁化"及此类特殊类型左室致密化不全的临床抉择等方面争论展开综述,以此为临床诊疗提供参考。Left ventricular non-compaction is a cardiomyopathy characterized by multiple intracardiac trabecular meshwork and deep crypts.It is so far considered a rare disease,and excessive trabecular has been considered a pathological change.As more and more asymptomatic left ventricular non-compaction patients with normal left ventricular ejection fraction are screened out,there is a growing debate about left ventricular non-compaction.This article focuses on diagnostic criteria,overdiagnosis,“excessive trabecularization” type of left ventricular densification clinical choice and other aspects of the debate,with a view to provide a reference for clinical diagnosis and treatment.

关 键 词：左室致密化不全 诊断标准 过度小梁化 

分 类 号：R540.47[医药卫生—心血管疾病]