肥厚型心肌病并心房颤动未进行规范化抗凝治疗致血栓栓塞一例报道  

Thromboembolism Caused by Non-standardized Anticoagulant Therapy in Hypertrophic Cardiomyopathy Complicated with Atrial Fibrillation:a Case Report

作　　者：柯旭 王帅 康琪 祁杰[2] 寿锡凌[2] KE Xu;WANG Shuai;KANG Qi;QI Jie;SHOU Xiling(Xi'an Medical College,Xi'an 710021,China;Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]西安医学院,陕西省西安市710021 [2]陕西省人民医院,陕西省西安市710068

出　　处：《实用心脑肺血管病杂志》2019年第9期118-120,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：肥厚型心肌病(HCM)是一种以心肌肥厚为特征的心肌疾病,而心房颤动(AF)是其导致的常见心律失常类型之一。由于HCM并AF患者心力衰竭、卒中发生风险较高,因此及时启动抗凝治疗至关重要。本文报道1例HCM并AF未进行规范化抗凝治疗导致左心房血栓形成、脱落而引起血栓栓塞患者,能提高临床对规范化抗凝治疗重要性的认识。Hypertrophic cardiomyopathy(HCM)is characterized by myocardial hypertrophy,while atrial fibrillation(AF)is one of common arrhythmia types caused by HCM.Risks of heart failure and stroke are relatively high in HCM patients complicated with AF,thus initiating anticoagulant therapy in time is of great importance.This paper reported a HCM patient complicated with AF,who occurred left atrial thrombosis and detachment-induced thromboembolism caused by nonstandardized anticoagulant therapy,in order to improve the acquaintance of importance of standardized anticoagulant therapy.

关 键 词：心肌病 肥厚性 心房颤动 左心房血栓 血栓栓塞 抗凝治疗 

分 类 号：R542.2[医药卫生—心血管疾病] R541.75[医药卫生—内科学]