Arrhythmogenic right ventricular cardiomyopathy complicating hypertrophic cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy complicating hypertrophic cardiomyopathy
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致心律失常性右心室心肌病并发肥厚型心肌病
DOI：
10.1093/ehjci/jeac103
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Dohi Kaoru
中科院分区：
文献类型：
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作者：
Kagawa Yoshihiko;Okamoto Ryuji;Asano Yoshihiro;Sakata Yasushi;Dohi Kaoru
一名66岁男子在慢跑时出现心悸。他身体健康，并通过跑半程马拉松进行了至少30年的自我训练。心电图显示窦性心动过缓和房室传导阻滞，II、III、aVF 和 V1-6 中 T 波负，V1-3 中 epsilon 波（图 A，红色箭头）。胸部 X 光检查显示轻度心脏扩大（图 B）。磁共振成像显示右心室严重扩张和功能障碍以及伴有疤痕的心尖肥厚性心肌病 (HCM)（图 C，参见
A 66-year-old man experienced palpitations while jogging. He had been healthy and trained himself for at least 30 years by running half marathons. Electrocardiography showed sinus bradycardia and Iatrioventricular block with negative T waves in II, III, aVF, and V1–6 and epsilon waves in V1–3 (Panel A, red arrowheads). Mild cardiomegaly was shown on chest X-rays (Panel B). Magnetic resonance imaging showed severe dilatation and dysfunction of the right ventricle and apical hypertrophic cardiomyopathy (HCM) with scars (Panel C, see