老年心肌病的诊断与困惑

Diagnosis and its confusion of senile cardiomyopathy

老年心肌病(senile cardiomyopathy)是老年化过程中心肌的一种退行性病变。随着我国老年人口的增多,老年心肌病的发病率也随之增高。但由于老年患者多合并多种疾病及病理情况,且老年心肌病缺乏特异性指标,故其临床确诊存在诸多的困惑。本文对老年心肌病的临床表现、鉴别诊断及新近诊断技术进展进行综述,以期为我国老年心肌病的研究提供借鉴。

Senile eardiomyopathy is a degenerative disease of the heart nmsele during the aging. With the in- crease of Chinese population and the elderly people, the mobidity of senile eardiomyopathy also increases. However, there are a lot of eolffusion in diagnosis of senile eardiomyopathy due to the lack of specific indicators and the combination of multiple diseases and pathological conditions in elderly patients. The paper reviewed the clinical manifestations, differen- tial diagnosis and the latest diagnosis technique of senile eardiomyopathy to provide suggestions for the study of senile cardiomyopathy in China.