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多模态影像诊断孤立性左心室心尖发育不良1例

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摘要 1病例简介男,27岁,主诉:体检发现心电图异常1个月。既往体健,无心脏病家族史。查体未闻及杂音。心电图提示:I、aVL、V6导联呈QR、qR波,时限≥0.04 s,Q波电压≥R波的1/4。I、aVL、V6导联T波低平、倒置、正负双向。I、aVL、V6导联出现病理性Q波,提示可能存在室壁增厚、心室扩张或局部心肌被其他无电活动组织替代等心脏结构异常。心肌酶及B型钠尿肽正常。入院后完善超声心动图、心脏增强CT及心脏MRI检查(图1),诊断为孤立性左心室心尖部发育不良(isolated left ventricular apical hypoplasia,ILVAH),给予倍他乐克、螺内酯、培哚普利等药物抗心衰治疗。随访3年,心脏结构及功能无明显变化。
出处 《中国医学影像学杂志》 CSCD 北大核心 2023年第6期598-599,共2页 Chinese Journal of Medical Imaging
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