肥厚型心肌病最新研究进展

Recent Advances in Hypertrophic Cardiomyopathy

肥厚型心肌病(hypertrophic cardiomyopathy, HCM)是目前最常见的遗传性心脏病之一,也是青少年和运动员猝死的主要原因之一。它以左心室壁肥厚和室间隔不对称性肥厚为主要特征,亦可表现为心尖肥厚,并且根据肥厚的严重程度,HCM患者可出现左室流出道梗阻(LVOTO)、舒张功能障碍、心房颤动和心力衰竭等表现。近年来随着基因分子等技术的发展,人们对于HCM的认识有了明显提高,笔者现就肥厚型心肌病的最新研究进展予以综述。

Hypertrophic cardiomyopathy (HCM) is one of the most common hereditary heart diseases, and is one of the main causes of sudden death in adolescents and athletes. It is mainly characterized by left ventricular wall hypertrophy and asymmetrical ventricular septum hypertrophy, as well as apex hypertrophy, and depending on the severity of hypertrophy, HCM patients may present with left ventricular outflow tract obstruction (LVOTO), diastolic dysfunction, atrial fibrillation, and heart failure. In recent years, with the development of gene and molecular technology, people’s under-standing of HCM has been improved significantly. This article reviews the latest research progress of hypertrophic cardiomyopathy.