摘要
目的 :探讨左心室及冠状动脉造影诊断心尖肥厚型心肌病的价值。材料和方法 :14 7例心电图异常患者 ,行UCG ,冠状动脉及左心室造影 ,2 1患者进一步行MRI检查确诊为心尖肥厚型心肌病。结果 :14 7例中 ,UCG发现 67例心尖部肥厚。左心室造影示 12 6例左心室舒张期形态均呈“黑桃”样改变 ,诊断阳性率 85 .7%。冠状动脉造影示 19例冠状动脉有狭窄。结论 :左心室及冠状动脉造影是诊断心尖肥厚型心肌病较好的方法 ,并能了解冠状动脉病变情况。
Purpose: To evaluate left ventriculography and coronary angiography in diagnosing apical hypertrophic cardiomyopathy(AHCM). Materials and Methods: 147 patients with abnormal ECG were diagnosed AHCM by UCG, ventriculography, coronary angiography or MRI. Results: PUCG suggested apical hypertrophy in 67 cases. Left ventriculography demonstrasted AHCM with the apical “spade” changes in 126 cases, The positive rate was 85.7%. Coronary angiography showed coronary artery stenosis in 19cases. Conclusion: left ventriculography and coronary angiography are valuable methods in diagnosis of AHCM, and coronary artery lesion.
出处
《中国医学影像学杂志》
CSCD
2004年第4期241-243,共3页
Chinese Journal of Medical Imaging
