左心室非压实性心肌病:一种罕见的心血管疾病

Azita Rezaei, Marcin Gregorczyk, Agnieszka Ciba-Stemplewska, K. Starzyk, Wioletta Korzeluch, Michał Spałek, B. Wożakowska-Kapłon
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引用次数: 0

摘要

20岁女性,诊断为儿童期左心室非压实性(LVNC)心肌病并发关节挛缩症,因不典型胸痛、运动耐量恶化、腹大通气和支气管哮喘加重症状而入住心内科。心电图(ECG)显示缺血的变化,但没有动态变化。炎症参数、BNP (b型利钠肽)和心肌坏死标志物均未升高。超声心动图(ECHO)检查收缩期和舒张期功能正常。尽管最初的临床表现令人联想,但鉴别诊断的正确方向,以及随后的诊断,是在完成合并症的病史后建立的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Left ventricular non-compaction cardiomyopathy: a rare cause of cardiovascular complaints
20-year-old woman with diagnosed in childhood left ventricular non-compaction (LVNC) cardiomyopathy with coexisting arthrogryposis was admitted to the Department of Cardiology due to atypical chest pain, worsening of exercise tolerance, bendopnea and symptoms of bronchial asthma exacerbation. The electrocardiogram (ECG) showed changes indicative of ischemia, without their dynamics. Inflammatory parameters, BNP (B-type natriuretic peptide), and myocardial necrosis markers were not elevated. Systolic and diastolic function on echocardiography (ECHO) was assessed as normal. Despite the initially suggestive clinical picture, the correct direction of the differential diagnosis, and consequently the diagnosis, was established after completing the history of comorbidities.
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