Jieyong Li, Jun Wang, Xiangshang Xue, Dong-Jing Wang
{"title":"飞行人员心尖肥厚性心肌病3例并文献复习","authors":"Jieyong Li, Jun Wang, Xiangshang Xue, Dong-Jing Wang","doi":"10.3760/CMA.J.ISSN.1007-6239.2016.01.007","DOIUrl":null,"url":null,"abstract":"Objective \nTo discuss the influence of apical hypertrophy cardiomyopathy (AHCM) on the flying personnel's and the evaluation principle of aeromedicine. \n \n \nMethods \nThe clinical AHCM data, including diagnosis, therapy and prognosis of three pilots were analyzed and related literatures were reviewed. \n \n \nResults \nThree flying personnel cases were without clinical symptoms but were diagnosed as AHCM according to abnormal electrocardiogram and echocardiogram in physical examination. In 24-year follow-up of case 1 the ECG showed T wave inversion upon V3, V4 leads and the amplitude raised from 0.4 mV to 0.9 mV, the thickness of apex cordis increased from 12 mm to 19 mm. But he had safe flight for 19 000 h. Case 2 showed T wave inversion upon V3-V5 leads and the amplitude changed from 0.5 mV to 1.4 mV, the thickness of apex cordis varied from 12 mm to 24 mm in 22-year follow-up. He had safe flight for 20 000 h. Nine-year follow-up was taken for case 3 that also appeared T wave inversion on V5 lead, amplitude changed from 0.2 mV to 0.6 mV and the thickness of apex cordis increased from 12 mm to 17 mm. He had safe flight for 1 000 h. \n \n \nConclusions \nEarly diagnosis of AHCM will benefit to take the clinical follow-up for flying personnel. Due to the good prognosis the qualification could be issued to the flying personnel with AHCM but must be with strict supervision. The individual evaluation is also suggested. \n \n \nKey words: \nCardiomyopathy, hypertrophic; Eligibility determination; Rstricted flying; Aircrews","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three cases of flying personnel with apical hypertrophy cardiomyopathy and literature review\",\"authors\":\"Jieyong Li, Jun Wang, Xiangshang Xue, Dong-Jing Wang\",\"doi\":\"10.3760/CMA.J.ISSN.1007-6239.2016.01.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo discuss the influence of apical hypertrophy cardiomyopathy (AHCM) on the flying personnel's and the evaluation principle of aeromedicine. \\n \\n \\nMethods \\nThe clinical AHCM data, including diagnosis, therapy and prognosis of three pilots were analyzed and related literatures were reviewed. \\n \\n \\nResults \\nThree flying personnel cases were without clinical symptoms but were diagnosed as AHCM according to abnormal electrocardiogram and echocardiogram in physical examination. In 24-year follow-up of case 1 the ECG showed T wave inversion upon V3, V4 leads and the amplitude raised from 0.4 mV to 0.9 mV, the thickness of apex cordis increased from 12 mm to 19 mm. But he had safe flight for 19 000 h. Case 2 showed T wave inversion upon V3-V5 leads and the amplitude changed from 0.5 mV to 1.4 mV, the thickness of apex cordis varied from 12 mm to 24 mm in 22-year follow-up. He had safe flight for 20 000 h. Nine-year follow-up was taken for case 3 that also appeared T wave inversion on V5 lead, amplitude changed from 0.2 mV to 0.6 mV and the thickness of apex cordis increased from 12 mm to 17 mm. He had safe flight for 1 000 h. \\n \\n \\nConclusions \\nEarly diagnosis of AHCM will benefit to take the clinical follow-up for flying personnel. Due to the good prognosis the qualification could be issued to the flying personnel with AHCM but must be with strict supervision. The individual evaluation is also suggested. \\n \\n \\nKey words: \\nCardiomyopathy, hypertrophic; Eligibility determination; Rstricted flying; Aircrews\",\"PeriodicalId\":9904,\"journal\":{\"name\":\"中华航空航天医学杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华航空航天医学杂志\",\"FirstCategoryId\":\"1087\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2016.01.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2016.01.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Three cases of flying personnel with apical hypertrophy cardiomyopathy and literature review
Objective
To discuss the influence of apical hypertrophy cardiomyopathy (AHCM) on the flying personnel's and the evaluation principle of aeromedicine.
Methods
The clinical AHCM data, including diagnosis, therapy and prognosis of three pilots were analyzed and related literatures were reviewed.
Results
Three flying personnel cases were without clinical symptoms but were diagnosed as AHCM according to abnormal electrocardiogram and echocardiogram in physical examination. In 24-year follow-up of case 1 the ECG showed T wave inversion upon V3, V4 leads and the amplitude raised from 0.4 mV to 0.9 mV, the thickness of apex cordis increased from 12 mm to 19 mm. But he had safe flight for 19 000 h. Case 2 showed T wave inversion upon V3-V5 leads and the amplitude changed from 0.5 mV to 1.4 mV, the thickness of apex cordis varied from 12 mm to 24 mm in 22-year follow-up. He had safe flight for 20 000 h. Nine-year follow-up was taken for case 3 that also appeared T wave inversion on V5 lead, amplitude changed from 0.2 mV to 0.6 mV and the thickness of apex cordis increased from 12 mm to 17 mm. He had safe flight for 1 000 h.
Conclusions
Early diagnosis of AHCM will benefit to take the clinical follow-up for flying personnel. Due to the good prognosis the qualification could be issued to the flying personnel with AHCM but must be with strict supervision. The individual evaluation is also suggested.
Key words:
Cardiomyopathy, hypertrophic; Eligibility determination; Rstricted flying; Aircrews
期刊介绍:
The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties.
Topics of interest for Chinese Journal of Aerospace Medicine include:
-The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc.
-Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal.
-The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote.
-The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.