右室肥厚型心肌病听说过吗?

2018-09-30 xujing 中国循环杂志

阜外医院樊朝美、闫丽荣等研究提示,中国人群重度右心室肥厚型心肌病患病率较低,但预后差,约1/3 合并右心室梗阻,右心室梗阻是发生心血管事件的独立危险因素

阜外医院樊朝美、闫丽荣等研究提示,中国人群重度右心室肥厚型心肌病患病率较低,但预后差,约1/3 合并右心室梗阻,右心室梗阻是发生血管事件的独立危险因素。

重度右心室肥厚型心肌病的诊断标准:舒张末期右心室游离壁、前壁或右心室心尖处室壁厚度≥ 10 mm。

本研究纳入43 例重度右心室肥厚型心肌病患者,占同期3 308 例肥厚型心肌病患者的1.29%,女性患者(60.5%)多于男性患者(39.5%),诊断时平均年龄32.0岁,其中合并右心室梗阻者13 例。

平均随访7.7年,重度右心室肥厚型心肌病患者的血管死亡率为16.3%,10 年平均生存率为77%,而心尖肥厚型心肌病患者高达97%。

诊断时年龄≤ 18岁是心血管死亡的独立预测因子。

随访期间,28 例(65.1%)患者发生心血管事件,其中发生率最高的心血管事件是进展性心力衰竭和心房颤动。

右心室梗阻是心血管事件(HR=1.75)和进展性心力衰竭(HR=2.84)的独立预测因子

评论区 (7)
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    2018-10-04 清幽蓝燕yan

    还没有见过呢

    0

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    2018-10-01 liumin1987

    嗯嗯,学习学习。

    0

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    2018-10-01 lietome15

    好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!

    0

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    2018-10-01 183****7028

    学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=347938, encodeId=cc7034e9388a, content=还没有见过呢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Thu Oct 04 21:22:19 CST 2018, time=2018-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622349, encodeId=94751622349d0, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Tue Oct 02 14:20:00 CST 2018, time=2018-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347533, encodeId=844a34e533fb, content=嗯嗯,学习学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Mon Oct 01 10:25:49 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347521, encodeId=7e2034e521e0, content=好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Mon Oct 01 09:44:10 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347504, encodeId=4cda34e5047a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/iaAVWEsIJUkA1ITy3uL0lhHUhyaJibWgFtH4KbJuaLbY2WUK33jgCFyoZ8Eqx7eE7hCuZhytc1C5GRrfjVXN8lYg/0, createdBy=fcb82149579, createdName=183****7028, createdTime=Mon Oct 01 08:20:25 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347503, encodeId=be9234e50373, content=qiang学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/09/30/2615f2dbbdbfaa5634b44052c597b3ac.jpg, createdBy=39772452928, createdName=leoorion, createdTime=Mon Oct 01 08:20:22 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347492, encodeId=7d0e34e492c0, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Mon Oct 01 07:17:23 CST 2018, time=2018-10-01, status=1, ipAttribution=)]
    2018-10-01 leoorion

    qiang学习了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=347938, encodeId=cc7034e9388a, content=还没有见过呢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Thu Oct 04 21:22:19 CST 2018, time=2018-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1622349, encodeId=94751622349d0, content=<a href='/topic/show?id=b9578094833' target=_blank style='color:#2F92EE;'>#肌病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80948, encryptionId=b9578094833, topicName=肌病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Tue Oct 02 14:20:00 CST 2018, time=2018-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347533, encodeId=844a34e533fb, content=嗯嗯,学习学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Mon Oct 01 10:25:49 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347521, encodeId=7e2034e521e0, content=好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Mon Oct 01 09:44:10 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347504, encodeId=4cda34e5047a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/iaAVWEsIJUkA1ITy3uL0lhHUhyaJibWgFtH4KbJuaLbY2WUK33jgCFyoZ8Eqx7eE7hCuZhytc1C5GRrfjVXN8lYg/0, createdBy=fcb82149579, createdName=183****7028, createdTime=Mon Oct 01 08:20:25 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347503, encodeId=be9234e50373, content=qiang学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/09/30/2615f2dbbdbfaa5634b44052c597b3ac.jpg, createdBy=39772452928, createdName=leoorion, createdTime=Mon Oct 01 08:20:22 CST 2018, time=2018-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=347492, encodeId=7d0e34e492c0, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Mon Oct 01 07:17:23 CST 2018, time=2018-10-01, status=1, ipAttribution=)]
    2018-10-01 smartxiuxiu

    0

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