超性心肌病症中结构膜变化的多样性
H G Klues1, B J Maron, A L Dollar
1Pathology Branches, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md 20892.
增高性心肌病 (HCM) 不仅仅涉及心脏肌肉;许多患者也表现出结构性中枢异常. 这些包括放大了的叶片和不寻常的乳头肌肉连接,表明更广泛的疾病过程.
科学领域:
- 心脏病学 心脏病学
- 心脏形态学 心脏形态学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 超性心肌病 (HCM) 是由左心室超定义的.
- 传统上,HCM被认为是心脏肌肉的疾病.
研究的目的:
- 为了调查潜在的中枢参与过度缩性心肌病变.
- 为了确定中枢膜结构异常是否存在于HCM患者.
主要方法:
- 研究了94名患有HCM的患者和45名对照患者的中枢门.
- 测量了 mitrale 传单面积,长度和周长.
- 对异常的乳头肌肉插入进行评估.
主要成果:
- 在HCM患者中,心交叶片面积显著增加 (12.9厘米2比8.7厘米2).
- 增加的面积是由于叶片的延长,特别是前叶片.
- 58%的HCM门显示了叶片面积的增加;66%有形,包括异常的乳头肌肉插入.
结论:
- 在大多数患者中,HCM涉及结构性中膜异常.
- 这些包括增加的叶片大小,延长和异常的乳头肌肉插入.
- 疾病过程超出了心脏肌肉范围,影响了心交膜结构.
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