老年患者的左心室非紧张性心肌病:一个病例报告
Reza Alavi1, Hector Armando Sanchez Garcia1, Mohamad Ahmad2
1Internal Medicine, Hospital Corporation of America (HCA) Florida Bayonet Point Hospital, Hudson, USA.
Cureus
|August 1, 2025
概括
左心室非紧缩性心肌病 (LVNC) 是一种罕见的先天性心脏病. 这一案例突出了它在一位出现心力衰竭症状的老年患者的延迟诊断.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
背景情况:
- 左心室非紧缩 (LVNC) 是一种罕见的心肌病,其特征是显著的心肌和深深的心肌间隙.
- 在老年人中,它往往被忽视,并可能导致心力衰竭,心律失常和血栓塞栓事件.
研究的目的:
- 报告一个85岁妇女晚诊LVNC的病例.
- 强调在老年人中识别LVNC的重要性以及先进成像学的作用.
主要方法:
- 一个85岁的老妇人的病例报告显示胸部疼痛和呼吸障碍.
- 诊断工作包括心电图,冠状动脉血管学和胸前心脏回声学.
- 建议进行心脏MRI,但患者拒绝了.
主要成果:
- 胸外心声扫描显示了与LVNC一致的特征,包括非压缩与压缩的比率> 2:1和减少的LVEF (25-30%).
- 冠状动脉扫描显示没有阻塞性疾病.
- 患者接受了心力衰竭治疗和抗凝药治疗.
结论:
- 虽然LVNC是先天性的,但可以在生命晚期被诊断出来,特别是在渐进的缩功能障碍下.
- 提高对心脏MRI等先进成像技术的认识和使用对于改善老年人LVNC的识别和管理至关重要.
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