伊朗的多变性心肌病: 322名患者的一般特征,临床表现,成像特征和主要心血管不良事件
Saman Rostambeigi1, Negin Mahmoudi Hamidabad2, Sarah Nadri1
1Rajaie Cardiovascular, Medical, and Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Heart views : the official journal of the Gulf Heart Association
|October 31, 2025
概括
伊朗的高性心肌病 (HCM) 患者表现出不同的临床特征和结果. 阻塞性HCM和积极的晚期加多增强 (LGE) 与增加主要不良心血管事件 (MACE) 有关.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 内部医学 内部医学
背景情况:
- 增高性心肌病 (HCM) 是最常见的遗传性心肌病.
- 早期诊断和管理对于改善生活质量和预防突然心脏病死亡至关重要.
研究的目的:
- 确定伊朗HCM患者的一般特征.
- 确定该地区HCM诊断和管理方面的差距.
主要方法:
- 从2016年到2020年,对322名HCM患者进行了横截面研究.
- 审查的数据包括临床,成像和治疗信息.
- 对主要不良心血管事件 (MACE) 的随访长达48个月.
主要成果:
- 平均年龄为49.7岁;40%是女性.
- 疲劳性呼吸障碍是最常见的症状 (49%).
- MACE发生在34.16%的患者中,阻塞性HCM和阳性LGE患者中更高.
结论:
- 阻塞性HCM和LGE≥10%与MACE的增加有关.
- 迪索皮拉米德和ICD植入是可行的治疗方法,其次是肌切除术.
- 遗传检测和酒精隔膜切除很少使用.
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