误诊为扩张型心肌病的中年预激性心肌病一例并文献复习

Zhao Yunhai, Li Jia, Yi Hongwei,Yan Hua,Xu Chengyi, Wang Li, Wang Qiang

Chinese Journal of Cardiovascular Medicine(2023)

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Abstract
1 病例资料 患者男性,42 岁,因"间断胸闷、呼吸困难半年,加重2周"于2021 年1 月28 日收入院.患者半年前出现劳力性胸闷、呼吸困难,休息后症状逐渐缓解,当地医院查超声心动图提示左心室扩大, 左室射血分数( left ventricular ejection fraction,LVEF)减低,考虑为"扩张型心肌病、心功能不全",给予药物对症治疗,疗效不佳.2 周前受凉后症状加重,活动耐量下降,夜间阵发性呼吸困难、端坐呼吸,遂急诊入院.
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