Bisoprolol Successfully Improved the Intraventricular Pressure Gradient in a Patient with Midventricular Obstructive Hypertrophic Cardiomyopathy with an Apex Aneurysm due to Apical Myocardial Damage

被引:4
作者
Tezuka, Ayano [1 ]
Higo, Kenjuro [1 ]
Nakamukae, Yuta [2 ]
Nishihara, Sanae [2 ]
Kamikawa, Masaki [2 ]
Shimofuku, Chihiro [2 ]
Kawazoe, Kazumasa [3 ]
Ohishi, Mitsuru [4 ]
机构
[1] Japanese Red Cross Kagoshima Hosp, Dept Cardiovasc Med, Kagoshima, Japan
[2] Japanese Red Cross Kagoshima Hosp, Dept Clin Lab Unit, Kagoshima, Japan
[3] Japanese Red Cross Kagoshima Hosp, Dept Neurosurg, Kagoshima, Japan
[4] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Med & Hypertens, Kagoshima, Japan
关键词
midventricular obstructive hypertrophic cardiomyopathy; bisoprolol; beta-blocker;
D O I
10.2169/internalmedicine.0997-18
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Midventricular obstructive hypertrophic cardiomyopathy (MVOHCM) is a rare form of hypertrophic cardiomyopathy (HCM). An 80-year-old man was administered bisoprolol and warfarin therapies as treatment for MVOHCM with an apex aneurysm due to myocardial damage and intra-aneurysmal thrombus not complicated by atrial fibrillation. The pressure gradient in the midventricle successfully improved from 53.9 to 21.8 mmHg, and the intra-aneurysmal thrombus disappeared.
引用
收藏
页码:535 / 539
页数:5
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