Congress:
CLINICAL PARCULARITY OF HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY IN 24
PATIENTS
Zivojin O. Stamencovic et al. Kardiologija.Cardiology-Organ of the Serbian
Medical Society.1986 /7/1/,19-29.
There were 24 patients in the test group, 13 women and 11 men, average age
beinge 38.o6. The author found 21 patients (87%) suffering from dyspnoea,angina
lapin was established in 8 patients (33%) and syncope of lipotjymia in 7 (29%)
patients. Heartnpailure was observed in one patient only. All the patients had
systolic murmur in the mesocardium. In 19 (79%) patients the second ton was
normal, in one patient it was weakened and in 4 accentuated. On chest X-ray aorta
was in 2 patientes only, aorta was smal in 18 (75%) and widened in 2
patients. Cardiothoracic ratio was o,58+/- for men,and o,59+/- for women.
Twentytuo patients (92%) had sinus arytmiu. Fibrillation of auricules was
registred in two patients. QRS axis for men was +20,+/-60, while the mean value
for women was +17 +/-40. Sokolow-Lyon index was 49 mm +/- 22,8 mm for men,and
mean value for women 47 +/- mm.Lenègre-Blondeau index.i.e. total amount SV2 and
RV7 for men was 39 +/-19mm,and 45 +/-18,03 for women.Incomplete block of left
branch was registered in 3 men and 2 women. Pseudonecrosis was observed in 9
(37%) patients,5 men and 4 women. Ninetents patients had hypertrophy of the left
ventricle,i.e. 79% and of that number 11 werw men and 8 were women.Two patients
had hypertrophy of the right ventricle.
All the patients had asymmetric hypertrophy of the septum. The mean value of the
septum thickness was 20,5 mm +/-4,6 mm for mean and 21 mm +/-4,4 mm for
women. Septum thickness and left ventricular wall tickness ration was 1,8 +/-0,42
mm for men and 1,8 +/- o,39 mm for womenSAM was registreted in 21 (87%)
ppatients and in 7,it was a complete one. Twenty patients or 83% had midsystolic
aortic valve closure.
Kardiologija 1986/7/1.19-29.Organ of the Serbian Medical Society.
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