《内科学》课程PPT教学课件（循环系统）第十章 心肌病 Cardiomyopathy

体征>心脏扩大>S3或S4心音奔马律>收缩期杂音√心律失常(cardiac arrythmia)

体征 ➢心脏扩大 ➢Ｓ３或Ｓ４心音奔马律 ➢收缩期杂音 ➢心律失常（cardiac arrythmia)

Cardiac Imaging Chest radiogramElectrocardiogram24-hour ambulatory ECG (Holter)lightheadedness, palpitation, syncope Radionuclide ventriculographyCardiac catheterizationage >40, ischemic history, high riskprofile, abnormal ECG

Cardiac Imaging ◼ Chest radiogram ◼ Electrocardiogram ◼ 24-hour ambulatory ECG (Holter) ◼lightheadedness, palpitation, syncope ◼ Radionuclide ventriculography ◼ Cardiac catheterization ◼age >40, ischemic history, high risk profile, abnormal ECG

Chest radiogram心胸比例50%

心胸比例50% Chest radiogram

Pulmonary vascularcongestionPulmonary YasoularcongestionCardiao borderenlargementCardiac borderenlargement

超声心动图示室壁运动弥漫性减弱，射血分数小于正常值37ccom.Cn

超声心动图示室壁运动弥漫性减弱，射血分数小于正常值。 图 注：左室长轴切面显示左房左室扩大二 尖瓣开放幅度减少