读心有术595期儿童的肥厚型心肌

英文原文:

RestrictivecardiomyopathyoftenshowssignificantgenotypicandphenotypicoverlapwithHCMandmaydisplaymanyoftheECGchangesdefinedearlier(Figure5.8).Giventhemarkedincreasesindiastolicdysfunction,changesinP-wavemorphologyconsistentwithatrialdilatationandhypertrophymaybepresent.Inadults,leftatrialabnormalitiesaredefinedaseitherawidelynotched(40ms)Pwaveorprolongationofoverallactivation(ms),andrightatrialabnormalitiesbyatall,uprightPwave(2.5mm)inlead2.AlthoughmarkeddifferencesinP-waveparametersexistthroughoutchildhood,thesevaluesareconsistentwiththe98thpercentile(P-waveamplitude2.4mmanddurationms)seeninadolescents.Childrenwithrestrictivecardiomyopathymayalsoshowfeaturesofconductiondisease,includingPRandQRSprolongationprogressingto







































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