扩张型心肌病并发左心室和左心耳血栓1例

L. Dubey, Ridhi Adhikari
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摘要

24岁男性,诊断为心肌炎后扩张型心肌病(DCM),表现为呼吸困难和身体肿胀。经检查,他脸色不好。血压90/60毫米汞柱,心率每分钟110次。体格检查发现双侧下肢凹陷性水肿,可听到S3的奔驰声。颈静脉脉搏升高。胸部x线显示心脏肿大伴肺充血。心电图显示窦性心动过速。心肌酶在正常范围内。基于图1和视频1、2的超声心动图诊断是什么?
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Simultaneous left ventricle and left atrial appendage thrombi in a patient with dilated cardiomyopathy
A 24-year-old male, diagnosed with post myocarditis dilated cardiomyopathy (DCM), presented with dyspnea and body swelling. On examination, he was ill-looking. Blood pressure was 90/60 mm Hg and his heart rate was 110 beats per minutes. Upon physical examination, pitting edema was noted in bilateral lower extremities and a S3 gallop sound was audible. Jugular venous pulse was raised. Chest X-ray showed cardiomegaly with pulmonary congestion. Electrocardiography showed sinus tachycardia. The cardiac enzymes were within the normal range. What is the echocardio graphic diagnosis based on the Figure 1 and videos 1,2?
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