梗阻性肥厚型心肌病的介入治疗技术和应用现状Interventional techniques and current applications for obstructive hypertrophic cardiomyopathy
李昀纾,罗素新,黄毕
摘要(Abstract):
肥厚型心肌病(HCM)是最常见的遗传性心血管病之一,也是青少年心源性猝死的最常见原因之一。HCM的主要病因是肌原纤维蛋白或其相关结构蛋白基因突变,导致室间隔发生不对称性肥厚,约70%的患者出现左心室流出道梗阻(LVOTO),因此可将HCM分为梗阻性和非梗阻性两大类型。梗阻性HCM通过药物或介入治疗可有效降低LVOTO程度。近年来,梗阻性HCM在侵入性治疗方面取得了重要突破,使其成为首个能够基于疾病基因与发病机制实施精准治疗的心血管病。本文对近年来梗阻性HCM在介入治疗领域的研究进展进行综述,以期为临床实践提供参考。
关键词(KeyWords): 梗阻性肥厚型心肌病;经皮腔内室间隔心肌消融;酒精室间隔消融术;射频消融;CARTOSound技术
基金项目(Foundation): 重庆医科大学2022年未来医学青年创新团队发展支持计划项目(W0184);; 重庆医科大学附属第一医院研究生教育教学改革研究项目(CYYY-YJSJGXM-202409)
作者(Author): 李昀纾,罗素新,黄毕
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